Cholesterol affects retinal nerve fiber layer thickness in patients with multiple sclerosis with optic neuritis
Background and purpose To evaluate the associations between retinal nerve fiber layer (RNFL) thickness and lipid profiles in multiple sclerosis (MS). Methods This study enrolled 136 patients with MS (n = 272 eyes; 108 females, 28 males, mean age: 46.7 ± 8.9 years); 45% had a history of optic neuriti...
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| Vydané v: | European journal of neurology Ročník 20; číslo 9; s. 1264 - 1271 |
|---|---|
| Hlavní autori: | , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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England
Blackwell Publishing Ltd
01.09.2013
John Wiley & Sons, Inc |
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| ISSN: | 1351-5101, 1468-1331, 1468-1331 |
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| Abstract | Background and purpose
To evaluate the associations between retinal nerve fiber layer (RNFL) thickness and lipid profiles in multiple sclerosis (MS).
Methods
This study enrolled 136 patients with MS (n = 272 eyes; 108 females, 28 males, mean age: 46.7 ± 8.9 years); 45% had a history of optic neuritis (ON). Subjects received optical coherence tomography (OCT) testing to assess RNFL thickness and visual acuity testing with Snellen charts. A subset of 88 patients received pattern reversal visual‐evoked potential (PRVEP) testing. Lipid profiles consisting of serum high‐density lipoprotein (HDL) cholesterol, low‐density lipoprotein (LDL) cholesterol and total cholesterol (TC) levels were obtained within ± 6 months of OCT. Regression analyses were used to assess the associations between RNFL thickness and lipid profile variables.
Results
Low RNFL thickness (P = 0.008) and higher PRVEP latency (P = 0.017) were associated with high LDL cholesterol > 100 mg/dl status. Low RNFL thickness (P = 0.008) and higher PRVEP latency (P = 0.043) were associated with high HDL cholesterol levels. Low RNFL thickness was also associated with HDL cholesterol > 60 mg/dl status (P = 0.001) and with TC > 200 mg/dl status (P = 0.015). The probability of average RNFL thickness in the lowest tertile (≤ 33rd percentile) was associated with interactions between TC > 200 mg/dl status (P = 0.001, odds ratio = 7.5, 95% confidence interval = 2.7–21) with affected/unaffected by ON status.
Conclusions
High cholesterol adversely affects RNFL thickness in patients with MS with ON. |
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| AbstractList | To evaluate the associations between retinal nerve fiber layer (RNFL) thickness and lipid profiles in multiple sclerosis (MS).BACKGROUND AND PURPOSETo evaluate the associations between retinal nerve fiber layer (RNFL) thickness and lipid profiles in multiple sclerosis (MS).This study enrolled 136 patients with MS (n = 272 eyes; 108 females, 28 males, mean age: 46.7 ± 8.9 years); 45% had a history of optic neuritis (ON). Subjects received optical coherence tomography (OCT) testing to assess RNFL thickness and visual acuity testing with Snellen charts. A subset of 88 patients received pattern reversal visual-evoked potential (PRVEP) testing. Lipid profiles consisting of serum high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol and total cholesterol (TC) levels were obtained within ± 6 months of OCT. Regression analyses were used to assess the associations between RNFL thickness and lipid profile variables.METHODSThis study enrolled 136 patients with MS (n = 272 eyes; 108 females, 28 males, mean age: 46.7 ± 8.9 years); 45% had a history of optic neuritis (ON). Subjects received optical coherence tomography (OCT) testing to assess RNFL thickness and visual acuity testing with Snellen charts. A subset of 88 patients received pattern reversal visual-evoked potential (PRVEP) testing. Lipid profiles consisting of serum high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol and total cholesterol (TC) levels were obtained within ± 6 months of OCT. Regression analyses were used to assess the associations between RNFL thickness and lipid profile variables.Low RNFL thickness (P = 0.008) and higher PRVEP latency (P = 0.017) were associated with high LDL cholesterol > 100 mg/dl status. Low RNFL thickness (P = 0.008) and higher PRVEP latency (P = 0.043) were associated with high HDL cholesterol levels. Low RNFL thickness was also associated with HDL cholesterol > 60 mg/dl status (P = 0.001) and with TC > 200 mg/dl status (P = 0.015). The probability of average RNFL thickness in the lowest tertile (≤ 33rd percentile) was associated with interactions between TC > 200 mg/dl status (P = 0.001, odds ratio = 7.5, 95% confidence interval = 2.7-21) with affected/unaffected by ON status.RESULTSLow RNFL thickness (P = 0.008) and higher PRVEP latency (P = 0.017) were associated with high LDL cholesterol > 100 mg/dl status. Low RNFL thickness (P = 0.008) and higher PRVEP latency (P = 0.043) were associated with high HDL cholesterol levels. Low RNFL thickness was also associated with HDL cholesterol > 60 mg/dl status (P = 0.001) and with TC > 200 mg/dl status (P = 0.015). The probability of average RNFL thickness in the lowest tertile (≤ 33rd percentile) was associated with interactions between TC > 200 mg/dl status (P = 0.001, odds ratio = 7.5, 95% confidence interval = 2.7-21) with affected/unaffected by ON status.High cholesterol adversely affects RNFL thickness in patients with MS with ON.CONCLUSIONSHigh cholesterol adversely affects RNFL thickness in patients with MS with ON. To evaluate the associations between retinal nerve fiber layer (RNFL) thickness and lipid profiles in multiple sclerosis (MS). This study enrolled 136 patients with MS (n=272 eyes; 108 females, 28 males, mean age: 46.7 plus or minus 8.9years); 45% had a history of optic neuritis (ON). Subjects received optical coherence tomography (OCT) testing to assess RNFL thickness and visual acuity testing with Snellen charts. A subset of 88 patients received pattern reversal visual-evoked potential (PRVEP) testing. Lipid profiles consisting of serum high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol and total cholesterol (TC) levels were obtained within plus or minus 6months of OCT. Regression analyses were used to assess the associations between RNFL thickness and lipid profile variables. Low RNFL thickness (P=0.008) and higher PRVEP latency (P=0.017) were associated with high LDL cholesterol >100mg/dl status. Low RNFL thickness (P=0.008) and higher PRVEP latency (P=0.043) were associated with high HDL cholesterol levels. Low RNFL thickness was also associated with HDL cholesterol >60mg/dl status (P=0.001) and with TC >200mg/dl status (P=0.015). The probability of average RNFL thickness in the lowest tertile ( less than or equal to 33rd percentile) was associated with interactions between TC >200mg/dl status (P=0.001, odds ratio=7.5, 95% confidence interval=2.7-21) with affected/unaffected by ON status. High cholesterol adversely affects RNFL thickness in patients with MS with ON. Background and purpose To evaluate the associations between retinal nerve fiber layer (RNFL) thickness and lipid profiles in multiple sclerosis (MS). Methods This study enrolled 136 patients with MS (n = 272 eyes; 108 females, 28 males, mean age: 46.7 ± 8.9 years); 45% had a history of optic neuritis (ON). Subjects received optical coherence tomography (OCT) testing to assess RNFL thickness and visual acuity testing with Snellen charts. A subset of 88 patients received pattern reversal visual‐evoked potential (PRVEP) testing. Lipid profiles consisting of serum high‐density lipoprotein (HDL) cholesterol, low‐density lipoprotein (LDL) cholesterol and total cholesterol (TC) levels were obtained within ± 6 months of OCT. Regression analyses were used to assess the associations between RNFL thickness and lipid profile variables. Results Low RNFL thickness (P = 0.008) and higher PRVEP latency (P = 0.017) were associated with high LDL cholesterol > 100 mg/dl status. Low RNFL thickness (P = 0.008) and higher PRVEP latency (P = 0.043) were associated with high HDL cholesterol levels. Low RNFL thickness was also associated with HDL cholesterol > 60 mg/dl status (P = 0.001) and with TC > 200 mg/dl status (P = 0.015). The probability of average RNFL thickness in the lowest tertile (≤ 33rd percentile) was associated with interactions between TC > 200 mg/dl status (P = 0.001, odds ratio = 7.5, 95% confidence interval = 2.7–21) with affected/unaffected by ON status. Conclusions High cholesterol adversely affects RNFL thickness in patients with MS with ON. To evaluate the associations between retinal nerve fiber layer (RNFL) thickness and lipid profiles in multiple sclerosis (MS). This study enrolled 136 patients with MS (n = 272 eyes; 108 females, 28 males, mean age: 46.7 ± 8.9 years); 45% had a history of optic neuritis (ON). Subjects received optical coherence tomography (OCT) testing to assess RNFL thickness and visual acuity testing with Snellen charts. A subset of 88 patients received pattern reversal visual-evoked potential (PRVEP) testing. Lipid profiles consisting of serum high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol and total cholesterol (TC) levels were obtained within ± 6 months of OCT. Regression analyses were used to assess the associations between RNFL thickness and lipid profile variables. Low RNFL thickness (P = 0.008) and higher PRVEP latency (P = 0.017) were associated with high LDL cholesterol > 100 mg/dl status. Low RNFL thickness (P = 0.008) and higher PRVEP latency (P = 0.043) were associated with high HDL cholesterol levels. Low RNFL thickness was also associated with HDL cholesterol > 60 mg/dl status (P = 0.001) and with TC > 200 mg/dl status (P = 0.015). The probability of average RNFL thickness in the lowest tertile (≤ 33rd percentile) was associated with interactions between TC > 200 mg/dl status (P = 0.001, odds ratio = 7.5, 95% confidence interval = 2.7-21) with affected/unaffected by ON status. High cholesterol adversely affects RNFL thickness in patients with MS with ON. Background and purpose To evaluate the associations between retinal nerve fiber layer (RNFL) thickness and lipid profiles in multiple sclerosis (MS). Methods This study enrolled 136 patients with MS (n=272 eyes; 108 females, 28 males, mean age: 46.7±8.9years); 45% had a history of optic neuritis (ON). Subjects received optical coherence tomography (OCT) testing to assess RNFL thickness and visual acuity testing with Snellen charts. A subset of 88 patients received pattern reversal visual-evoked potential (PRVEP) testing. Lipid profiles consisting of serum high-density lipoprotein (HDL) cholesterol, low-density lipoprotein (LDL) cholesterol and total cholesterol (TC) levels were obtained within ±6months of OCT. Regression analyses were used to assess the associations between RNFL thickness and lipid profile variables. Results Low RNFL thickness (P=0.008) and higher PRVEP latency (P=0.017) were associated with high LDL cholesterol >100mg/dl status. Low RNFL thickness (P=0.008) and higher PRVEP latency (P=0.043) were associated with high HDL cholesterol levels. Low RNFL thickness was also associated with HDL cholesterol >60mg/dl status (P=0.001) and with TC >200mg/dl status (P=0.015). The probability of average RNFL thickness in the lowest tertile (≤33rd percentile) was associated with interactions between TC >200mg/dl status (P=0.001, odds ratio=7.5, 95% confidence interval=2.7-21) with affected/unaffected by ON status. Conclusions High cholesterol adversely affects RNFL thickness in patients with MS with ON [PUBLICATION ABSTRACT]. |
| Author | Lang, J. K. Masud, M. W. Lincoff, N. Mahfooz, N. Kardys, A. Dillon, M. Zivadinov, R. Weinstock, N. Ramanathan, M. Weinstock-Guttman, B. Weinstock, A. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23581473$$D View this record in MEDLINE/PubMed |
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Clin Neurol Neurosurg 2010; 112: 478-481. 2011; 311 2010; 16 2006; 31 2010; 107 2009; 80 2004; 45 2006; 59 2002; 134 2006; 5 2011; 13 2012; 18 2008; 126 2008; 268 2011; 17 1992; 55 2008; 71 2006; 354 2011; 8 2011; 134 2007; 114 2011; 2011 2004; 137 2000; 14 2009; 72 2010; 117 2013; 34 2010; 112 2003; 9 2002; 106 2010; 133 1999; 53 2008; 65 2008; 131 2007; 69 2011; 187 2010; 9 e_1_2_7_6_1 e_1_2_7_5_1 Costello F (e_1_2_7_21_1) 2011; 2011 e_1_2_7_4_1 e_1_2_7_3_1 e_1_2_7_9_1 e_1_2_7_8_1 e_1_2_7_7_1 e_1_2_7_19_1 e_1_2_7_18_1 e_1_2_7_17_1 e_1_2_7_16_1 e_1_2_7_40_1 e_1_2_7_2_1 e_1_2_7_15_1 e_1_2_7_41_1 e_1_2_7_14_1 e_1_2_7_13_1 e_1_2_7_12_1 e_1_2_7_11_1 e_1_2_7_10_1 e_1_2_7_26_1 e_1_2_7_27_1 e_1_2_7_28_1 e_1_2_7_29_1 Henderson AP (e_1_2_7_39_1) 2008; 131 e_1_2_7_30_1 e_1_2_7_25_1 e_1_2_7_31_1 e_1_2_7_24_1 e_1_2_7_32_1 e_1_2_7_23_1 e_1_2_7_33_1 e_1_2_7_22_1 e_1_2_7_34_1 e_1_2_7_35_1 e_1_2_7_20_1 e_1_2_7_36_1 e_1_2_7_37_1 e_1_2_7_38_1 |
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J Neurol Neurosurg Psychiatry 2009; 80: 1002-1005. – volume: 126 start-page: 692 year: 2008 end-page: 699 article-title: Retinal vein occlusion and traditional risk factors for atherosclerosis publication-title: Arch Ophthalmol – volume: 9 start-page: 921 year: 2010 end-page: 932 article-title: Optical coherence tomography in multiple sclerosis: a systematic review and meta‐analysis publication-title: Lancet Neurol – volume: 65 start-page: 924 year: 2008 end-page: 928 article-title: Retinal imaging by laser polarimetry and optical coherence tomography evidence of axonal degeneration in multiple sclerosis publication-title: Arch Neurol – volume: 14 start-page: 835 year: 2000 end-page: 846 article-title: Drusen associated with aging and age‐related macular degeneration contain proteins common to extracellular deposits associated with atherosclerosis, elastosis, amyloidosis, and dense deposit disease publication-title: FASEB J – volume: 72 start-page: 1077 year: 2009 end-page: 1082 article-title: Optical coherence tomography differs in neuromyelitis optica compared with multiple sclerosis publication-title: Neurology – volume: 45 start-page: 1375 year: 2004 end-page: 1397 article-title: Thematic review series: brain lipids. Cholesterol metabolism in the central nervous system during early development and in the mature animal publication-title: J Lipid Res – volume: 134 start-page: 411 year: 2002 end-page: 431 article-title: A role for local inflammation in the formation of drusen in the aging eye publication-title: Am J Ophthalmol – volume: 65 start-page: 26 year: 2008 end-page: 35 article-title: Modeling axonal degeneration within the anterior visual system: implications for demonstrating neuroprotection in multiple sclerosis publication-title: Arch Neurol – volume: 69 start-page: 2085 year: 2007 end-page: 2092 article-title: Optical coherence tomography and disease subtype in multiple sclerosis publication-title: Neurology – volume: 55 start-page: 747 year: 1992 end-page: 752 article-title: The ocular manifestations of multiple sclerosis. 1. Abnormalities of the afferent visual system publication-title: J Neurol Neurosurg Psychiatry – volume: 106 start-page: 109 year: 2002 end-page: 112 article-title: Blood cholesterol and MRI activity in first clinical episode suggestive of multiple sclerosis publication-title: Acta Neurol Scand – volume: 17 start-page: 1464 year: 2011 end-page: 1471 article-title: Substantial adverse association of visual and vascular comorbidities on visual disability in multiple sclerosis publication-title: Mult Scler – volume: 131 start-page: 277 year: 2008 end-page: 287 article-title: An investigation of the retinal nerve fibre layer in progressive multiple sclerosis using optical coherence tomography publication-title: Brain – volume: 53 start-page: 473 year: 1999 end-page: 478 article-title: Optic neuritis as onset manifestation of multiple sclerosis: a nationwide, long‐term survey publication-title: Neurology – volume: 114 start-page: 1046 year: 2007 end-page: 1052 article-title: Determinants of normal retinal nerve fiber layer thickness measured by Stratus OCT publication-title: Ophthalmology – volume: 112 start-page: 478 year: 2010 end-page: 481 article-title: Serum lipoprotein levels in patients with neuromyelitis optica elevated but had little correlation with clinical presentations publication-title: Clin Neurol Neurosurg – volume: 18 start-page: 72 year: 2012 end-page: 81 article-title: Simvastatin improves final visual outcome in acute optic neuritis: a randomized study publication-title: Mult Scler – volume: 69 start-page: 2128 year: 2007 end-page: 2135 article-title: Relation of vision to global and regional brain MRI in multiple sclerosis publication-title: Neurology – volume: 34 start-page: 1826 year: 2013 end-page: 1841 article-title: Interindividual variation in serum cholesterol is associated with regional white matter tissue integrity in older adults publication-title: Hum Brain Mapp – volume: 2011 start-page: 148 394 year: 2011 article-title: Evaluating the use of optical coherence tomography in optic neuritis publication-title: Mult Scler Int – volume: 134 start-page: 518 year: 2011 end-page: 533 article-title: Primary retinal pathology in multiple sclerosis as detected by optical coherence tomography publication-title: Brain – volume: 80 start-page: 1002 year: 2009 end-page: 1005 article-title: Distinctive retinal nerve fibre layer and vascular changes in neuromyelitis optica following optic neuritis publication-title: J Neurol Neurosurg Psychiatry – volume: 354 start-page: 942 year: 2006 end-page: 955 article-title: Multiple sclerosis – the plaque and its pathogenesis publication-title: N Engl J Med – volume: 8 start-page: 127 year: 2011 article-title: Serum lipid profiles are associated with disability and MRI outcomes in multiple sclerosis publication-title: J Neuroinflammation – volume: 268 start-page: 12 year: 2008 end-page: 17 article-title: Retinal nerve fiber layer thickness is associated with brain MRI outcomes in multiple sclerosis publication-title: J Neurol Sci – volume: 9 start-page: 529 year: 2003 end-page: 534 article-title: Pattern reversal visual evoked potentials as a measure of visual pathway pathology in multiple sclerosis publication-title: Mult Scler – volume: 5 start-page: 853 year: 2006 end-page: 863 article-title: Optical coherence tomography in multiple sclerosis publication-title: Lancet Neurol – volume: 187 start-page: 1529 year: 2011 end-page: 1535 article-title: Intracellular lipid flux and membrane microdomains as organizing principles in inflammatory cell signaling publication-title: J Immunol – volume: 31 start-page: 286 year: 2006 end-page: 293 article-title: Optic nerve atrophy and retinal nerve fibre layer thinning following optic neuritis: evidence that axonal loss is a substrate of MRI‐detected atrophy publication-title: Neuroimage – volume: 59 start-page: 963 year: 2006 end-page: 969 article-title: Quantifying axonal loss after optic neuritis with optical coherence tomography publication-title: Ann Neurol – volume: 65 start-page: 1218 year: 2008 end-page: 1222 article-title: Reproducibility of optical coherence tomography in multiple sclerosis publication-title: Arch Neurol – volume: 16 start-page: 829 year: 2010 end-page: 839 article-title: Reproducibility of high‐resolution optical coherence tomography in multiple sclerosis publication-title: Mult Scler – volume: 71 start-page: 1747 year: 2008 article-title: Retinal nerve fiber layer is associated with brain atrophy in multiple sclerosis publication-title: Neurology – volume: 311 start-page: 86 year: 2011 end-page: 91 article-title: Inter‐dependence of vitamin D levels with serum lipid profiles in multiple sclerosis publication-title: J Neurol Sci – volume: 9 start-page: 19 year: 2010 article-title: Blood lipids, homocysteine, stress factors, and vitamins in clinically stable multiple sclerosis patients publication-title: Lipids Health Dis – volume: 133 start-page: 1591 year: 2010 end-page: 1601 article-title: Ocular pathology in multiple sclerosis: retinal atrophy and inflammation irrespective of disease duration publication-title: Brain – volume: 137 start-page: 750 year: 2004 end-page: 752 article-title: Cholesterol and age‐related macular degeneration: is there a link? publication-title: Am J Ophthalmol – volume: 107 start-page: 7401 year: 2010 end-page: 7406 article-title: Genetic variants near TIMP3 and high‐density lipoprotein‐associated loci influence susceptibility to age‐related macular degeneration publication-title: Proc Natl Acad Sci USA – volume: 117 start-page: 1989 year: 2010 end-page: 1995 article-title: Serum lipid biomarkers and hepatic lipase gene associations with age‐related macular degeneration publication-title: Ophthalmology – volume: 13 start-page: e24 year: 2011 article-title: Smith‐Lemli‐Opitz syndrome publication-title: Expert Rev Mol Med – ident: e_1_2_7_23_1 doi: 10.1016/S1474-4422(10)70168-X – ident: e_1_2_7_30_1 doi: 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| Snippet | Background and purpose
To evaluate the associations between retinal nerve fiber layer (RNFL) thickness and lipid profiles in multiple sclerosis (MS).
Methods... To evaluate the associations between retinal nerve fiber layer (RNFL) thickness and lipid profiles in multiple sclerosis (MS). This study enrolled 136 patients... Background and purpose To evaluate the associations between retinal nerve fiber layer (RNFL) thickness and lipid profiles in multiple sclerosis (MS). Methods... To evaluate the associations between retinal nerve fiber layer (RNFL) thickness and lipid profiles in multiple sclerosis (MS).BACKGROUND AND PURPOSETo evaluate... To evaluate the associations between retinal nerve fiber layer (RNFL) thickness and lipid profiles in multiple sclerosis (MS). This study enrolled 136 patients... |
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| SubjectTerms | Cholesterol Cholesterol - blood Confidence intervals environment factors Evoked Potentials, Visual Female Humans Lipids Low density lipoprotein Male Middle Aged Multiple sclerosis Multiple Sclerosis - blood Multiple Sclerosis - pathology optic neuritis Optic Neuritis - blood Optic Neuritis - pathology Retinal Neurons - pathology Tomography, Optical Coherence vision Visual Acuity |
| Title | Cholesterol affects retinal nerve fiber layer thickness in patients with multiple sclerosis with optic neuritis |
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