Apolipoprotein E and coronary disease: A puzzling paradox
2006

Apolipoprotein E and Cardiovascular Disease: A Surprising Link

Sample size: 546 publication Evidence: moderate

Author Information

Author(s): Muredach Reilly, Daniel J. Rader

Primary Institution: University of Pennsylvania School of Medicine

Hypothesis

Is there a positive relationship between plasma apoE levels and cardiovascular mortality in elderly individuals?

Conclusion

The study found a direct association between plasma apoE levels and cardiovascular disease mortality, independent of apoE genotype.

Supporting Evidence

  • The study provides clear evidence for the direct association of apoE levels with cardiovascular disease mortality.
  • This association is independent of apoE genotype.
  • There is a remarkable paucity of data on the relationship between plasma apoE levels and cardiovascular outcomes in humans.

Takeaway

This study suggests that higher levels of a protein called apoE in the blood might actually be linked to a higher risk of heart problems in older people.

Methodology

The study used data from the Leiden 85-plus Study, which followed elderly participants for mortality.

Potential Biases

Potential bias in reporting changes in inflammatory markers like CRP.

Limitations

The study did not measure remnant lipoprotein particles, which could influence the results.

Participant Demographics

Elderly individuals over the age of 85.

Digital Object Identifier (DOI)

10.1371/journal.pmed.0030258

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