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Paraoxonase-1 as a Cardiovascular Biomarker in Caribbean Hispanic Patients Treated with Clopidogrel: Abundance and Functionality

Clopidogrel, a prescription drug to reduce ischemic events in cardiovascular patients, has been extensively studied in mostly European individuals but not among Caribbean Hispanics. This study evaluated the low abundance and reduced activity of paraoxonase-1 (PON1) in clopidogrel-resistant patients...

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Published in:International journal of molecular sciences 2024-10, Vol.25 (19), p.10657
Main Authors: Monero-Paredes, Mariangeli, Santiago, Ednalise, Carrasquillo-Carrion, Kelvin, Renta, Jessicca Y, Rogozin, Igor B, Roche-Lima, Abiel, Duconge, Jorge
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container_issue 19
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container_title International journal of molecular sciences
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creator Monero-Paredes, Mariangeli
Santiago, Ednalise
Carrasquillo-Carrion, Kelvin
Renta, Jessicca Y
Rogozin, Igor B
Roche-Lima, Abiel
Duconge, Jorge
description Clopidogrel, a prescription drug to reduce ischemic events in cardiovascular patients, has been extensively studied in mostly European individuals but not among Caribbean Hispanics. This study evaluated the low abundance and reduced activity of paraoxonase-1 (PON1) in clopidogrel-resistant patients as a predictive risk biomarker of poor responders and disease severity in this population. Thirty-six patients on clopidogrel (cases divided into poor and normal responders) were enrolled, along with 11 cardiovascular patients with no clopidogrel indications (positive control) and 13 healthy volunteers (negative control). Residual on-treatment platelet reactivity unit (PRU), PON1 abundance by Western blotting, and PON1 activity by enzymatic assays were measured. genotyping and computational haplotype phasing were performed on 512 DNA specimens for two genetic loci (rs662 and rs854560). No statistical differences in mean relative PON1 abundance were found among the groups ( > 0.05). However, a significantly lower enzymatic activity was found in poor responders (10.57 ± 6.79 µU/mL) when compared to controls (22.66 ± 8.30 µU/mL and 22.21 ± 9.66 µU/mL; = 0.004). PON1 activity among carriers of the most prevalent haplotype (AA|AA) was significantly lower than in wild types (7.90 µU/mL vs. 22.03 µU/mL; = 0.005). Our findings suggested that PON1 is a potential biomarker of cardiovascular disease severity in Caribbean Hispanics.
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PON1 activity among carriers of the most prevalent haplotype (AA|AA) was significantly lower than in wild types (7.90 µU/mL vs. 22.03 µU/mL; = 0.005). 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This study evaluated the low abundance and reduced activity of paraoxonase-1 (PON1) in clopidogrel-resistant patients as a predictive risk biomarker of poor responders and disease severity in this population. Thirty-six patients on clopidogrel (cases divided into poor and normal responders) were enrolled, along with 11 cardiovascular patients with no clopidogrel indications (positive control) and 13 healthy volunteers (negative control). Residual on-treatment platelet reactivity unit (PRU), PON1 abundance by Western blotting, and PON1 activity by enzymatic assays were measured. genotyping and computational haplotype phasing were performed on 512 DNA specimens for two genetic loci (rs662 and rs854560). No statistical differences in mean relative PON1 abundance were found among the groups ( &gt; 0.05). However, a significantly lower enzymatic activity was found in poor responders (10.57 ± 6.79 µU/mL) when compared to controls (22.66 ± 8.30 µU/mL and 22.21 ± 9.66 µU/mL; = 0.004). PON1 activity among carriers of the most prevalent haplotype (AA|AA) was significantly lower than in wild types (7.90 µU/mL vs. 22.03 µU/mL; = 0.005). 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subjects Acute coronary syndromes
Aged
Aryldialkylphosphatase - genetics
Aryldialkylphosphatase - metabolism
Atherosclerosis
Biomarkers
Biomarkers - blood
Blood platelets
Body mass index
Cardiovascular disease
Cardiovascular diseases
Cardiovascular Diseases - drug therapy
Cardiovascular Diseases - genetics
Caribbean Hispanics
Caribbean Region
Clopidogrel
Clopidogrel - therapeutic use
Coronary vessels
Development and progression
Dosage and administration
Drug therapy
Enzymes
Female
Genetic aspects
Genetic polymorphisms
Haplotypes
Health aspects
Heart attacks
Hispanic or Latino - genetics
Humans
Hypotheses
Latin Americans
Male
Middle Aged
Patients
Physiological aspects
Plasma
Platelet Aggregation Inhibitors - therapeutic use
Polymorphism
Polymorphism, Single Nucleotide
PON1
Proteins
resistance
Vein & artery diseases
title Paraoxonase-1 as a Cardiovascular Biomarker in Caribbean Hispanic Patients Treated with Clopidogrel: Abundance and Functionality
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