PMID- 34070835 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210615 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 10 IP - 11 DP - 2021 May 30 TI - Associations between High-Density Lipoprotein Functionality and Major Adverse Cardiovascular Events in Patients Who Have Undergone Coronary Computed Tomography Angiography. LID - 10.3390/jcm10112431 [doi] LID - 2431 AB - The present study aimed to investigate the associations between high-density lipoprotein (HDL) functionality and major adverse cardiovascular events (MACE) in patients who have undergone coronary computed tomography angiography (CCTA). We performed a prospective cohort study and enrolled 151 patients who underwent CCTA and had a follow-up of up to 5 years. We measured cholesterol efflux capacity (CEC), caspase-3/7 activity and monocyte chemoattractant protein-1 (MCP-1) secretion as bioassays of HDL functionality. The patients were divided into MACE(-) (n = 138) and MACE(+) (n = 13) groups. While there was no significant difference in %CEC, caspase-3/7 activity or MCP-1 secretion between the MACE(-) and MACE(+) groups, total CEC and HDL cholesterol (HDL-C) in the MACE(+) group were significantly lower than those in the MACE(-) group. Total CEC was correlated with HDL-C. A receiver-operating characteristic curve analysis showed that there was no significant difference between the areas under the curves for total CEC and HDL-C. In conclusion, total CEC in addition to HDL-C, but not %CEC, was associated with the presence of MACE. On the other hand, HDL functionality with regard to anti-inflammatory and anti-apoptosis effects was not associated with MACE. FAU - Inoue, Hiroko AU - Inoue H AD - Department of Cardiology, Fukuoka University Nishijin Hospital, Fukuoka 814-8522, Japan. FAU - Shiga, Yuhei AU - Shiga Y AD - Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan. FAU - Norimatsu, Kenji AU - Norimatsu K AD - Department of Cardiology, Fukuoka University Nishijin Hospital, Fukuoka 814-8522, Japan. AD - Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan. FAU - Tashiro, Kohei AU - Tashiro K AD - Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan. FAU - Futami, Makito AU - Futami M AD - Department of Cardiology, Fukuoka University Nishijin Hospital, Fukuoka 814-8522, Japan. AD - Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan. FAU - Suematsu, Yasunori AU - Suematsu Y AD - Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan. FAU - Sugihara, Makoto AU - Sugihara M AUID- ORCID: 0000-0002-0103-9260 AD - Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan. FAU - Nishikawa, Hiroaki AU - Nishikawa H AD - Department of Cardiology, Fukuoka University Nishijin Hospital, Fukuoka 814-8522, Japan. FAU - Katsuda, Yousuke AU - Katsuda Y AD - Department of Cardiology, Fukuoka University Nishijin Hospital, Fukuoka 814-8522, Japan. FAU - Miura, Shin-Ichiro AU - Miura SI AD - Department of Cardiology, Fukuoka University Nishijin Hospital, Fukuoka 814-8522, Japan. AD - Department of Cardiology, Fukuoka University School of Medicine, Fukuoka 814-0180, Japan. LA - eng PT - Journal Article DEP - 20210530 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC8199292 OTO - NOTNLM OT - cholesterol efflux capacity OT - high-density lipoprotein OT - major adverse cardiovascular events COIS- The authors declare that there is no conflict of interest. EDAT- 2021/06/03 06:00 MHDA- 2021/06/03 06:01 PMCR- 2021/05/30 CRDT- 2021/06/02 01:30 PHST- 2021/04/25 00:00 [received] PHST- 2021/05/22 00:00 [revised] PHST- 2021/05/26 00:00 [accepted] PHST- 2021/06/02 01:30 [entrez] PHST- 2021/06/03 06:00 [pubmed] PHST- 2021/06/03 06:01 [medline] PHST- 2021/05/30 00:00 [pmc-release] AID - jcm10112431 [pii] AID - jcm-10-02431 [pii] AID - 10.3390/jcm10112431 [doi] PST - epublish SO - J Clin Med. 2021 May 30;10(11):2431. doi: 10.3390/jcm10112431.