Aging and HDL metabolism in elderly people more than 100 years old.

Yasumichi Arai, Nobuyoshi Hirose

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Epidemiological studies have enhanced the importance of high-density lipoprotein (HDL) as a risk factor for CAD, as well as disability and frailty in the oldest elderly. Therefore, HDL and molecules involved in HDL metabolism seem to be attractive candidates for longevity-promoting factors. A series of observational studies has demonstrated that the predominance of the larger, more lipid-rich HDL2 subclass is a reproducible phenotype among centenarians. This finding was recently evolved by nuclear magnetic resonance technology in quantification of lipoprotein particle size. However, results of investigations into the mechanisms underlying the lipoprotein profiles in the oldest elderly have been conflicting. Genetic variation in cholesteryl ester transfer protein (CETP), which is a carrier protein in reverse cholesterol transport, was demonstrated to have no association with longevity in one study, but to have positive impacts on large HDL particles and longevity in another. Regarding environmental factors, acute phase reactant and nutritional status are frequently associated with HDL-C levels in the oldest elderly, however, the causality of the association remains to be elucidated. Determination of the association between cognitive function and HDL in the oldest elderly is also a future task. To obtain further insight into the mechanistic roles of low HDL in the pathophysiology of geriatric syndrome, a much greater effort should be invested in this research field.

Original languageEnglish
Pages (from-to)246-252
Number of pages7
JournalJournal of Atherosclerosis and Thrombosis
Volume11
Issue number5
Publication statusPublished - 2004

Fingerprint

HDL Lipoproteins
Metabolism
Aging of materials
Lipoproteins
Geriatrics
Cholesterol Ester Transfer Proteins
Acute-Phase Proteins
Nutritional Status
LDL Lipoproteins
Particle Size
Causality
Cognition
Observational Studies
Epidemiologic Studies
Computer aided design
Carrier Proteins
Magnetic Resonance Spectroscopy
Particle size
Cholesterol
Nuclear magnetic resonance

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Internal Medicine
  • Biochemistry, medical

Cite this

Aging and HDL metabolism in elderly people more than 100 years old. / Arai, Yasumichi; Hirose, Nobuyoshi.

In: Journal of Atherosclerosis and Thrombosis, Vol. 11, No. 5, 2004, p. 246-252.

Research output: Contribution to journalArticle

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