Prevention & lipids

ApoB-containing lipoproteins: count, type, size, and risk of coronary artery disease

Eur Heart JPublished Prospective cohort study

Authors' conclusion

Lipid-related atherosclerotic risk is most accurately reflected by the total count of apoB-P and is largely unaffected by the major particle type (VLDL, LDL) or size. Elevated count of Lp(a) adds additional risk

Study context

Population
UK Biobank participants with lipoprotein profiling, without prior atherosclerotic disease, diabetes or lipid-lowering therapy
Participants
207,368 participants
Exposure
ApoB particle count, type and size vs incident coronary artery disease (CAD)
Outcome
Incident CAD
Methodological detailsUK Biobank, multivariable-adjusted Cox regression
  • UK Biobank
  • Multivariable-adjusted Cox regression

Main finding

As reported in the abstract

Hazard ratio (95% CI)
apoB-Pper 1-SD increase
1.33(1.30–1.36)
VLDL particlesper 100 nmol/L
1.22(1.11–1.34)
LDLper 100 nmol/L
1.07(1.05–1.08)

Each row per its own increment, as printed

Observational data: associations, not effects.

Further findings

Lp(a) (immunoassay), adjusted for apoB particle (apoB-P)

HR (CI)
Lp(a)After apoB-P adjustment1.18 (1.16–1.20)
Lp(a) (immunoassay), adjusted for apoB-P — Lp(a) added independent prognostic value for CAD: AUC 0.769 vs 0.774
P < .001

Particle diameter or size subclasses

Not associated with CAD after apoB-P adjustment

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

ApoB-containing lipoproteins: count, type, size, and risk of coronary artery disease. Eur Heart J. Published 28 April 2025. doi:10.1093/eurheartj/ehaf207

Composed by AI from the published abstract and checked against it. How Briefs are made →

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