Lipids & metabolic liver disease

ApoC-III proteoforms are associated with better lipid, inflammatory, and glucose profiles independent of total apoC-III

Cardiovasc DiabetolPublished Cross-sectional study

Authors' conclusion

While apoC-III is positively associated with biomarkers of cardiometabolic risk, the proportions of three apoC-III proteoforms show opposite associations, independent of total apoC-III concentrations. Measuring not only apoC-III but also the proportions of apoC-III proteoforms can provide valuable information since individuals with similar levels of total apoC-III could display opposite lipid profiles depending on the proportion of apoC-III proteoforms.

Study context

Population
Participants from the cross-sectional study of the Di@bet.es cohort; seven apoC-III proteoforms measured by mass spectrometry immunoassay
Participants
875 participants
Exposure
ApoC-III proteoform ratios vs total apoC-III
Outcome
Associations of seven apoC-III proteoforms with biomarkers of lipid metabolism, inflammation and glucose homeostasis
Methodological detailslinear regression models
  • Linear regression models

Main finding

As reported in the abstract

Associations of proteoform ratios (apoC-III2d, apoC-III2, apoC-III0f normalized to apoC-III1) with cardiovascular risk biomarkers

TG: β apoC-III2d; apoC-III2; apoC-III0f

β=−0.173, p < 0.001; β=−0.297, p < 0.001; β=−0.223

p = 0.002

VLDL particle concentration: β apoC-III2d; apoC-III2; apoC-III0f

β=−0.133, p < 0.001; β=−0.265, p < 0.001; β=−0.203

p < 0.001

GlycA: β apoC-III2d; apoC-III2; apoC-III0f

β=−0.148, p < 0.001; β=−0.263, p < 0.001; β=−0.211

p < 0.001

Homeostatic model assessment of insulin resistance (HOMA-IR): β apoC-III2d; apoC-III2; apoC-III0f

β=−0.096, p = 0.003; β=−0.199, p < 0.001; β=−0.114

p = 0.002

Observational data: associations, not effects.

Further findings

Prevalence of cardiometabolic disorders with high levels of these proteoforms

Lower prevalence of T2D
P = 0.022
Lower prevalence of obesity
P = 0.001
Lower prevalence of metabolic syndrome
P = 0.013

Original publication

ApoC-III proteoforms are associated with better lipid, inflammatory, and glucose profiles independent of total apoC-III. Cardiovasc Diabetol. Published 4 December 2024. doi:10.1186/s12933-024-02531-5

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