on March 24, 2003
Published online before print March 24, 2003, doi: 10.1161/01.CIR.0000057982.50167.6E
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Submitted on November 11, 2002
From the Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland (J.V., M.-R.T.); the University Health Network, Toronto, Canada (G.S.); Laboratories Fournier, Daix, France (J.-C.A., F.A., S.R., C.F.); and the Atherosclerosis Research Unit, King Gustaf V Research Institute, Karolinska Hospital, Stockholm, Sweden (A.H.). * To whom correspondence should be addressed. E-mail: mataskin{at}helsinki.fi.
Background--The Diabetes Atherosclerosis Intervention Study showed that treatment with fenofibrate decreases progression of coronary atherosclerosis in subjects with type 2 diabetes. We determined whether on-treatment plasma lipid concentrations and LDL particle size contribute to the favorable effect of fenofibrate on the progression of coronary artery disease (CAD). Methods and Results--A total of 418 subjects with type 2 diabetes were randomly assigned to 200 mg micronized fenofibrate daily or placebo. The mean follow-up time was 39.6 months. LDL peak particle diameter (LDL size) was determined by polyacrylamide gradient gel electrophoresis from 405 subjects at baseline and at the end of the study. Progression of CAD was measured with quantitative coronary angiography. LDL size increased significantly more in the fenofibrate group than in the placebo group (0.98±1.04 versus 0.32±0.92 nm, P<0.001). In the combined group, small LDL size was significantly associated with progression of CAD measured as the increase of percentage diameter stenosis (r=-0.16, P=0.002) and decreases in minimum (r=-0.11, P=0.030) and mean (r=-0.10, P=0.045) lumen diameter. High on-treatment LDL cholesterol, apolipoprotein B, and triglyceride concentrations were also associated with the progression of CAD. In regression analyses, small LDL size added to the effect of LDL cholesterol and apolipoprotein B on the progression of CAD. Similar associations were observed in the fenofibrate group, whereas in the placebo group, lipoprotein variables were not significantly correlated with the progression of CAD. Conclusions--Changes in LDL size and plasma lipid levels account for part of the antiatherogenic effect of fenofibrate in type 2 diabetes.
Revised on December 31, 2002
Accepted on January 7, 2003
Relationships Between Low-Density Lipoprotein Particle Size, Plasma Lipoproteins, and Progression of Coronary Artery Disease. The Diabetes Atherosclerosis Intervention Study (DAIS)
Juha Vakkilainen MD,
Key words: coronary disease • fenofibrate • diabetes mellitus • lipoproteins • angiography
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