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Clinical investigation of lipoprotein (a) levels in type 2 diabetics for cardiovascular diseases prediction and prognosis

  • Yasser Bustanji EMAIL logo , Noor Barham , Eman Y. Abu-rish , Abdelkareem Alhyari , Basil Albustanji , Majd Alnajjar , Bashaer Abu-irmaileh , Waseem El-Huneidi , Eman Abu-Gharbieh , Mohammad Mohammad , Mohammed Fararjeh , Ala Issa , Mohammad Semreen and Hana Bajes ORCID logo EMAIL logo
Published/Copyright: April 15, 2022

Abstract

Objectives

We aimed to evaluate the levels of serum lipoprotein a, LP (a), in Jordanian patients with type 2 diabetes mellitus (DM); and to examine its relation to glycemic control, metabolic syndrome (MS) and duration of DM. The LP (a) is considered one of the independent risk factors for coronary artery disease (CAD) in the general population.

Methods

Fasting blood samples were drawn from 51 diabetic patients with type 2 DM and 31 non-diabetic age and sex control subjects. Serum LP (a) was measured along with other parameters, including triglycerides (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterol (LDL-c) and glycosylated haemoglobin (HbA1c). Correlation analyses were performed between LP (a) and the various variables measured.

Results

LP (a) measurement showed a skewed distribution towards the lower levels in both groups. Mean LP (a) levels showed a statistically insignificant difference between the two groups. No correlations of LP (a) were observed with age, sex or body mass index (BMI). No correlations of LP (a) with LDL-c, HDL-c, TG, TC, MS, DM duration or HbA1c were observed. The LP (a) serum levels were significantly higher in type 2 diabetic patients with retinopathy.

Conclusions

LP (a) serum levels are not increased in type 2 diabetic patients; so, LP (a) may not be a reliable marker for early therapeutic interventions in DM patients, even in high-risk for thrombosis groups.


Corresponding authors: Yasser Bustanji, Department of Basic Medical Sciences, College of Medicine, University of Sharjah, Sharjah 27272, UAE; and School of Pharmacy, The University of Jordan, Amman 11942, Jordan, E-mail: ; and Hana Bajes, School of Pharmacy, The University of Jordan, Amman 11942, Jordan; and Science Department, Atlantic Cape Community College, Mays Landing, NJ 08330, USA, E-mail:

Funding source: University of Jordan

Award Identifier / Grant number: Unassigned

Acknowledgments

The authors wish to thank the Deanship of Scientific Research for their generous funds.

  1. Research funding: This project was sponsored by the Deanship of Scientific Research at the University of Jordan.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: Authors state no conflict of interest.

  4. Informed consent: An informed consent form, written in lay Arabic language, was handed to and signed by each subject.

  5. Ethical approval: An institutional review board (IRB) approval was granted form research and graduate studies committee in the School of Pharmacy/The University of Jordan.

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Received: 2021-11-03
Accepted: 2022-03-13
Published Online: 2022-04-15

© 2022 Walter de Gruyter GmbH, Berlin/Boston

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