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Genotype-Dependent ...
Genotype-Dependent Effects of Dalcetrapib on Cholesterol Efflux and Inflammation Concordance With Clinical Outcomes
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- Tardif, Jean-Claude (författare)
- Montreal Heart Institute, Canada; University of Montreal, Canada
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- Rhainds, David (författare)
- Montreal Heart Institute, Canada
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- Brodeur, Mathieu (författare)
- Montreal Heart Institute, Canada
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- Feroz Zada, Yassamin (författare)
- University of Montreal, Canada
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- Fouodjio, Rene (författare)
- University of Montreal, Canada
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- Provost, Sylvie (författare)
- University of Montreal, Canada
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- Boule, Marie (författare)
- Montreal Heart Institute, Canada
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- Alem, Sonia (författare)
- Montreal Heart Institute, Canada
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- Gregoire, Jean C. (författare)
- Montreal Heart Institute, Canada; University of Montreal, Canada
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- LAllier, Philippe L. (författare)
- Montreal Heart Institute, Canada; University of Montreal, Canada
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- Ibrahim, Reda (författare)
- Montreal Heart Institute, Canada; University of Montreal, Canada
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- Guertin, Marie-Claude (författare)
- Montreal Health Innovat Coordinating Centre, Canada
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- Mongrain, Ian (författare)
- University of Montreal, Canada
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- Olsson, Anders (författare)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för kardiovaskulär medicin,Region Östergötland, Endokrinmedicinska kliniken
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- Schwartz, Gregory G. (författare)
- Vet Affairs Medical Centre, CO USA; University of Colorado, CO USA
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- Rheaume, Eric (författare)
- Montreal Heart Institute, Canada; University of Montreal, Canada
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- Dube, Marie-Pierre (författare)
- Montreal Heart Institute, Canada; University of Montreal, Canada; University of Montreal, Canada
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(creator_code:org_t)
- LIPPINCOTT WILLIAMS & WILKINS, 2016
- 2016
- Engelska.
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Ingår i: Circulation. - : LIPPINCOTT WILLIAMS & WILKINS. - 1942-325X .- 1942-3268. ; 9:4, s. 340-348
- Relaterad länk:
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https://liu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Background-Dalcetrapib effects on cardiovascular outcomes are determined by adenylate cyclase 9 gene polymorphisms. Our aim was to determine whether these clinical end point results are also associated with changes in reverse cholesterol transport and inflammation. Methods and Results-Participants of the dal-OUTCOMES and dal-PLAQUE-2 trials were randomly assigned to receive dalcetrapib or placebo in addition to standard care. High-sensitivity C-reactive protein was measured at baseline and at end of study in 5243 patients from dal-OUTCOMES also genotyped for the rs1967309 polymorphism in adenylate cyclase 9. Cholesterol efflux capacity of high-density lipoproteins from J774 macrophages after cAMP stimulation was determined at baseline and 12 months in 171 genotyped patients from dal-PLAQUE-2. Treatment with dalcetrapib resulted in placebo-adjusted geometric mean percent increases in high-sensitivity C-reactive protein from baseline to end of trial of 18.1% (P=0.0009) and 18.7% (P=0.00001) in participants with the GG and AG genotypes, respectively, but the change was -1.0% (P=0.89) in those with the protective AA genotype. There was an interaction between the treatment arm and the genotype groups (P=0.02). Although the mean change in cholesterol efflux was similar among study arms in patients with GG genotype (mean: 7.8% and 7.4%), increases were 22.3% and 3.5% with dalcetrapib and placebo for those with AA genotype (P=0.005). There was a significant genetic effect for change in efflux for dalcetrapib (P=0.02), but not with placebo. Conclusions-Genotype-dependent effects on C-reactive protein and cholesterol efflux are supportive of dalcetrapib benefits on atherosclerotic cardiovascular outcomes in patients with the AA genotype at polymorphism rs1967309.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- reactive protein; cholesterol efflux; dalcetrapib; HDL; pharmacogenetics
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Tardif, Jean-Cla ...
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Rhainds, David
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Brodeur, Mathieu
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Feroz Zada, Yass ...
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Fouodjio, Rene
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Provost, Sylvie
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Boule, Marie
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Alem, Sonia
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Gregoire, Jean C ...
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LAllier, Philipp ...
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Ibrahim, Reda
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Guertin, Marie-C ...
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Mongrain, Ian
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Olsson, Anders
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Schwartz, Gregor ...
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Rheaume, Eric
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Dube, Marie-Pier ...
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