| Titre : | Salivary cholesterol level does not reflect cholesterolemia in children with heterozygous familial hypercholesterolemia (2023) |
| Auteurs : | Marianne Fricaudet ; Mathilde Di Filippo ; Philippe Moulin ; Séverine Nony ; Marie Anais Peron ; Hélène Brignot ; Gilles Feron ; Cédric Sage ; Pierre Poinsot ; Rémi Duclaux Loras ; Mikael Croyal ; Sybil Charrière ; Noël Peretti |
| Type de document : | Article |
| Dans : | Nutrition clinique et métabolisme (Vol. 37, n°3, septembre 2023) |
| Article en page(s) : | p. 162-167 |
| Note générale : | https://doi.org/10.1016/j.nupar.2023.04.003 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Cholestérol LDL ; Dépistage de masse ; Diagnostic ; Enfant (6-12 ans) ; Hypercholéstérolémie familiale ; Salive |
| Résumé : | Objectives Heterozygous familial hypercholesterolemia is a common genetic disease responsible for premature atherosclerosis. Therefore, early diagnosis and treatment are recommended to reduce cardiovascular risk. Usually, the screening is based on high plasma LDL-cholesterol. In children, blood testing is often an obstacle for screening. This study aims to evaluate the relevance of a salivary non-invasive LDL dosage in heterozygous familial hypercholesterolemia in a pediatric population. Materials and methods Prospective, case control, monocentric study comparaing the salivary cholesterol of 30 heterozygous familial hypercholesterolemia pediatric patients and 30 healthy age-matched controls with two different enzymatic kits (Amplite? kit - AAT Bioquest® and Total Cholesterol Assay kit - CELL BIOLABS®, Inc). Results While the median serum total-cholesterol was significantly different in control and heterozygous familial hypercholesterolemia patients as expected, the median salivary cholesterol concentration was similar between the two groups and 1000 times lower than in serum. No correlation was found between salivary and serum cholesterol concentrations. Conclusion Although cholesterol is detectable in saliva, our study suggests that the low salivary cholesterol concentrations result mostly from variable gingival bleeding, precluding any reliable use for Heterozygous Familial Hypercholesterolemia screening in children. |
| Disponible en ligne : | Oui/Non |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0985056223002364 |
Bibliothèques HE Vinci
