Correlation Between Small Dense Low-Density Lipoprotein and Tissue Perfusion in Diabetic Foot.
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Farkouh Ala'a, Agarwal Ashok, Hamoda Taha Abo-Almagd Abdel-Meguid, Kavoussi Parviz, Saleh Ramadan, Zini Armand, Arafa Mohamed, Harraz Ahmed M, Gul Murat, Karthikeyan Vilvapathy Senguttuvan, Durairajanayagam Damayanthi, Rambhatla Amarnath, Boitrelle Florence, Chung Eric, Birowo Ponco, Toprak Tuncay, Ghayda Ramy Abou, Cannarella Rossella, Phuoc Nguyen Ho Vinh, Dimitriadis Fotios, Russo Giorgio I, Sokolakis Ioannis, Mostafa Taymour, Makarounis Konstantinos, Ziouziou Imad, Kuroda Shinnosuke, Bendayan Marion, Kaiyal Raneen Sawaid, Japari Andrian, Simopoulou Mara, Rocco Lucia, Garrido Nicolas, Gherabi Nazim, Bocu Kadir, Kahraman Oguzhan, Le Tan V, Wyns Christine, Tremellen Kelton, Sarikaya Selcuk, Lewis Sheena, Evenson Donald P, Ko Edmund, Calogero Aldo E, Bahar Fahmi, Martinez Marlon, Crafa Andrea, Nguyen Quang, Ambar Rafael F, Colpi Giovanni, Bakircioglu Mustafa Emre, Henkel Ralf, Kandil Hussein, Serefoglu Ege Can, Alarbid Abdullah, Tsujimura Akira, Kheradmand Alireza, Anagnostopoulou Christina, Marino Angelo, Adamyan Aram, Zilaitiene Birute, Ozer Cevahir, Pescatori Edoardo, Vogiatzi Paraskevi, Busetto Gian Maria, Balercia Giancarlo, Elbardisi Haitham, Akhavizadegan Hamed, Sajadi Hesamoddin, Taniguchi Hisanori, Park Hyun Jun, Maldonado Rosas Israel, Al-Marhoon Mohamed, Sadighi Gilani Mohammad Ali, Alhathal Naif, Pinggera Germar-Michael, Kothari Priyank, Mogharabian Nasser, Micic Sava, Homa Sheryl, Darbandi Sara, Long Tran Quang Tien, Zohdy Wael, Atmoko Widi, Sabbaghian Marjan, Ibrahim Wael, Smith Ryan P, Ho Christopher Chee Kong, de la Rosette Jean, El-Sakka Ahmed I, Preto Mirko, Zenoaga-Barbăroșie Cătălina, Abumelha Saad Mohammed, Baser Aykut, Aydos Kaan, Ramirez-Dominguez Liliana, Kumar Vijay, Ong Teng Aik, Mierzwa Tiago Cesar, Adriansjah Ricky, Banihani Saleem A, Bowa Kasonde, Fukuhara Shinichiro, Rodriguez Peña Marcelo, Moussa Mohamad, Ari Umut Çağın, Cho Chak-Lam, Tadros Nicholas N, Ugur Muhammet Rasit, Amar Edouard, Falcone Marco, Santer Frederic Romain, Kalkanli Arif, Karna Keshab Kumar, Khalafalla Kareim, Vishwakarma Ranjit B, Finocchi Federica, Giulioni Carlo, Ceyhan Erman, Çeker Gökhan, Yazbeck Chadi, Rajmil Osvaldo, Yilmaz Mehmet, Altay Baris, Barrett Trenton L, Ngoo Kay Seong, Roychoudhury Shubhadeep, Salvio Gianmaria, Lin Haocheng, Kadioglu Ates, Timpano Massimiliano, Avidor-Reiss Tomer, Hakim Lukman, Sindhwani Puneet, Franco Giorgio, Singh Rajender, Giacone Filippo, Ruzaev Mikhail, Kosgi Raghavender, Sofikitis Nikolaos, Palani Ayad, Calik Gokhan, Kulaksız Deniz, Jezek Davor, Al Hashmi Manaf, Drakopoulos Panagiotis, Omran Huda, Leonardi Sofia, Celik-Ozenci Ciler, Güngör Nur Dokuzeylül, Ramsay Jonathan, Amano Toshiyasu, Sogutdelen Emrullah, Duarsa Gede Wirya Kusuma, Chiba Koji, Jindal Sunil, Savira Missy, Boeri Luca, Borges Edson, Gupte Deepak, Gokalp Fatih, Hebrard Guadalupe Hernández, Minhas Suks, Shah Rupin, Global Andrology Forum
Аннотация
METHODS: Fifty patients with diabetes were enrolled in the study. Tissue perfusion was assessed by measuring the foot's transcutaneous oxygen pressure (TcPO₂). SdLDL levels were determined based on the mean low-density lipoprotein (LDL) particle size, proportion of sdLDL as a percentage of total LDL, and LDL subfraction score. Correlations between TcPO₂ and each variable were evaluated through scatter plots, and correlation coefficients (R) with corresponding P values were calculated. Statistical analyses were conducted for all participants and further stratified into two subgroups based on a TcPO₂ threshold of ≥ 40 mmHg and < 40 mmHg.
RESULTS: In the overall analysis (n = 50), no statistically significant relationships were detected between TcPO₂ and sdLDL size, sdLDL percentage, or LDL subfraction score. Nevertheless, in the TcPO₂ ≥ 40 mmHg subgroup (n = 29), a statistically significant positive correlation was found between mean LDL particle size and TcPO₂ (R = 0.414, P = 0.026). In contrast, statistically significant negative correlations emerged between sdLDL percentage and TcPO₂ (R = -0.415, P = 0.025), as well as between LDL subfraction score and TcPO₂ (R = -0.419, P = 0.024).
CONCLUSION: This study identified a significant correlation between sdLDL levels and tissue perfusion in diabetic feet with TcPO₂ ≥ 40 mmHg, but no significant correlation in those with TcPO₂ < 40 mmHg.