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Query: UMLS:C0004153 (atherosclerosis)
 77,401 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Cholesterol metabolism was examined in aortic smooth muscle cells from atherosclerosis-susceptible White Carneau pigeons that have been shown to lack a functional LDL receptor pathway. In cells incubated in the presence of whole serum or low density lipoprotein (LDL) the rate of cholesterol synthesis from [1-14C]acetate or of HMG-CoA reductase activity was 20-100 times greater than for mammalian cells incubated under the same conditions. Unexpectedly, cholesterol synthesis decreased by nearly 50% after preincubation for 24 hr with lipoprotein-deficient serum (LPDS). This occurred without a change in cellular cholesterol content. Neither the high rate of cholesterol synthesis nor the effect of LPDS could be accounted for by differences in cell turnover or state of growth. Cholesterol added in ethanol was ineffective in altering cellular cholesterol synthesis or esterification even though a near doubling in cellular free cholesterol content occurred. Cholesterol synthesis and esterification were, however, able to be regulated with 25-OH cholesterol and mevalonolactone, as indicated by their ability to suppress cholesterol synthesis and to stimulate cholesterol esterification. In spite of the high rate of endogenous cholesterol synthesis, cellular cholesterol content was maintained at a constant level by the efficient efflux of the newly synthesized cholesterol from the cell. Unlike mammalian cells that require a cholesterol acceptor in the medium for efflux to occur, cholesterol efflux from pigeon cells occurred in the absence of a cholesterol acceptor. This suggests either that pigeon cells utilize a different mechanism for cholesterol efflux or that they produce their own cholesterol acceptor. As a result of a lack of a functional LDL receptor pathway, pigeon smooth muscle cells do not maintain cholesterol homeostasis through the controlled uptake of exogenous LDL cholesterol, as do mammalian cells. Rather, pigeon smooth muscle cells would appear to regulate cholesterol concentrations at the level of either cholesterol synthesis or efflux.
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PMID:Cholesterol metabolism in pigeon aortic smooth muscle cells lacking a functional low density lipoprotein receptor pathway. 649 37

To assess the relation between the physical order of a membrane and its sensitivity to ethanol, we enriched biomembranes with cholesterol, both in vivo and in vitro. Japanese quail of the SEA line (selectively bred for susceptibility to experimental atherosclerosis) were treated for 9 to 16 weeks with a diet that contained 2% cholesterol. This regimen increased the cholesterol content of serum and erythrocytes. The cholesterol content of brain synaptosomal plasma membranes (SPM) was unaffected by the high cholesterol diet. In other experiments, isolated mouse synaptosomal plasma membranes were incubated with cholesterol/phospholipid (C/P) vesicles; different amounts of cholesterol were transferred according to the sterol content of the donor vesicles. Membrane order was determined in both types of membranes by a sensitive electron paramagnetic resonance (EPR) technique. The order parameter with 5- and 12-doxylstearic acid increased along with the cholesterol content. As expected, ethanol disordered membranes (decreased the order parameter) in a concentration-related manner. The slope of the concentration response curve was less steep in high cholesterol than low cholesterol membranes, indicating that cholesterol enrichment partially blocks the membrane action of ethanol in both types of membranes.
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PMID:Cholesterol blocks the disordering effects of ethanol in biomembranes. 652 12

Several rubber industry jobs that are associated with cardiovascular disease (CVD) mortality involve the use of solvents and, since the only known occupational cause of atherosclerosis is a solvent (carbon disulfide), solvent exposures may contribute to the CVD excess observed among rubber industry workers. Detailed exposure estimates for 25 solvents were available for a cohort of 1,282 white male production workers in a large rubber- and tire-manufacturing plant, and a survivorship analysis compared the CVD mortality experience of exposed and nonexposed workers during a 15-year follow-up period. The known association between carbon disulfide exposure and ischemic heart disease (IHD) was apparent among these workers, and two other solvents, ethanol and phenol, were also found to be significant predictors of IHD. These exploratory findings suggest that solvents other than carbon disulfide may cause atherosclerotic disease.
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PMID:Mortality from heart disease among workers exposed to solvents. 665 22

Cardiovascular events continue as the leading cause of death in the United States, despite a decline in recent years. Epidemiological evidence has confirmed that in adults smoking, high blood pressure, hypercholesterolemia, a family history of atherosclerotic disease at an early age, diabetes mellitus, and certain behavioral patterns are associated with a higher risk for myocardial infarction and other manifestations of coronary artery occlusion. In addition, a lack of regular physical activity, being overweight, and excess ethanol consumption are associated with increased cardiac disease rates. Since these indicators of risk may appear in childhood, and the earliest manifestations of atherosclerosis or hypertension can become manifest soon thereafter, the prevention of cardiovascular events must begin early. This paper reviews the evidence for the origins of cardiovascular risk in childhood, and offers recommendations to family physicians to help them provide parents with the proper information, motivation, and skills to teach their children healthy nutritional, exercise, and behavioral patterns.
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PMID:Family-directed preventive cardiology. 669 48

A prospective epidemiological study (Lancet ii: 175-179, 1982) implicates low concentrations of selenium in plasma in coronary atherogenesis. We examined this relationship more directly by fluorometry of selenium in the plasma of 91 hospitalized patients who were being examined by coronary arteriography for clinical evaluation of chest pain. We observed a significant, inverse correlation between the plasma selenium and severity of coronary atherosclerosis. These results confirm those of the epidemiological studies, but the role, if any, of selenium in atherogenesis still is unclear. Its concentration in plasma is decreased by ethanol and cigarette use; possibly this is the mechanism of its relation to hypertension and atherosclerosis.
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PMID:Selenium concentrations in plasma of patients with arteriographically defined coronary atherosclerosis. 673 2

Level of hostility (Ho) was assessed by a 50-item subscale of the Minnesota Multiphasic Personality Inventory at the initial examination of 1877 employed middle-aged men who were free of coronary heart disease (CHD). Ten-year incidence of major CHD events (myocardial infarction and CHD death) was lowest in the first quintile of the Ho scale's distribution, highest in the middle quintile, and intermediate in the other three quintiles. After adjustment for age, blood pressure, serum cholesterol level, cigarette smoking, and intake of ethanol, the relative odds of a major CHD event was 0.68 for men with Ho scores less than or equal to 10 points in comparison to men with higher scores. The Ho scale was positively associated with crude 20-year mortality from CHD, malignant neoplasms, and causes other than cardiovascular--renal diseases and malignant neoplasms. After adjustment for the risk factors listed above, the Ho scale had a statistically significant, positive, monotonic association with 20-year risk of death from all causes combined. A difference of 23 points on the Ho scale, i.e., the difference between the means of the first and the fifth quintiles, was associated with a 42% increase in the risk of death. These results support the previous findings of Williams et al. with respect to the Ho scale and coronary atherosclerosis, and also suggest that the Ho scale may be associated with factors having broad effects on survival.
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PMID:Hostility, risk of coronary heart disease, and mortality. 686 29

Central nervous system (CNS) infarcts were present at autopsy in 10 of 23 alcoholic patients and in 9 of 36 nonalcoholic patients. There were more males than expected in the infarct population and in the alcoholic population. Male subjects comprised the entire population of alcoholics with infarcts. In addition, a history of alcohol abuse was present in every case of cerebral infarction dying before age 75. The incidence of cardiomegaly was increased among the alcoholics. There were no differences between alcoholics and nonalcoholics in the incidence of diagnosed hypertension, moderate-to-severe coronary atherosclerosis, or adult onset diabetes. However, CNS infarction was more likely to occur at an earlier age in alcoholics than in nonalcoholics. Excessive alcohol consumption may be a risk factor in the premature development of cerebrovascular disease in males.
Alcohol Clin Exp Res 1981
PMID:Association of cerebral infarction and chronic alcoholism: an autopsy study. 703 Jan 9

Endurance fitness has been measured objectively (physical work capacity at pulse rate of 170/min W170) in a group of middle-aged executives, and related to a number of other physical characteristics and aspects of coronary risk status: FEV1, blood pressure, adiposity smoking habit, alcohol consumption, plasma levels of total and non-high density lipoprotein cholesterol, triglyceride and high density lipoprotein cholesterol (HDL-C). The primary question was whether HDL-C levels could be shown to be related to endurance fitness levels over the range encountered in a fairly homogeneous population and hence whether there could be value in terms of lipid coronary risk status in encouraging a moderate increase in physical activity. HDL-C levels were significantly related to W170. Fitness also separated the subjects in terms of adiposity, but not in terms of the other variables studied. Even though the trend was toward an index of physical activity being able to separate the subjects in terms of HDL-C, this was not as clear-cut as the division in terms of endurance fitness. Alcohol and smoking were associated with higher triglyceride levels, but not with HDL-C. The variables mid-abdominal skinfold thickness, triglyceride, non-HDL-C and endurance fitness accounted for 53% of the variation in HDL-C levels in this population. Alterations in the levels of these probably related variables might be expected to have appreciable effects on levels of HDL-C.
Atherosclerosis 1982 Mar
PMID:Physical fitness and plasma HDL cholesterol concentrations in male business executives. 708 21

The effects of smoking and alcohol intake on the extent of coronary artery occlusion were studied in 2989 men undergoing a diagnostic coronary arteriography. Smoking showed an exposure-related enhancing effect on the extent of coronary artery occlusion. Conversely, alcohol consumption demonstrated an attenuating dose-related effect, offsetting the increased coronary occlusion associated with smoking. Alcohol intake should be considered in studies evaluating the risk factors--coronary artery disease interaction.
Atherosclerosis 1982 Jun
PMID:Smoking, alcohol and coronary artery occlusion. 711 64

Male Macaca nemestrina were studied in an experiment with a 2 x 2 factorial design. Diets contained low vs high cholesterol levels (0.3 vs 1.0 mg/Kcal) and no ethanol or ethanol, as 36% of the calories substituted isocalorically for carbohydrate. After receiving their diets for 18 months, the monkeys had blood samples drawn for lipoprotein analyses, and then were killed for evaluation of the extent of atherosclerosis. Ethanol-fed groups had significantly increased concentrations of serum cholesterol, triglycerides, low density lipoprotein, and high density lipoprotein. The molecular weight of the low density lipoprotein particles was lower in ethanol-fed animals and the cholesterol esters of low density lipoprotein and high density lipoprotein contained relatively more cholesteryl linoleate and less cholesteryl oleate. Dietary cholesterol had the effect of increasing the concentration of low density lipoprotein (primarily via increasing the low density lipoprotein molecular weight) and decreasing the concentration of high density lipoprotein. Significant interactions were found between the effects of ethanol and cholesterol on high density lipoprotein and low density lipoprotein. Ethanol significantly decreased the cholesterol-induced atherosclerosis found in the aorta and coronary arteries. Highly significant correlations between coronary artery atherosclerosis and low density lipoprotein cholesterol ester pattern were found. In contrast, low density lipoprotein molar concentration (number of low density lipoprotein particles per liter of plasma) was not significantly correlated with coronary artery atherosclerosis. Different relationships with aortic atherosclerosis were found; low density lipoprotein molecular weight and cholesterol ester pattern were highly correlated, while high density lipoprotein concentration was not. The high correlations found between lipoprotein characteristics and atherosclerosis severity have been mediated through its effects on the plasma lipoproteins.
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PMID:Dietary ethanol-induced modifications in hyperlipoproteinemia and atherosclerosis in nonhuman primates (Macaca nemestrina). 729 89


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