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The Effect of Vitamin E Supplementation on Cardiovascular Risk in Diabetic Individuals With Different Haptoglobin Phenotypes

  1. Andrew P. Levy, MD, PHD1,
  2. Hertzel C. Gerstein, MD, MSC2,
  3. Rachel Miller-Lotan, PHD1,
  4. Robert Ratner, MD3,
  5. Matthew McQueen, MBCHB2,
  6. Eva Lonn, MD2 and
  7. Janice Pogue, MSC2
  1. 1Technion Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel
  2. 2Department of Medicine and Population Health Research Institute, Hamilton Health Sciences and McMaster University, Hamilton, Ontario, Canada
  3. 3MedStar Research Institute, Washington D.C.
  1. Address correspondence to Andrew P. Levy MD, PhD, Technion Faculty of Medicine, Haifa, Israel. E-mail: alevy{at}tx.technion.ac.il

Several clinical trials (1) have demonstrated that vitamin E does not reduce future major cardiovascular (CV) events. However, these trials could not rule out the potential benefit for high-risk subgroups. Diabetic individuals who are homozygous for the haptoglobin 2 allele (Hp 2-2) are at high risk for CV events (2–4); moreover, the Hp 2-2 protein product is an inferior antioxidant compared with …

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