Table 2.
Author | Number of Participants | Mean Levels of Apolipoprotein Parameters | Mean Levels of Cholesterol Parameters | Outcomes Related to the Presence of DR |
---|---|---|---|---|
Sasongko et al. [14] (2011) | With DR: 129 Without DR: 95 |
Apo-A1 With DR: 1.4 ± 0.3 g/L Without DR: 1.5 ± 0.2 g/L Apo-B With DR: 0.9 ± 0.3 g/L Without DR: 0.8 ± 0.2 g/L Apo-B/Apo-A1 With DR: 0.7 ± 0.2 Without DR: 0.6 ± 0.2 |
TG With DR: 1.3 (0.9, 1.9) mmol/L Without DR: 1.3 (0.9, 1.9) mmol/L HDL With DR: 1.3 ± 0.5 mmol/L Without DR: 1.5 ± 0.4 mmol/L LDL With DR: 2.5 ± 0.9 mmol/L Without DR: 2.5 ± 0.7 mmol/L |
Odds ratio (95% CI) for any DR per SD increase of: Apo-A1: 0.76 (0.59–0.98) Apo-B: 1.31 (1.02–1.68) Apo-B/Apo-A1: 1.48 (1.13–1.95) Odds ratio (95% CI) for VTDR per SD increase of: Apo-A1: 0.53 (0.38–0.76) Apo-B: 1.47 (1.10–1.96) Apo-B/Apo-A1: 1.76 (1.27–2.45) |
Malaguarnera et al. [19] (2013) | With DR: 67 Without DR: 78 |
Apo-A1 With DR: 1.54 ± 0.18 g/L Without DR: 1.47 ± 0.20 g/L Apo-B With DR: 1.08 ± 0.21 g/L Without DR: 1.06 ± 0.19 g/L Lp(a) With DR: 56.4 ± 28.2 mg/dL Without DR: 34.1 ± 12.4 mg/dL |
TG With DR: 1.67 ± 0.76 mmol/L Without DR: 1.48 ± 0.88 mmol/L HDL With DR: 1.44 ± 0.36 mmol/L Without DR: 1.36 ± 0.30 mmol/L LDL With DR: 4.19 ± 0.99 mmol/L Without DR: 3.87 ± 0.95 mmol/L |
Mean difference between groups for each parameter: Apo-A1: p = 0.03 Apo-B: p = 0.55 Lp(a): p < 0.01 LDL: p = 0.05 HDL: p = 0.15 TG: p = 0.17 |
Aryan et al. [21] (2017) | With DR: 444 Without DR: 439 |
Apo-A1 With DR: 141.8 ± 28.5 mg/dL Without DR: 135.6 ± 27.9 mg/dL Apo-B With DR: 88.1 ± 27.5 mg/dL Without DR: 85.8 ± 26.2 mg/dL Lp(a) With DR: 35.9 ± 42.2 mg/dL Without DR: 31.5 ± 34.4 mg/dL Apo-B/Apo-A1 With DR: 0.63 ± 0.24 Without DR: 0.64 ± 0.24 |
TG With DR: 175.9 ± 82.9 mg/dL Without DR: 170.8 ± 111.0 mg/dL HDL With DR: 45.7 ± 11.8 mg/dL Without DR: 45.6 ± 12.4 mg/dL LDL With DR: 106.5 ± 34.6 mg/dL Without DR: 102.5 ± 31.4 mg/dL |
Logistic regression analysis for association with DR: Lp(a): β 0.37; OR 2.8; 95% CI 0.93–8.4 (p = 0.37) Apo-A1: β 0.01; OR 1.1; 95% CI 0.41–2.9 (p = 0.34) Apo-B: β 0.20; OR 2.4; 95% CI 0.8–7.2 (p = 0.87) Apo-B/Apo-A1: β 0.56; OR 3.4; 95% CI 0.89–12.9 (p = 0.45) |
Zhang et al. [25] (2018) | With DR: 315 Without DR: 708 |
Apo-A1 With DR: 7.3 ± 1.2 μmol/L Without DR: 7.5 ± 1.2 μmol/L Apo-CIII With DR: 6.4 ± 1.1 μmol/L Without DR: 6.2 ± 1.1 μmol/L Apo-D With DR: 3.9 ± 0.6 μmol/L Without DR: 4.0 ± 0.6 μmol/L Apo-E With DR: 1.2 ± 0.2 μmol/L Without DR: 1.1 ± 0.2 μmol/L |
TG With DR: 1.3 ± 0.4 mmol/L Without DR: 1.2 ± 0.5 mmol/L HDL With DR: 1.4 ± 0.6 mmol/L Without DR: 1.5 ± 0.5 mmol/L |
Cox proportional hazard analysis for DR risk: Apo-A1 ≥ 7.4: HR 0.86; 95% CI 0.70–0.99 Apo-CIII ≥ 6.3: HR 1.25; 95% CI 1.04–1.49 Apo-E ≥ 1.1: HR 1.23; 95% CI 1.03–1.47 Apo-CIII/Apo-A1 ≥ 0.9: HR 1.34; 95% CI 1.11–1.60 Apo-E/Apo-A1 ≥ 0.2: HR 1.21; 95% CI 1.01–1.46 |
Chung et al. [26] (2019) | Without DR: 743 With DR: 472 |
Apo-A1 With DR: 1.20 (1.17–1.23) g/L Without DR: 1.26 (1.24–1.29) g/L Apo-B With DR: 0.86 (0.84–0.89) g/L Without DR: 0.87 (0.85–0.90) g/L Apo-B/Apo-A1 With DR: 0.72 (0.70–0.74) Without DR: 0.75 (0.73–0.78) |
TG With DR: 1.46 (1.39–1.53) mmol/L Without DR: 1.54 (1.48–1.60) mmol/L HDL With DR: 1.12 ± 0.37 mmol/L Without DR: 1.17 ± 0.35 mmol/L LDL With DR: 2.78 ± 1.01 mmol/L Without DR: 2.84 ± 1.03 mmol/L |
Logistic regression analyses for DR risk: Apo-A1 OR per SD increase 0.55; 95% CI: 0.32–0.97 (p = 0.04) Apo-B OR per SD increase 1.28; 95% CI: 0.85–1.93 (p = 0.23) Apo-B/Apo-A1 OR per SD increase 2.83; 95% CI: 1.18–6.76 (p = 0.02) |
Liu et al. [29] (2022) | With DR: 309 Without DR: 186 |
Apo-A1 With DR: 1.29 ± 0.29 mmol/L Without DR: 1.34 ± 0.41 mmol/L Apo-B With DR: 1.01 ± 0.34 mmol/L Without DR: 1.02 ± 0.26 mmol/L Apo-E With DR: 45.74 ± 20.80 mmol/L Without DR: 47.36 ± 24.96 mmol/L Lp(a) With DR: 179.12 ± 256.68 mmol/L Without DR: 141.64 ± 183.54 mmol/L |
TG With DR: 1.80 ± 1.26 mmol/L Without DR: 2.24 ± 2.01 mmol/L HDL With DR: 1.25 ± 0.34 mmol/L Without DR: 1.40 ± 2.13 mmol/L LDL With DR: 2.85 ± 1.11 mmol/L Without DR: 3.00 ± 0.88 mmol/L |
Logistic regression analyses for DR risk: Apo-A1 OR 1.91; 95% CI: 0.94–3.88 (p = 0.07) Apo-B OR 7.04; 95% CI: 3.37–14.70 (p < 0.001) Apo-E OR 1.06; 95% CI: 1.04–1.08 (p < 0.001) Lp(a) OR 1.00; 95% CI: 1.00–1.00 (p = 0.27) |
Abbreviations: DR: diabetic retinopathy; HR: hazard ratio; OR: odds ratio; SD: standard deviation; CI: confidence interval; apo: apolipoprotein; Lp(a): lipoprotein (a); TG: triglyceride; HDL: high density lipoprotein; LDL: low density lipoprotein.