• Medicine · Nov 2022

    Paraoxonase 1 and atrial fibrillation: Is there a relationship?

    • Sabina Istratoaie, Bianca Boroş, Ştefan Cristian Vesa, Maria PopRalucaRDepartment of Pharmacology, Toxicology and Clinical Pharmacology, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania., Gabriel Cismaru, Dana Pop, Vasile MilaciuMirceaM5th Department of Internal Medicine, 4th Medical Clinic, Faculty of Medicine, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania., Lorena Ciumărnean, Vitalie Văcăraş, and Dana BuzoianuAncaADepartment of Pharmacology, Toxicology and Clinical Pharmacology, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania..
    • Department of Pharmacology, Toxicology and Clinical Pharmacology, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
    • Medicine (Baltimore). 2022 Nov 18; 101 (46): e31553e31553.

    AbstractAtrial fibrillation (AF) is associated with oxidative stress and inflammation. Paraoxonase-1 (PON1), circulates in blood bound to high-density lipoproteins and reduces systemic oxidative stress. The aim of this study was to evaluate PON1 serum concentration and PON1 arylesterase activity (AREase) in patients with AF. We studied a group of 67 patients with symptomatic paroxysmal or persistent AF admitted for cardioversion and a control group of 59 patients without AF. Clinical parameters, lipid profile, PON1 concentration and AREase were evaluated. A significant difference in serum PON1 concentration and in AREase was found among the two groups. In a multivariate linear regression model, the presence of AF was associated with low PON1 concentration (P = .022). The body mass index was also independently associated with PON1 values (P < .001). Only the high-density lipoproteins-cholesterol level was independently associated with AREase (P = .002). PON1 serum concentrations and AREase were diminished in patients with AF, and the presence of AF was independently associated with low PON1 values.Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc.

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