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. 2022 Dec 16;6(4):77. doi: 10.3390/vision6040077

Table 2.

Summary of studies on the association of apolipoproteins and cholesterol parameters with the presence of diabetic retinopathy (DR).

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.