A Study of Serum Apolipoprotein A1, Apolipoprotein B and Lipid Profile in Stroke

Background: Role of Serum Lipids, Lipoproteins and Lipoprotein related variables in the prediction of Stroke is less clear. Abnormalities in plasma Lipoproteins are the most firmly established and best understood risk factors for Atherosclerosis and they are probable risk factors for Ischaemic s...

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Main Authors: Shilpasree AS, Savitri Sahukar, Jayaprakash Murthy, Kiran Kumar
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2013-07-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/3123/9%20-%205269_PF1(M)_E(C)_F(T)_F1(V)_F1(T)_PF1(PUH)_PFA(H)_1.pdf
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author Shilpasree AS
Savitri Sahukar
Jayaprakash Murthy
Kiran Kumar
author_facet Shilpasree AS
Savitri Sahukar
Jayaprakash Murthy
Kiran Kumar
author_sort Shilpasree AS
collection DOAJ
description Background: Role of Serum Lipids, Lipoproteins and Lipoprotein related variables in the prediction of Stroke is less clear. Abnormalities in plasma Lipoproteins are the most firmly established and best understood risk factors for Atherosclerosis and they are probable risk factors for Ischaemic stroke, largely by their link to Atherosclerosis. Apo B reflects the concentration of potentially atherogenic particles (LDL), and Apo A1 reflects the corresponding concentration of antiatherogenic particles (HDL), represent additional lipoprotein related variables that may indicate the vascular risk. Aim: To study serum concentration of Apolipoprotein A1, Apolipoprotein B, Apo B/Apo A1 ratio and Lipid profile in Stroke Cases and to compare with healthy controls. Design: . A total number of 100 subjects within 30 – 70 years were considered for the study. 50 subjects with Stroke (both clinically as well as Computed tomographically proven cases) and 50 age and sex matched healthy individuals were taken for the study Material and Methods: Total cholesterol, HDL cholesterol and Triglycerides are estimated by Enzymatic method using Semiautoanalyser. LDL cholesterol is estimated by Friedewald formula. Apo B and Apo A1 are estimated by Immunoturbidimetric method using Semiautoanalyser. Statistical Analysis: Student ‘t’ test was used to compare the data between cases and controls. Diagnostic validity tests were conducted to assess the Diagnostic efficiency of Apo A1, Apo B and Apo B/Apo A1 ratio. Results: Total cholesterol, LDL cholesterol and Triglycerides are significantly increased in Cases compared to Controls. HDL – cholesterol is significantly decreased in Cases compared to Controls. Apo B and Apo B/Apo A1 ratio are significantly increased and Apo A1 is significantly decreased in Cases compared to Controls. Diagnostic validity tests showed that, Apo B , Apo A1 and Apo B /Apo A1 ratio have highest Sensitivity, Specificity and Diagnostic efficiency. Conclusion: Apo B , Apo A1 and Apo B / Apo A1 ratio can be used as predictors of stroke along with traditional lipid profile components.
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spelling doaj.art-5eb3fbae7a504aad941cf560e2fc33062022-12-22T01:23:13ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2013-07-01771303130610.7860/JCDR/2013/5269.3123A Study of Serum Apolipoprotein A1, Apolipoprotein B and Lipid Profile in StrokeShilpasree AS0Savitri Sahukar1Jayaprakash Murthy2Kiran Kumar3Assistant Professor, Department of Biochemistry, Santosh Medical College, Ghaziabad, UP – 201206, India.Professor, Department of Biochemistry, JJM Medical College, Davangere – 577005, India.Professor and Head, Department of Biochemistry, JJM Medical College, Davangere – 577005, India.Reader, Department of Oral Pathology, ITS – CDSR Muradnagar, Ghaziabad, UP – 201206, India.Background: Role of Serum Lipids, Lipoproteins and Lipoprotein related variables in the prediction of Stroke is less clear. Abnormalities in plasma Lipoproteins are the most firmly established and best understood risk factors for Atherosclerosis and they are probable risk factors for Ischaemic stroke, largely by their link to Atherosclerosis. Apo B reflects the concentration of potentially atherogenic particles (LDL), and Apo A1 reflects the corresponding concentration of antiatherogenic particles (HDL), represent additional lipoprotein related variables that may indicate the vascular risk. Aim: To study serum concentration of Apolipoprotein A1, Apolipoprotein B, Apo B/Apo A1 ratio and Lipid profile in Stroke Cases and to compare with healthy controls. Design: . A total number of 100 subjects within 30 – 70 years were considered for the study. 50 subjects with Stroke (both clinically as well as Computed tomographically proven cases) and 50 age and sex matched healthy individuals were taken for the study Material and Methods: Total cholesterol, HDL cholesterol and Triglycerides are estimated by Enzymatic method using Semiautoanalyser. LDL cholesterol is estimated by Friedewald formula. Apo B and Apo A1 are estimated by Immunoturbidimetric method using Semiautoanalyser. Statistical Analysis: Student ‘t’ test was used to compare the data between cases and controls. Diagnostic validity tests were conducted to assess the Diagnostic efficiency of Apo A1, Apo B and Apo B/Apo A1 ratio. Results: Total cholesterol, LDL cholesterol and Triglycerides are significantly increased in Cases compared to Controls. HDL – cholesterol is significantly decreased in Cases compared to Controls. Apo B and Apo B/Apo A1 ratio are significantly increased and Apo A1 is significantly decreased in Cases compared to Controls. Diagnostic validity tests showed that, Apo B , Apo A1 and Apo B /Apo A1 ratio have highest Sensitivity, Specificity and Diagnostic efficiency. Conclusion: Apo B , Apo A1 and Apo B / Apo A1 ratio can be used as predictors of stroke along with traditional lipid profile components.https://jcdr.net/articles/PDF/3123/9%20-%205269_PF1(M)_E(C)_F(T)_F1(V)_F1(T)_PF1(PUH)_PFA(H)_1.pdfapolipoprotein a1apolipoprotein blipid profilestroke
spellingShingle Shilpasree AS
Savitri Sahukar
Jayaprakash Murthy
Kiran Kumar
A Study of Serum Apolipoprotein A1, Apolipoprotein B and Lipid Profile in Stroke
Journal of Clinical and Diagnostic Research
apolipoprotein a1
apolipoprotein b
lipid profile
stroke
title A Study of Serum Apolipoprotein A1, Apolipoprotein B and Lipid Profile in Stroke
title_full A Study of Serum Apolipoprotein A1, Apolipoprotein B and Lipid Profile in Stroke
title_fullStr A Study of Serum Apolipoprotein A1, Apolipoprotein B and Lipid Profile in Stroke
title_full_unstemmed A Study of Serum Apolipoprotein A1, Apolipoprotein B and Lipid Profile in Stroke
title_short A Study of Serum Apolipoprotein A1, Apolipoprotein B and Lipid Profile in Stroke
title_sort study of serum apolipoprotein a1 apolipoprotein b and lipid profile in stroke
topic apolipoprotein a1
apolipoprotein b
lipid profile
stroke
url https://jcdr.net/articles/PDF/3123/9%20-%205269_PF1(M)_E(C)_F(T)_F1(V)_F1(T)_PF1(PUH)_PFA(H)_1.pdf
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