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“Background-Screening for familial hypercholesterolemia (FH) within affected families is often based on cutoff values for www.selleckchem.com/products/Imatinib-Mesylate.html low-density lipoprotein cholesterol (LDL-C). However, the diagnostic accuracy of LDL-C levels is influenced by the magnitude of the LDL-C overlap between FH patients and unaffected relatives. The purpose of the current study was to assess to what extent this overlap is influenced by the severity of specific FH mutations.
Methods and Results-Individuals were eligible if they underwent family screening for
FH between 2003 and 2010. The entire cohort was then compared with those who were investigated for the presence of the most severe mutations (class 1). The area under the receiver operating characteristics curve and the sensitivity of the 90th percentile of LDL-C were calculated for both cohorts. We included 26 406 individuals,
of whom 9169 (35%) carried an FH-causing mutation. PLX3397 In the entire cohort at baseline, mean LDL-C was 4.63 +/- 1.44 mmol/L for FH carriers (n=5372) and 2.96 +/- 0.96 mmol/L for unaffected relatives (n=15148); P<0.001. The corresponding operating characteristics curve (95% CI) was 86.6% (85.9%-87.2%), and the cutoff level of LDL-C above the 90th percentile showed a sensitivity of 68.5%. The operating characteristics curve and sensitivity significantly improved when the 5933 individuals tested for class 1 mutations were assessed separately; 96.2% (95.3%-97.1%) and 91.3%, respectively.
Conclusions-In summary, the overlap in terms of LDL-C levels
between those https://www.sellecn.cn/products/th-302.html with molecularly proven FH and unaffected relatives is to a large extent because of the high prevalence of modestly severe LDL-receptor mutations in the Netherlands. (Circ Cardiovasc Genet. 2012;5:354-359.)”
“Surface modification of microporous polypropylene (PP) membrane was performed by graft polymerization of acrylic acid using physisorbed initiators method. The factors effecting on the grafting degree such as monomer concentration, reaction temperature and initiator density were determined. The morphological and microstructure changes of the membrane were characterized by scanning electron microscopy (SEM), atomic force microscopy (AFM), and Fourier transform infrared spectroscopy (FTIR). The pure water contact angle, protein adsorbed amount, water flux, and antifouling property of the grafted membrane were investigated. The results indicated that the pore size and porosity of the grafted membrane were reduced and the static contact angle of pure water on the grafted membrane decreased from 108 degrees to 40 degrees with the increase of grafting degree. The amount of protein adsorbed on the grafted membrane decreased about 30% compared to the virgin polypropylene membrane when the grafting degree was 18.71%. Though the water flux reduced, the flux recovery of the grafted membrane increased 82.66% with the grafting degree 16.0%.