Serum lipoprotein (a) as an atherosclerosis risk factor in men with Androgenetic Alopecia.

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Serum lipoprotein (a) as an atherosclerosis risk factor in
men with androgenic alopecia

www.iranjd.ir/download.asp?code=IJD11145781


Results
The mean age of the cases and the controls was
25.7 ± 6.26 and 27.16 ± 6.46 years, respectively with
no significant difference between the two groups.
The mean age of the patients with frontal and vertex
baldness was 23.35 and 28.35 years, respectively
(p<0.05). Table 1 shows the family history of Androgenetic Alopecia,
HTN, DM and CAD in the case and control groups.
As this table shows, a positive family history of
Androgenetic Alopecia and CAD was significantly more frequent in
cases than the controls (P < 0.05). The pattern of
hair loss was compatible with Hamilton pattern
in 91.5% of all cases; 53.6% had frontal recession
and 46.4% had vertex loss pattern; 2.1% of the
patients had the Ludwig pattern hair loss and in
6.4%, the pattern was undetermined.
Table 2 shows the levels of total serum cholesterol,
triglyceride, HDL–cholesterol, LDL–cholesterol,
LP (a), Apo A1 and Apo B. As it is shown in the
table, the level of LP (a) was significantly higher
in patients than controls (P < 0.001). 38.6% of the
patients and only 4.4 % of the controls had an LP(a)
level more than 30 mg/dl, which is the critical
level for atherosclerosis (P < 0.001)
. The level of LP
(a) was not significantly different in the alopecia
subgroups; frontal only baldness vs. vertex baldness.
There were no statistically significant differences
in the mean levels of cholesterol, triglyceride, LDL,
HDL–cholesterol, Apo A and Apo B between the
patients and the controls.

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LP(a) is genetic and pretty much the only 2 balding species harbour LP(a)... which makes it very interesting...

from Wiki..
The physiological function of Lp(a)/apo(a) is still unknown. A function within the coagulation system seems plausible, given the aspect of the high homology between apo(a) and plasminogen.[SUP][7][/SUP] In fact, the LPA gene derives from a duplication of the plasminogen gene.
Other functions have been related to recruitment of inflammatory cells through interaction with Mac-1 integrin, angiogenesis, and wound healing.
However, individuals without Lp(a) or with very low Lp(a) levels seem to be healthy. Thus plasma Lp(a) is certainly not vital, at least under normal environmental conditions. Since apo(a)/Lp(a) derived rather recently in mammalian evolution - only old world monkeys and humans have been shown to harbour Lp(a) - its function might not be vital but just evolutionarily advantageous under certain environmental conditions, e.g. in case of exposure to certain infectious diseases.
Another possibility, suggested by Linus Pauling, is that Lp(a) is a primate adaptation to L-gulonolactone oxidase (GULO) deficiency, who thought that found only in certain lines of mammals. GULO is required for converting glucose to ascorbic acid (vitamin C), which is needed to repair arteries; following the loss of GULO, those primates that adopted diets less abundant in vitamin C may have used Lp(a) as an ascorbic-acid surrogate to repair arterial walls.[SUP][16][/SUP]
 

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Male androgenetic alopecia and cardiovascular risk factors: A case-control study

Arias-Santiago S, Gutiérrez-Salmerón MT, Castellote-Caballero L, Buendía-Eisman A, Naranjo-Sintes R.

Servicio de Dermatología, Hospital Clínico San Cecilio, Granada, España

Abstract


BACKGROUND AND OBJECTIVES: The relationship between androgenetic alopecia and cardiovascular disease has been studied by some authors in the past, although the results of epidemiological studies have been variable. The objective of this study was to determine the prevalence of metabolic syndrome and carotid arteriosclerosis in patients with early-onset androgenetic alopecia.

PATIENTS AND METHODS: Seventy men were studied, 35 with diagnosis of early-onset (before 35 years of age) androgenetic alopecia and 35 control subjects who consulted for other skin conditions. In both groups, the criteria for metabolic syndrome according to the Adult Treatment Panel-III were studied (obesity, triglycerides, high-density lipoprotein cholesterol, systolic and diastolic blood pressure, and blood glucose), presence of atheromatous plaques, and carotid intima-media thickness using Doppler ultrasonography. Other cardiovascular risk factors, hormones, and acute-phase reactants were also analyzed. RESULTS: Criteria for metabolic syndrome were met by 57.1% of the patients with androgenetic alopecia compared to 14.3% of the controls (P<0001). Thirty-four percent of the patients with androgenetic alopecia had atheromatous plaques compared to 8.6% of the controls (P=.018). In an independent correlation analysis, abdominal obesity, systolic blood pressure, triglycerides, and blood glucose levels were significantly greater among patients with androgenetic alopecia. Testosterone and sex hormone binding globulin levels were similar in the 2 groups whereas insulin and aldosterone levels were higher in patients with androgenetic alopecia (P<05).

CONCLUSIONS: The high frequency of metabolic syndrome and carotid atheromatous plaques in patients with androgenetic alopecia suggests cardiovascular screening should be done to enable early detection of individuals at risk and initiation of preventive treatment before cardiovascular disease becomes established.

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Lipoprotein (a) up-regulates the expression of the plasminogen activator inhibitor 2 in human blood monocytes.

Buechler C, Ullrich H, Ritter M, Porsch-Oezcueruemez M, Lackner KJ, Barlage S, Friedrich SO, Kostner GM, Schmitz G.
Source

Institute for Clinical Chemistry and Laboratory Medicine, University of Regensburg, Germany.

Abstract

Elevated plasma lipoprotein (a) (Lp[a]) and cardiac events show a modest but significant association in various clinical studies. However, the influence of high Lp(a) on the gene expression in blood monocytes as a major cell involved in atherogenesis is poorly described. To identify genes influenced by elevated serum Lp(a), the gene expression was analyzed on a complementary DNA microarray comparing monocytes from a patient with isolated Lp(a) hyperlipidemia and coronary heart disease with monocytes from a healthy blood donor with low Lp(a). By using this approach, numerous genes were found differentially expressed in patient-versus-control monocytes. Verification of these candidates by Northern blot analysis or semiquantitative polymerase chain reaction in monocytes from additional patients with Lp(a) hyperlipidemia and healthy blood donors with elevated Lp(a) confirmed a significant induction of plasminogen activator inhibitor type 2 (PAI-2) messenger RNA (mRNA) in monocytes from male, but not from female, individuals with high Lp(a), indicating that this observation is gender specific. This led also to increased intracellular and secreted PAI-2 protein in monocytes from male probands with Lp(a) hyperlipidemia. Plasminogen activator inhibitor type 1 (PAI-1) mRNA was found suppressed only in the patients' monocytes and not in healthy probands with high Lp(a) levels. Purified Lp(a) induced PAI-2 mRNA and protein and reduced PAI-1 expression in monocytes isolated from various controls. The finding that PAI-2 is elevated in monocytes from male patients with isolated Lp(a) hyperlipidemia and male healthy probands with high Lp(a) and that purified Lp(a) up-regulates PAI-2 in control monocytes in vitro indicate a direct, but gender-specific, effect of Lp(a) for the induction of PAI-2 expression.

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[h=1]Endogenous prostaglandin D2 synthesis reduces an increase in plasminogen activator inhibitor-1 following interleukin stimulation in bovine endothelial cells.[/h]Negoro H, Soo Shin W, Hakamada-Taguchi R, Eguchi N, Urade Y, Goto A, Toyo-Oka T, Fujita T, Omata M, Uehara Y.
[h=3]Source[/h]Department of Medicine, University of Tokyo, Tokyo 113-0033, Japan. NEGORO-2IM@h.u-tokyo.ac.jp

[h=3]Abstract[/h][h=4]OBJECTIVE:[/h]We examined the role of prostaglandin D2 (PGD2) in the formation of plasminogen activator inhibitor (PAI)-1 following interleukin-1beta (IL-1) stimulation in bovine endothelial cells (EC) transfected with lipocaline-type PGD2 synthase (L-PGDS) genes.
[h=4]DESIGN AND METHODS:[/h]EC were isolated from bovine thoracic aorta and incubated with 20 U/ml IL-1 and various concentrations of authentic PGD2. The isolated EC were also transfected with L-PGDS genes by electroporation. The L-PGDS-transfected EC were used to investigate the role of endogenous PGD2 in IL-1 stimulated PAI-1 biosynthesis. We also used an anti-PGD2 antibody to examine whether an intracrine mechanism was involved in PAI-1 production. PGD2 and PAI-1 levels were determined by radio- and enzyme-immunoassay, respectively. PAI-1 mRNA was assessed by reverse transcription-polymerase chain reaction.
[h=4]RESULT:[/h]IL-1 stimulated PAI-1 production by EC was dose-dependently inhibited by authentic PGD2 at concentrations greater than 10-6 mol/l. L-PGDS gene-transfected EC produced more PGD2 than EC transfected with the reporter gene alone. IL-1 induced increases in PAI-1 production in EC transfected with reporter genes alone. However, this effect was significantly attenuated in the case of IL-1 stimulation of EC transfected with L-PGDS genes, and accompanied by an apparent suppression of PAI-1 mRNA expression. The effects of PGD2 on PAI-I formation were reversed to the basal levels by the inhibition of synthesis of endogenous PGD2. Neutralization of extracellular PGD2 by anti-PGD2 antibody influenced neither PAI-1 mRNA expression nor PAI-1 biosynthesis.
[h=4]CONCLUSION:[/h]EC transfected with L-PGDS genes increased PGD2 synthesis. This was associated with attenuation of both PAI-1 formation and PAI-1 mRNA expression. It is suggested that endogenous PGD2 decreases PAI-1 synthesis and PAI-1 mRNA expression, probably through an intracrine mechanism.
 

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www.iranjd.ir/download.asp?code=IJD10135378

Evaluation of Lipid Profile in Women with Female
Pattern Alopecia


Results: The most important result of our study was a remarkably
higher level of lipoprotein (a) in the case group. On the other hand,
55.3% of the patients and 16.7 % of the controls had lipoprotein (a)
level >30 mg/dl, higher than the critical level for atherosclerosis.
Conclusion: Lipid profile, especially lipoprotein (a), which is an
important risk factor for coronary artery disease, should be
investigated in women with androgenic alopecia.
Those with
disturbance in lipid profile should be referred to a cardiologist. (Iran J
Dermatol 2010;13: 78-81)
 

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LOL the keyword is Lipoprotein(a) which is a genetic factor. Over expressed in both genre male and female with alopecia. Only old Primates and Humans harbour Lp(a), the 2 balding species!
 
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