Spectrum of fatty acids, lipids and markers of inflammation in patients with coronary atherosclerosis
Abstract
Research purpose. Study of the balance of unsaturatedfatty acids and their associations with indicators of lipid metabolism and markers of inflammation in men with coronary atherosclerosis. Material and Methods. The study included 40 men aged 38-66 years. The basic group - 30 patients with verified coronary angiographic coronary atherosclerosis. The control group included 10 healthy men. In the serum was studiedpalmitoleic (16:1), oleic (18:1), linoleic (18:2 (ω-6)), α-linolenic (18:3 (ω-3)), γ-linolenic (18:3 (ω-6)), arachidonic (20:4 (ω-6)), eicosapentaenoic (20:5 (ω-3)) and docosahexaenoic (22:6 (ω-3)) acids. We calculated the coefficient ω-6/ω-3 polyunsaturated fatty acids. Determined the concentrations of tumor necrosis factor-α (TNF-α), interleukin-1β (IL-Ιβ), interleukin-6 (IL-6), interleukin-8 (IL-8), C-reactiveprotein (CRP), cholesterol, triglycerides, high density lipoproteins (HDL),peroxide oxidation of lipid. Results. In patients with coronary atherosclerosisfound a significant increase in the content of monounsaturated fatty acids - 18.2% (p<0.01), triglyceride, peroxidation products, IL-6, IL-8 and CRP; and decrease in polyunsaturatedfatty acids andHDL. In men with coronary atherosclerosis, the ratio of ω-6/ω-3 polyunsaturated fatty acids was 1.6 times higher (10.9/1 (84.23/7.74); p < 0.05) than in the control group. Correlation analysis revealed multiple relationships between the studied acids; with markers of inflammation -16:1, 18:1 and 18:3 (ω-6); triglycerideslevel- 16:1, 18:1, 18:2, 18:3 (ω-6), 20:5 and 22:6; withcholesterol-16:1, 18:1, 18:2and 18:3 (ω-3). Found a linkpalmitoleic(16:1) and oleic (18:1) with thepresence of coronary atherosclerosis. Conclusion. In coronary atherosclerosis observed pronounced changes infatty acid composition and is accompanied by changes in lipidproflle and markers of inflammation.