Lipoprotein (a) as a predictor of diabetic retinopathy in patients with type 2 diabetes: A systematic review

Author:

Gholami Chahkand Mohammad Sadra1,Esmaeilpour Moallem Fatemeh2,Qezelgachi Abolfazl3,Seifouri Kiana4,Pesaran Afsharian Armin5,sheikhzadeh Farzad6,poursalehi Atefe7,Fani Sadrabadi Fateme Sadat8,Saghab Torbati Mehrnush9,Ramezanzade Mohaddese10,Alishiri Goharsharieh11,Ansari Arina12ORCID,Zare Dehabadi Emad4,Karimi Matloub Saeed13,Sheikh Zahra14,Deravi Niloofar4,Mehrtabar Saba15,Chichagi Fatemeh16,Faal Hamedanchi Neda17,Arzaghi Mohammadreza18,Asadi Mahla19,Alsadat Dadkhah Parisa3,Ansari Akram20

Affiliation:

1. Student Research Committee, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran

2. Student Research Committee, Golestan University of Medical Sciences, Gorgan, Iran

3. Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran

4. Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran

5. Student Research Committee, Urmia University of Medical Sciences, Urmia, Iran

6. Student Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

7. Student Research Committee, School of Paramedical, Shahid Beheshti University of Medical Sciences, Tehran, Iran

8. Student Research Committee, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

9. Islamic Azad University of Zahedan, Zahedan, Iran

10. School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

11. Students Research Committee, School of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran

12. Student Research Committee, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran

13. Students Research Committee, Qom University of Medical Sciences, Qom, Iran

14. Student Research Committee, School of Medicine, Babol University of Medical Sciences, Babol, Iran

15. Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran

16. Students’ Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran

17. Faculty of Medicine, Islamic Azad University, Tehran Medical Sciences Branch, Tehran, Iran

18. Shahid Beheshti University of Medical Sciences, Tehran, Iran

19. Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

20. Medical College, Shantou University, Shantou, China

Abstract

Background Lipoprotein a (LP(a)), an LDL-like lipoprotein, known as a risk factor for cardiovascular diseases, has a controversial association with diabetic retinopathy in patients with type 2 diabetes—the current systematic review aimed to critically assess the association between LP(a) and diabetic retinopathy. Methods A systematic review of relevant studies was conducted after a thorough search in PubMed, Scopus, and Google Scholar electronic databases. We used English observational, case-control, and prospective cohort studies published up to August 2022, including type 2 diabetic patients as the population, diabetic retinopathy as the outcome, and LP(a) as the intervention. Result 17 relevant studies, including 4688 patients with diabetes, were included in this systematic review. While in 13 studies, Lipoprotein(a) was recognized as a risk factor for diabetic retinopathy, only three studies reported no evidence of a relationship between the two. Also, another study showed a mixed outcome of the relationship between LP(a) and diabetic retinopathy. Conclusion High serum lipoprotein(a) in patients with type 2 diabetes is considered a risk factor for diabetic retinopathy. However, further large-scaled cohort studies are still required to validate this finding.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,Endocrinology, Diabetes and Metabolism,Internal Medicine

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