Association of serum adipocyte fatty acid-binding protein and apolipoprotein B /apolipoprotein A1 ratio with intima media thickness of common carotid artery in dyslipidemic patients

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2019 Jun;163(2):166-171. doi: 10.5507/bp.2018.043. Epub 2018 Sep 11.

Abstract

Background: Diseases caused by atherosclerosis play the most important role in mortality and morbidity worldwide. Serum adipocyte fatty acid binding protein (A-FABP) seems to be a new promising marker to determine the risk of atherosclerosis.

Objective: The aim of this study was to evaluate relationships between serum A-FABP levels in studied individuals and to assess the possibility of modeling the intima media thickness of the common carotid artery (C-IMT) using A-FABP levels and other observed characteristics.

Methods: Seventy two Caucasian individuals were enrolled and divided into 3 groups: dyslipidemic patients with or without metabolic syndrome (MetS+, n=17; MetS-, n= 34) and controls (n=21).

Results: There was confirmed the well-established risk profile of individuals with MetS (unfavorable lipid and lipoprotein profile, as well as increased parameters of insulin resistence and C-IMT). A-FABP concentrations in this group were significantly higher in comparison with both MetS- and controls.

Conclusion: Using multiple linear regression models of C-IMT values for all individual data, healthy controls and dyslipidemic patients without metabolic syndrome (MetS-) A-FABP levels were not revealed as an important predictor of C-IMT in our model. In contrast, age, gender, waist circumference, nonHDL cholesterol levels and ApoB/ApoA1 ratio were important repressors of C- IMT in study individuals. This finding may be attributed to the overwhelming effect of other more robust risk factors for atherosclerosis in these individuals.

Keywords: adipocyte fatty acid binding protein; dyslipidemia; intima media thickness.

MeSH terms

  • Adult
  • Apolipoprotein A-I / blood*
  • Apolipoprotein B-100 / blood*
  • Atherosclerosis / blood*
  • Atherosclerosis / diagnostic imaging
  • Carotid Artery Diseases / blood*
  • Carotid Artery Diseases / diagnostic imaging
  • Carotid Artery, Common / diagnostic imaging*
  • Carotid Intima-Media Thickness
  • Dyslipidemias / blood*
  • Dyslipidemias / diagnostic imaging
  • Fatty Acid-Binding Proteins / blood*
  • Female
  • Humans
  • Insulin Resistance
  • Male
  • Metabolic Syndrome / blood*
  • Metabolic Syndrome / diagnostic imaging
  • Middle Aged

Substances

  • APOA1 protein, human
  • APOB protein, human
  • Apolipoprotein A-I
  • Apolipoprotein B-100
  • FABP4 protein, human
  • Fatty Acid-Binding Proteins