1
J Exp Clin Neurosci, 2017, 4(1): 1-4
Original Artcle
Correlation of High Density Lipoproteins and Cerebral Vasomotor Reactivity in Healthy Individuals
Mehdi Farhoudi
a
*, Mohammadali M. Shoja
b
, Naser Aslanabadi
c
, Laya Javanmanesh
a
, Saeed Sadigh-Eteghad
a
, Mohammad Moosavi
a
a
Neurosciences Research Center (NSRC), Tabriz University of Medical Sciences, Tabriz, Iran
b
Pediatric Neurosurgery, Children’s Hospital, Birmingham, Alabama, USA
c
Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Introduction
Stroke is a common neurological disabling disorder that is
the second cause of mortalities in developing countries and
the ffth cause of mortality in the United States [1,2]. Some
risk factors such as age, sex hypertension, diabetes, smoking,
obesity, coronary artery disease, contraceptive drugs, alcohol
and hyperlipidemia participate in stroke incidence. According
to epidemiological studies, by increasing in age the incidence
of the disease is increased while the occurrence in men is more
than women [3]. Hyperlipidemia affects vessels endothelium
and leads to atherosclerosis [4]. Cerebral vessels Vasomotor
Reactivity (VMR) that has a direct relationship with cerebral
vessels auto regulation is the main factor in cerebral infarction [5].
Hyperlipidemia is one of the important factors that affect VMR,
so it seems that that to study the low-density level (LDL), high-
density level (HDL) and atorvastatin on VMR is an important
issue [6]. Several studies have been conducted on LDL and the
effect of atorvastatin. However, there is no investigation about
the effect of HDL on cerebral vessels vasomotor reactivity.
Therefore, the present study was to point out HDL level effects
in VMR of cerebral vessels in healthy individuals.
Materials and Methods
In this descriptive study, sixty healthy men under 45 years
old without vessels risk factors like hypertension, diabetes,
smoking, coronary and cerebral vessel disorder history from
staff of Tabriz Imam Reza Hospital, northwest Iran and also
medical students were studied. These individuals did not
Correspondence
Mehdi Farhoudi,
Neurosciences Research Center (NSRC),
Tabriz University of Medical Sciences,
Tabriz, Iran. Tel/Fax: +98-41-33340730,
Email: Farhoudi_m@yahoo.com
Received: 2016-11-14
Accepted: 2017-01-28
DOI: 10.13183/jecns.v4i1.60
Abstract
Objectve: Cerebral Vasomotor Reactvity (VMR) which refects cerebrovascular autoregulaton is impaired
in stroke patents. Some risk factors for stroke such as hyperlipidemia afects endothelial layer of vessels
and by disturbing of VMR make an important role in the occurrence of stroke. The aim of this study is to
evaluate High-Density Lipoproteins (HDL) efects on VMR of cerebral vessels.
Materials and Methods: Sixty healthy male volunteers (<45 years old) without vascular risk factors history
were evaluated in Tabriz Imam Reza Medical Center Northwest Iran, during a 12-month period. The
partcipants were divided into three nearly equal groups with low HDL level (<40 mg/ml), normal HDL level
(40-50mg/ml) and high HDL level (>40 mg/ml). The mean fow velocity of both middle cerebral arteries
(MCA) was contnuously measured by Transcranial Doppler (TCD) and VMR of MCA was calculated by
breath-holding index (BHI).
Results: Mean BHI of lef MCA in persons with low, normal and high HDL levels were 1.32 ± 0.44 %/sec,
1.47 ± 0.65 %/sec and 1.18 ± 0.48 %/sec respectvely. Mean BHI of right MCA in low, normal and high
HDL groups were 1.13 ± 0.35 %/sec, 1.39 ± 0.62 %/sec and 1.36 ± 0.55 %/sec, respectvely. There was no
statstcally signifcant diference among these groups (p>0.05).
Conclusion: The current study showed that there was no statstcally signifcant correlaton between
serum HDL level and BHI in lef and right MCA of healthy persons.
Keywords: HDL, Vasomotor reactvity, TCD, Breath-holding index
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