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Plant sterols and plant stanols in the management of dyslipidaemia and prevention of cardiovascular disease.

Identifieur interne : 003302 ( PubMed/Checkpoint ); précédent : 003301; suivant : 003303

Plant sterols and plant stanols in the management of dyslipidaemia and prevention of cardiovascular disease.

Auteurs : Helena Gylling [Finlande] ; Jogchum Plat [Pays-Bas] ; Stephen Turley [États-Unis] ; Henry N. Ginsberg [États-Unis] ; Lars Elleg Rd [Suède] ; Wendy Jessup [Australie] ; Peter J. Jones [Canada] ; Dieter Lütjohann [Allemagne] ; Winfried Maerz [Autriche] ; Luis Masana [Espagne] ; Günther Silbernagel [Suisse] ; Bart Staels [France] ; Jan Borén [Suède] ; Alberico L. Catapano [Italie] ; Guy De Backer [Belgique] ; John Deanfield [Royaume-Uni] ; Olivier S. Descamps [Belgique] ; Petri T. Kovanen [Finlande] ; Gabriele Riccardi [Italie] ; Lale Tokgözoglu [Turquie] ; M John Chapman [France]

Source :

RBID : pubmed:24468148

Descripteurs français

English descriptors

Abstract

This EAS Consensus Panel critically appraised evidence relevant to the benefit to risk relationship of functional foods with added plant sterols and/or plant stanols, as components of a healthy lifestyle, to reduce plasma low-density lipoprotein-cholesterol (LDL-C) levels, and thereby lower cardiovascular risk.

DOI: 10.1016/j.atherosclerosis.2013.11.043
PubMed: 24468148


Affiliations:


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pubmed:24468148

Le document en format XML

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<nlm:affiliation>Department of Pharmacological and Biomolecular Sciences, University of Milan, Italy; Multimedica IRCSS Milano, Italy. Electronic address: alberico.catapano@unimi.it.</nlm:affiliation>
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<name sortKey="Deanfield, John" sort="Deanfield, John" uniqKey="Deanfield J" first="John" last="Deanfield">John Deanfield</name>
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<name sortKey="Tokgozoglu, Lale" sort="Tokgozoglu, Lale" uniqKey="Tokgozoglu L" first="Lale" last="Tokgözoglu">Lale Tokgözoglu</name>
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<nlm:affiliation>University of Pierre and Marie Curie, Paris, France; Dyslipidaemia and Atherosclerosis Research Unit, INSERM U939, Pitié-Salpetriere University Hospital, Paris, France. Electronic address: john.chapman@upmc.fr.</nlm:affiliation>
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<nlm:affiliation>Department of Human Biology, Maastricht University, The Netherlands. Electronic address: j.plat@maastrichtuniversity.nl.</nlm:affiliation>
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<wicri:regionArea>Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy at University of Gothenburg</wicri:regionArea>
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<name sortKey="Jones, Peter J" sort="Jones, Peter J" uniqKey="Jones P" first="Peter J" last="Jones">Peter J. Jones</name>
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<nlm:affiliation>Richardson Centre for Functional Foods and Nutraceuticals, University of Manitoba, Winnipeg, Canada. Electronic address: Peter.Jones@umanitoba.ca.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
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<country xml:lang="fr">Allemagne</country>
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<name sortKey="Maerz, Winfried" sort="Maerz, Winfried" uniqKey="Maerz W" first="Winfried" last="Maerz">Winfried Maerz</name>
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<nlm:affiliation>Synlab Academy, Synlab LLC, Mannheim Center of Laboratory Diagnostics, Heidelberg, Germany; Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, University of Heidelberg, Germany; Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Austria. Electronic address: Winfried.Maerz@synlab.com.</nlm:affiliation>
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<wicri:regionArea>Synlab Academy, Synlab LLC, Mannheim Center of Laboratory Diagnostics, Heidelberg, Germany; Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, University of Heidelberg, Germany; Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz</wicri:regionArea>
<wicri:noRegion>Medical University of Graz</wicri:noRegion>
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<name sortKey="Masana, Luis" sort="Masana, Luis" uniqKey="Masana L" first="Luis" last="Masana">Luis Masana</name>
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<nlm:affiliation>Vascular Medicine and Metabolism Unit, University Hospital Sant Joan, IISPV, CIBERDEM, Rovira and Virgili University, Reus, Spain. Electronic address: luis.masana@urv.cat.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Vascular Medicine and Metabolism Unit, University Hospital Sant Joan, IISPV, CIBERDEM, Rovira and Virgili University, Reus</wicri:regionArea>
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<name sortKey="Silbernagel, Gunther" sort="Silbernagel, Gunther" uniqKey="Silbernagel G" first="Günther" last="Silbernagel">Günther Silbernagel</name>
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<nlm:affiliation>Department of Angiology, Swiss Cardiovascular Center, Inselspital, University of Bern, Switzerland. Electronic address: guenther.silbernagel@yahoo.com.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Department of Angiology, Swiss Cardiovascular Center, Inselspital, University of Bern</wicri:regionArea>
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<nlm:affiliation>Department of Pharmacological and Biomolecular Sciences, University of Milan, Italy; Multimedica IRCSS Milano, Italy. Electronic address: alberico.catapano@unimi.it.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Pharmacological and Biomolecular Sciences, University of Milan, Italy; Multimedica IRCSS Milano</wicri:regionArea>
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</affiliation>
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<name sortKey="De Backer, Guy" sort="De Backer, Guy" uniqKey="De Backer G" first="Guy" last="De Backer">Guy De Backer</name>
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<nlm:affiliation>Department of Public Health, University Hospital Ghent, Ghent, Belgium. Electronic address: guy.debacker@ugent.be.</nlm:affiliation>
<country xml:lang="fr">Belgique</country>
<wicri:regionArea>Department of Public Health, University Hospital Ghent, Ghent</wicri:regionArea>
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<region type="région" nuts="1">Grand Londres</region>
</placeName>
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<name sortKey="Descamps, Olivier S" sort="Descamps, Olivier S" uniqKey="Descamps O" first="Olivier S" last="Descamps">Olivier S. Descamps</name>
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<wicri:regionArea>Lipid Clinic, Hopital de Jolimont, Haine-Saint-Paul</wicri:regionArea>
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<country xml:lang="fr">Italie</country>
<wicri:regionArea>Department of Clinical and Experimental Medicine, Federico II University, Naples</wicri:regionArea>
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</author>
<author>
<name sortKey="Tokgozoglu, Lale" sort="Tokgozoglu, Lale" uniqKey="Tokgozoglu L" first="Lale" last="Tokgözoglu">Lale Tokgözoglu</name>
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<name sortKey="Chapman, M John" sort="Chapman, M John" uniqKey="Chapman M" first="M John" last="Chapman">M John Chapman</name>
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<nlm:affiliation>University of Pierre and Marie Curie, Paris, France; Dyslipidaemia and Atherosclerosis Research Unit, INSERM U939, Pitié-Salpetriere University Hospital, Paris, France. Electronic address: john.chapman@upmc.fr.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
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<title level="j">Atherosclerosis</title>
<idno type="eISSN">1879-1484</idno>
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<date when="2014" type="published">2014</date>
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<term>Cardiovascular Diseases (blood)</term>
<term>Cardiovascular Diseases (prevention & control)</term>
<term>Cardiovascular Diseases (therapy)</term>
<term>Cholesterol (blood)</term>
<term>Cholesterol (metabolism)</term>
<term>Cholesterol, LDL (blood)</term>
<term>Dyslipidemias (therapy)</term>
<term>Humans</term>
<term>Inflammation (drug therapy)</term>
<term>Lipids (blood)</term>
<term>Phytosterols (therapeutic use)</term>
<term>Sitosterols (therapeutic use)</term>
<term>Triglycerides (blood)</term>
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<term>Anticholestérolémiants (usage thérapeutique)</term>
<term>Cholestérol (métabolisme)</term>
<term>Cholestérol (sang)</term>
<term>Cholestérol LDL (sang)</term>
<term>Dyslipidémies ()</term>
<term>Humains</term>
<term>Inflammation (traitement médicamenteux)</term>
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<term>Phytostérols (usage thérapeutique)</term>
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<term>Cholesterol, LDL</term>
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<term>Triglycerides</term>
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<front>
<div type="abstract" xml:lang="en">This EAS Consensus Panel critically appraised evidence relevant to the benefit to risk relationship of functional foods with added plant sterols and/or plant stanols, as components of a healthy lifestyle, to reduce plasma low-density lipoprotein-cholesterol (LDL-C) levels, and thereby lower cardiovascular risk.</div>
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<DateCreated>
<Year>2014</Year>
<Month>01</Month>
<Day>28</Day>
</DateCreated>
<DateCompleted>
<Year>2014</Year>
<Month>09</Month>
<Day>29</Day>
</DateCompleted>
<DateRevised>
<Year>2014</Year>
<Month>01</Month>
<Day>28</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1879-1484</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>232</Volume>
<Issue>2</Issue>
<PubDate>
<Year>2014</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>Atherosclerosis</Title>
<ISOAbbreviation>Atherosclerosis</ISOAbbreviation>
</Journal>
<ArticleTitle>Plant sterols and plant stanols in the management of dyslipidaemia and prevention of cardiovascular disease.</ArticleTitle>
<Pagination>
<MedlinePgn>346-60</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.atherosclerosis.2013.11.043</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0021-9150(13)00694-1</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">This EAS Consensus Panel critically appraised evidence relevant to the benefit to risk relationship of functional foods with added plant sterols and/or plant stanols, as components of a healthy lifestyle, to reduce plasma low-density lipoprotein-cholesterol (LDL-C) levels, and thereby lower cardiovascular risk.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">Plant sterols/stanols (when taken at 2 g/day) cause significant inhibition of cholesterol absorption and lower LDL-C levels by between 8 and 10%. The relative proportions of cholesterol versus sterol/stanol levels are similar in both plasma and tissue, with levels of sterols/stanols being 500-/10,000-fold lower than those of cholesterol, suggesting they are handled similarly to cholesterol in most cells. Despite possible atherogenicity of marked elevations in circulating levels of plant sterols/stanols, protective effects have been observed in some animal models of atherosclerosis. Higher plasma levels of plant sterols/stanols associated with intakes of 2 g/day in man have not been linked to adverse effects on health in long-term human studies. Importantly, at this dose, plant sterol/stanol-mediated LDL-C lowering is additive to that of statins in dyslipidaemic subjects, equivalent to doubling the dose of statin. The reported 6-9% lowering of plasma triglyceride by 2 g/day in hypertriglyceridaemic patients warrants further evaluation.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Based on LDL-C lowering and the absence of adverse signals, this EAS Consensus Panel concludes that functional foods with plant sterols/stanols may be considered 1) in individuals with high cholesterol levels at intermediate or low global cardiovascular risk who do not qualify for pharmacotherapy, 2) as an adjunct to pharmacologic therapy in high and very high risk patients who fail to achieve LDL-C targets on statins or are statin- intolerant, 3) and in adults and children (>6 years) with familial hypercholesterolaemia, in line with current guidance. However, it must be acknowledged that there are no randomised, controlled clinical trial data with hard end-points to establish clinical benefit from the use of plant sterols or plant stanols.</AbstractText>
<CopyrightInformation>Copyright © 2013 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.</CopyrightInformation>
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<Author ValidYN="Y">
<LastName>Gylling</LastName>
<ForeName>Helena</ForeName>
<Initials>H</Initials>
<AffiliationInfo>
<Affiliation>Department of Medicine, Division of Internal Medicine, University of Helsinki, Biomedicum Helsinki, Finland. Electronic address: Helena.Gylling@hus.fi.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Plat</LastName>
<ForeName>Jogchum</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Department of Human Biology, Maastricht University, The Netherlands. Electronic address: j.plat@maastrichtuniversity.nl.</Affiliation>
</AffiliationInfo>
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<LastName>Turley</LastName>
<ForeName>Stephen</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>Department of Internal Medicine, UT Southwestern Medical Center, Dallas, USA. Electronic address: Stephen.Turley@UTSouthwestern.edu.</Affiliation>
</AffiliationInfo>
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<LastName>Ginsberg</LastName>
<ForeName>Henry N</ForeName>
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<Affiliation>Irving Institute for Clinical and Translational Research, Columbia University, New York, USA. Electronic address: hng1@columbia.edu.</Affiliation>
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<ForeName>Lars</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy at University of Gothenburg, Sweden. Electronic address: lasse.ellegard@nutrition.gu.se.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Jessup</LastName>
<ForeName>Wendy</ForeName>
<Initials>W</Initials>
<AffiliationInfo>
<Affiliation>ANZAC Research Institute, Concord Hospital, Sydney, Australia. Electronic address: wendy.jessup@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Jones</LastName>
<ForeName>Peter J</ForeName>
<Initials>PJ</Initials>
<AffiliationInfo>
<Affiliation>Richardson Centre for Functional Foods and Nutraceuticals, University of Manitoba, Winnipeg, Canada. Electronic address: Peter.Jones@umanitoba.ca.</Affiliation>
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<LastName>Lütjohann</LastName>
<ForeName>Dieter</ForeName>
<Initials>D</Initials>
<AffiliationInfo>
<Affiliation>Institute of Clinical Chemistry and Clinical Pharmacology, University Clinics Bonn, Germany. Electronic address: Dieter.Luetjohann@ukb.uni-bonn.de.</Affiliation>
</AffiliationInfo>
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<ForeName>Winfried</ForeName>
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<AffiliationInfo>
<Affiliation>Synlab Academy, Synlab LLC, Mannheim Center of Laboratory Diagnostics, Heidelberg, Germany; Mannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, University of Heidelberg, Germany; Clinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Austria. Electronic address: Winfried.Maerz@synlab.com.</Affiliation>
</AffiliationInfo>
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<LastName>Masana</LastName>
<ForeName>Luis</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Vascular Medicine and Metabolism Unit, University Hospital Sant Joan, IISPV, CIBERDEM, Rovira and Virgili University, Reus, Spain. Electronic address: luis.masana@urv.cat.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y">
<LastName>Silbernagel</LastName>
<ForeName>Günther</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Department of Angiology, Swiss Cardiovascular Center, Inselspital, University of Bern, Switzerland. Electronic address: guenther.silbernagel@yahoo.com.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Staels</LastName>
<ForeName>Bart</ForeName>
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<AffiliationInfo>
<Affiliation>Faculty of Pharmacy, University of Lille 2, Lille, France. Electronic address: Bart.Staels@pasteur-lille.fr.</Affiliation>
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</Author>
<Author ValidYN="Y">
<LastName>Borén</LastName>
<ForeName>Jan</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Strategic Research Center, Sahlgrenska Center for Cardiovascular and Metabolic Research (CMR), University of Gothenburg, Sweden. Electronic address: Jan.Boren@wlab.gu.se.</Affiliation>
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<Author ValidYN="Y">
<LastName>Catapano</LastName>
<ForeName>Alberico L</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Pharmacological and Biomolecular Sciences, University of Milan, Italy; Multimedica IRCSS Milano, Italy. Electronic address: alberico.catapano@unimi.it.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>De Backer</LastName>
<ForeName>Guy</ForeName>
<Initials>G</Initials>
<AffiliationInfo>
<Affiliation>Department of Public Health, University Hospital Ghent, Ghent, Belgium. Electronic address: guy.debacker@ugent.be.</Affiliation>
</AffiliationInfo>
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<LastName>Deanfield</LastName>
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<Affiliation>National Centre for Cardiovascular Prevention and Outcomes, University College London, UK. Electronic address: john.deanfield@gmail.com.</Affiliation>
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<LastName>Kovanen</LastName>
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<AffiliationInfo>
<Affiliation>Wihuri Research Institute, Helsinki, Finland. Electronic address: Petri.Kovanen@wri.fi.</Affiliation>
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<LastName>Riccardi</LastName>
<ForeName>Gabriele</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Clinical and Experimental Medicine, Federico II University, Naples, Italy. Electronic address: riccardi@unina.it.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Tokgözoglu</LastName>
<ForeName>Lale</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Department of Cardiology, Hacettepe University, Ankara, Turkey. Electronic address: lalet@hacettepe.edu.tr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Chapman</LastName>
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<Initials>MJ</Initials>
<AffiliationInfo>
<Affiliation>University of Pierre and Marie Curie, Paris, France; Dyslipidaemia and Atherosclerosis Research Unit, INSERM U939, Pitié-Salpetriere University Hospital, Paris, France. Electronic address: john.chapman@upmc.fr.</Affiliation>
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<GrantID>R01HL09610</GrantID>
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<Agency>NHLBI NIH HHS</Agency>
<Country>United States</Country>
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<RefSource>Atherosclerosis. 2014 Apr;233(2):357-8</RefSource>
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