4.6 Article

Oxysterols and apolipoproteins in multiple sclerosis: a 5 year follow-up study

期刊

JOURNAL OF LIPID RESEARCH
卷 60, 期 7, 页码 1190-1198

出版社

ELSEVIER
DOI: 10.1194/jlr.M089664

关键词

cholesterol; disease progression; metabolism

资金

  1. National Institute of Neurological Disorders and Stroke Grant [1R21NS098169]
  2. National Center for Advancing Translational Sciences of the National Institutes of Health [UL1TR001412]
  3. National Institutes of Health
  4. National Multiple Sclerosis Society
  5. National Science Foundation
  6. Department of Defense
  7. EMD Serono
  8. Biogen Idec
  9. Teva Neuroscience
  10. Cyberonics
  11. Novartis
  12. Acorda
  13. Jog for the Jake Foundation
  14. National Institute of Neurological Diseases and Stroke
  15. Genzyme-Sanofi
  16. Mapi-Pharma
  17. PRAH
  18. Protembis
  19. Celgene
  20. V-WAVE Medica

向作者/读者索取更多资源

The purpose of this work was to investigate whether changes in oxysterol and apolipoprotein levels over 5 years are associated with disease course and disability progression in multiple sclerosis (MS). This study included 139 subjects [39 healthy controls (HCs), 61 relapsing-remitting MS (RR-MS) patients, and 39 progressive MS (P-MS) patients]. Oxysterols [24-hydroxycholesterol (24HC), 25-hydroxycholesterol (25HC), 27-hydroxycholesterol (27HC), 7 alpha-hydroxycholesterol (7 alpha HC), and 7-ketocholesterol (7KC)] were measured at baseline and 5 years using a novel mass spectrometric method, and apolipoproteins were measured using immunoturbidometric diagnostic kits. Levels of 24HC (P = 0.004), 25HC (P = 0.029), and 27HC (P = 0.026) increased in P-MS patients. 7KC (P = 0.047) and 7 alpha HC (P = 0.001) levels decreased in RR-MS patients, and there were no changes in any oxysterols in HCs. In MS patients, ApoC-II (all P <= 0.01) and ApoE (all P <= 0.01) changes were positively associated with all oxysterol levels. Increases in 24HC (P = 0.038) and ApoB (P = 0.038) and decreases in 7KC (P = 0.020) were observed in RR-MS patients who converted to secondary P-MS (SP-MS) at follow-up and in SP-MS patients compared with RR-MS patients. Oxysterols and their associations with apolipoproteins differed between MS patients and HCs over 5 years. Oxysterol and apolipoprotein changes were associated with conversion to SP-MS.

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