Relation between high density lipoprotein particles concentration and cardiovascular events: a meta-analysis

Abstract Background Trails aimed at raising high density lipoprotein(HDL) cholesterol concentration failed to make better cardiovascular outcomes. HDL particles may be better biomarkers reflecting properties of HDL. This meta-analysis was conducted to evaluate the relation between blood HDL particle...

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Main Authors: YuJing Wu, ZhiJuan Fan, YaQiong Tian, Shuang Liu, ShuYe Liu
Format: Article
Language:English
Published: BMC 2018-06-01
Series:Lipids in Health and Disease
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12944-018-0732-6
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author YuJing Wu
ZhiJuan Fan
YaQiong Tian
Shuang Liu
ShuYe Liu
author_facet YuJing Wu
ZhiJuan Fan
YaQiong Tian
Shuang Liu
ShuYe Liu
author_sort YuJing Wu
collection DOAJ
description Abstract Background Trails aimed at raising high density lipoprotein(HDL) cholesterol concentration failed to make better cardiovascular outcomes. HDL particles may be better biomarkers reflecting properties of HDL. This meta-analysis was conducted to evaluate the relation between blood HDL particles level and cardiovascular events. Methods PubMed and other databases were searched for eligible studies and NewCastle-Ottawa Quality Assessment Scale(NOS) was used to assess the quality of included studies. A random or fixed-effect model was applied to calculate the pooled hazard ratio(HR). Results Twelve studies were finally included. The pooled HR(95%confidence interval) for per standard deviation(SD) increment and top quartile versus bottom quartile were 0.79(0.72,0.86) and 0.65(0.57,0.75), respectively. Subgroup analysis suggested that HR was significantly lower in subjects with a cardiovascular disease(CVD) history than that of people without established CVD. Subclass analysis indicated that HRs for per SD increment of small(0.85) and medium(0.84) HDL particles were significantly lower than that of large HDL particles(0.96). Conclusions HDL particle level in blood was inversely related to CVD events, indicating that HDL particles maybe a protective factor in patients with CVD, thus making HDL particles a potential biomarker and therapy target.
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spelling doaj.art-05f90123cf7944368cfa1710a9013f242022-12-21T23:34:38ZengBMCLipids in Health and Disease1476-511X2018-06-011711910.1186/s12944-018-0732-6Relation between high density lipoprotein particles concentration and cardiovascular events: a meta-analysisYuJing Wu0ZhiJuan Fan1YaQiong Tian2Shuang Liu3ShuYe Liu4Third Central Hospital of Tianjin, Tianjin Institute of Hepatobiliary Disease, Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Technology Research Center of Public Health MinistryThird Central Hospital of Tianjin, Tianjin Institute of Hepatobiliary Disease, Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Technology Research Center of Public Health MinistryThird Central Hospital of Tianjin, Tianjin Institute of Hepatobiliary Disease, Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Technology Research Center of Public Health MinistryThird Central Hospital of Tianjin, Tianjin Institute of Hepatobiliary Disease, Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Technology Research Center of Public Health MinistryThird Central Hospital of Tianjin, Tianjin Institute of Hepatobiliary Disease, Tianjin Key Laboratory of Artificial Cell, Artificial Cell Engineering Technology Research Center of Public Health MinistryAbstract Background Trails aimed at raising high density lipoprotein(HDL) cholesterol concentration failed to make better cardiovascular outcomes. HDL particles may be better biomarkers reflecting properties of HDL. This meta-analysis was conducted to evaluate the relation between blood HDL particles level and cardiovascular events. Methods PubMed and other databases were searched for eligible studies and NewCastle-Ottawa Quality Assessment Scale(NOS) was used to assess the quality of included studies. A random or fixed-effect model was applied to calculate the pooled hazard ratio(HR). Results Twelve studies were finally included. The pooled HR(95%confidence interval) for per standard deviation(SD) increment and top quartile versus bottom quartile were 0.79(0.72,0.86) and 0.65(0.57,0.75), respectively. Subgroup analysis suggested that HR was significantly lower in subjects with a cardiovascular disease(CVD) history than that of people without established CVD. Subclass analysis indicated that HRs for per SD increment of small(0.85) and medium(0.84) HDL particles were significantly lower than that of large HDL particles(0.96). Conclusions HDL particle level in blood was inversely related to CVD events, indicating that HDL particles maybe a protective factor in patients with CVD, thus making HDL particles a potential biomarker and therapy target.http://link.springer.com/article/10.1186/s12944-018-0732-6HDLParticleCardiovascular eventsMeta analysis
spellingShingle YuJing Wu
ZhiJuan Fan
YaQiong Tian
Shuang Liu
ShuYe Liu
Relation between high density lipoprotein particles concentration and cardiovascular events: a meta-analysis
Lipids in Health and Disease
HDL
Particle
Cardiovascular events
Meta analysis
title Relation between high density lipoprotein particles concentration and cardiovascular events: a meta-analysis
title_full Relation between high density lipoprotein particles concentration and cardiovascular events: a meta-analysis
title_fullStr Relation between high density lipoprotein particles concentration and cardiovascular events: a meta-analysis
title_full_unstemmed Relation between high density lipoprotein particles concentration and cardiovascular events: a meta-analysis
title_short Relation between high density lipoprotein particles concentration and cardiovascular events: a meta-analysis
title_sort relation between high density lipoprotein particles concentration and cardiovascular events a meta analysis
topic HDL
Particle
Cardiovascular events
Meta analysis
url http://link.springer.com/article/10.1186/s12944-018-0732-6
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