PMID- 15298047 OWN - NLM STAT- MEDLINE DCOM- 20041108 LR - 20220321 IS - 0160-9289 (Print) IS - 1932-8737 (Electronic) IS - 0160-9289 (Linking) VI - 27 IP - 7 DP - 2004 Jul TI - Association between paraoxonase-1 activity and lipid peroxidation indicator levels in people living in the Antalya region with angiographically documented coronary artery disease. PG - 426-30 AB - BACKGROUND: Paraoxonase-1 (PON1) is a high-density lipoprotein (HDL)-associated enzyme capable of hydrolyzing lipid peroxides. Thus, PON1 plays a preventing role in atherosclerosis by protecting against lipid peroxidation. HYPOTHESIS: The incidence of coronary artery disease (CAD) is high in the Turkish population, and many risk factors have been studied as determinants of CAD. In Turkish people living in the Antalya region, we aimed to determine serum PON1 activity and its relation to lipoproteins and lipid peroxidation markers. METHODS: We measured the activity of serum PON1 together with concentrations of a variety of lipid constituents--total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), very low-density lipoprotein cholesterol (VLDL-C), HDL cholesterol (HDL-C), triglycerides (TG), apolipoprotein (apo) A-I, apoB, and lipid peroxidation indicators (conjugated diene [CD] and thiobarbituric acid-reactive substances [TBARS])--in 108 patients with CAD and 64 healthy subjects (controls). RESULTS: We found that the PON1 activity was significantly reduced in patients with CAD (222.37 +/- 11.31 IU/l) compared with controls (331.75 +/- 20.98 IU/l). These patients had significantly lower HDL-C, PON1/HDL-C, apoA-I, PON1/ApoA-I, and ApoA-I/ApoB, and higher LDL-C, TC/HDL-C, LDL-C/HDL-C, apoB, CD and TBARS than did controls. Total cholesterol and apoA-I concentrations were significantly higher in women than in men in both groups. After multiple logistic regression analysis, TBARS (odds ratio [OR] 568.87; p = 0.000), age (OR 1.10; p = 0.000), gender (OR 4.58; p = 0.008), apoA-I/apoB (OR 0.046; p = 0.003), and PON1/apoA-I (OR 0.58; p = 0.007) were independently indicative of the presence of CAD. CONCLUSIONS: This is the first report of decreased serum PON1 activity and increased lipid peroxidation indicators (CD and TBARS) of patients with CAD living in Antalya, Turkey. Our results indicate that TBARS levels, age, gender, apoA-1/ApoB, and PON1/apoA-I ratios are important markers of CAD. FAU - Gocmen, Ayse Yesim AU - Gocmen AY AD - Department of Biochemistry, Faculty of Medicine, Akdeniz University, Antalya, Turkey. FAU - Gumuslu, Saadet AU - Gumuslu S FAU - Semiz, Ender AU - Semiz E LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Clin Cardiol JT - Clinical cardiology JID - 7903272 RN - 0 (Apolipoprotein A-I) RN - 0 (Apolipoproteins B) RN - 0 (Biomarkers) RN - 0 (Cholesterol, HDL) RN - 0 (Cholesterol, LDL) RN - 0 (Cholesterol, VLDL) RN - 0 (Thiobarbituric Acid Reactive Substances) RN - 0 (Triglycerides) RN - EC 3.1.8.1 (Aryldialkylphosphatase) SB - IM MH - Adult MH - Aged MH - Apolipoprotein A-I/metabolism MH - Apolipoproteins B/metabolism MH - Aryldialkylphosphatase/*metabolism MH - Biomarkers/blood MH - Cholesterol, HDL/metabolism MH - Cholesterol, LDL/metabolism MH - Cholesterol, VLDL/metabolism MH - *Coronary Angiography MH - Coronary Artery Disease/diagnostic imaging/*metabolism/*physiopathology MH - Female MH - Humans MH - Lipid Peroxidation/*physiology MH - Male MH - Middle Aged MH - Statistics as Topic MH - Thiobarbituric Acid Reactive Substances/metabolism MH - Triglycerides/metabolism MH - Turkey/epidemiology PMC - PMC6654200 EDAT- 2004/08/10 05:00 MHDA- 2004/11/09 09:00 PMCR- 2006/12/05 CRDT- 2004/08/10 05:00 PHST- 2004/08/10 05:00 [pubmed] PHST- 2004/11/09 09:00 [medline] PHST- 2004/08/10 05:00 [entrez] PHST- 2006/12/05 00:00 [pmc-release] AID - CLC4960270714 [pii] AID - 10.1002/clc.4960270714 [doi] PST - ppublish SO - Clin Cardiol. 2004 Jul;27(7):426-30. doi: 10.1002/clc.4960270714.