[Resin-bonded inlay bridges made of glass-fiber-reinforced composites. A step-by-step description of their clinical use].
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Apolipoprotein A-I (apoA-I) and an apoA-I peptide mimetic removed seeding molecules from human low density lipoprotein (LDL) and rendered the LDL resistant to oxidation by human artery wall cells. The apoA-I-associated seeding molecules included hydroperoxyoctadecadienoic acid (HPODE) and hydroperoxyeicosatetraenoic acid (HPETE). LDL from mice genetically susceptible to fatty streak lesion formation was highly susceptible to oxidation by artery wall cells and was rendered resistant to oxidation after incubation with apoA-I in vitro. Injection of apoA-I (but not apoA-II or murine serum albumin) into mice rendered their LDL resistant to oxidation within 3 h. Infusion of apoA-I into humans rendered their LDL resistant to oxidation within 6 h. We conclude that 1) oxidation of LDL by artery wall cells requires seeding molecules that include HPODE and HPETE; 2) LDL from mice genetically susceptible to atherogenesis is more readily oxidized by artery wall cells; and 3) normal HDL and its components can remove or inhibit the activity of lipids in freshly isolated LDL that are required for oxidation by human artery wall cells.
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To achieve an evidence-based clinical practice it is vital to be able to rapidly access valid, relevant and updated information. Systematic reviews, HTA-reports and health economic evaluations are most easily found in the Cochrane Library, available by subscription on the web. The continually updated "Clinical Evidence" covers many clinical fields. A search on Medline will mostly yield primary research but also systematic reviews. Search-engines such as SUMSearch and TRIP could be useful by scanning multiple databases relevant to evidence-based medicine.
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