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001-es BibID:BIBFORM069720
Első szerző:Harangi Mariann (belgyógyász, endokrinológus)
Cím:LDL apheresis or PCSK9 inhibition? Sometimes we have to combine them / Mariann Harangi, Lilla Juhász, Bíborka Nádró, József Balla, György Paragh
Dátum:2017
Megjegyzések:This study presents the case of a female patient with severe heterozygous familialhypercholesterolemia. Despite the combined maximum dose oral treatment with rosuvastatinand ezetimibe, we found markedly elevated lipid parameters. Therefore, we indicated monthlyselective low density lipoprotein (LDL) apheresis treatment using the Direct Adsorption ofLipoproteins system. After more than 2 years the lipid levels of the patients were still above thetherapeutic goals. Finally, we completed the treatment by the inhibitor evolocumab biweekly.Further LDL cholesterol (LDL-C) reduction was achieved resulting in lipid parameters ongoals. However, administration of evolocumab without LDL apheresis could not reduce theLDL-C below 2.5 mmol/L. We concluded that both LDL apheresis and proprotein convertasesubtilisin/kexin type 9 (PCSK9) inhibitor treatments were effective and well tolerated. None ofthem alone would be enough to achieve lipid goals in this patient. However, the combination ofthese potent treatments may normalize the lipid levels and prevent cardiovascular complications.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
LDL apheresis
PCSK9 inhibition
familial hypercholesterolemia
low-density lipoprotein
lipoprotein(a)
Megjelenés:Vessel Plus. - 1 (2017), p. 91-95. -
További szerzők:Juhász Lilla (1990-) (általános orvos) Nádró Bíborka (1992-) (általános orvos) Balla József (1959-) (belgyógyász, nephrológus) Paragh György (1953-) (belgyógyász)
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001-es BibID:BIBFORM073991
Első szerző:Varga Viktória Evelin (biológus)
Cím:Changes in serum afamin and vitamin E levels after selective LDL apheresis / Varga Viktória Evelin, Lőrincz Hajnalka, Szentpéteri Anita, Juhász Lilla, Seres Ildikó, Paragh György Jr., Balla József, Paragh György, Harangi Mariann
Dátum:2018
ISSN:0733-2459
Megjegyzések:Background: Human afamin is a plasma vitamin E-binding glycoprotein partially associatedwith ApoA1-containing HDL subfractions. In a previous study, the serum vitamin Edecreased after LDL apheresis, while vitamin E/cholesterol ratio significantly increased. Weaimed to study the effect of LDL apheresis on serum afamin level.Methods: The serum level of afamin and oxidized LDL were measured by enzyme-linkedimmunosorbent assay in six severe heterozygous FH patients before and after their first LDLapheresis treatments and in seven healthy controls. We also investigated the changes in HDLsubfractions and ApoA1, ?- and ?-tocopherol levels during the treatment. HDL subfractionswere detected by an electrophoretic method on polyacrylamide gel (Lipoprint). Serum ?- and?-tocopherol levels were detected by gas chromatography-mass spectrometry.Results: The first treatment sessions decreased serum afamin levels by an average of 9.4%.Total cholesterol, LDL-C, HDL-C and ApoA1 levels decreased by 52.6; 61.8; 10.5 and14.1%, respectively. We found that ?- and ?-tocopherol levels markedly decreased (by 34.1and 32.9%, respectively), while ?- tocopherol/cholesterol and ?-tocopherol/cholesterol ratiossignificantly increased (by 41.4 and 40.3%, respectively). Furthermore, oxidized LDL levelssignificantly decreased and there was a shift towards the larger HDL subfractions.Conclusion: LDL apheresis moderately decreases the circulating levels of afamin parallel tolowering HDL-C and ApoA1 levels. Tocopherol levels decreases markedly compared toafamin levels, however, beneficial changes in vitamin E/cholesterol ratios, oxidized LDLlevels and HDL subfraction distribution were detected. These additional effects of LDLapheresis may result in further cardiovascular risk reduction in FH patients.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
LDL apheresis
vitamin E
afamin
ApoA1
Familial Hypercholesterolemia
Megjelenés:Journal Of Clinical Apheresis. - 33 : 5 (2018), p. 569-575. -
További szerzők:Lőrincz Hajnalka (1986-) (biológus) Szentpéteri Anita (1988-) (biológus) Juhász Lilla (1990-) (általános orvos) Seres Ildikó (1954-) (biokémikus) Paragh György Jr. (1978-) (bőrgyógyász) Balla József (1959-) (belgyógyász, nephrológus) Paragh György (1953-) (belgyógyász) Harangi Mariann (1974-) (belgyógyász, endokrinológus)
Pályázati támogatás:GINOP-2.3.2-15-2016-00005
GINOP
OTKA-115723
OTKA
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