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C-reactive protein is associated with arterial stiffness in apparently healthy individuals
Yasmin1, Carmel M McEniery, Sharon Wallace
1Clinical Pharmacology Unit, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK.
Insights
Inflammation, measured by C-reactive protein (CRP), is linked to arterial stiffness in healthy adults. This suggests inflammation may contribute to hardening of the arteries, potentially benefiting from anti-inflammatory treatments.
Area of Science:
- Cardiovascular Science
- Inflammation Research
- Vascular Biology
Background:
- C-reactive protein (CRP) is a marker of inflammation predicting outcomes in healthy and atherosclerotic individuals.
- Arterial stiffness independently predicts mortality and is implicated in atherosclerosis.
- The relationship between arterial stiffness and inflammation in healthy individuals requires further investigation.
Purpose of the Study:
- To examine the association between arterial stiffness markers and C-reactive protein (CRP) levels in a cohort of healthy individuals.
- To determine if inflammation contributes to arterial stiffening in the absence of overt cardiovascular disease.
Main Methods:
- Cross-sectional study of 427 healthy individuals, excluding those with cardiovascular disease, diabetes, hypercholesterolemia, or on medication.
- Assessment of pulse wave velocity (PWV) and blood pressure, including brachial and aortic PWV, and pulse pressures.
- Correlation and multiple regression analyses to identify independent predictors of arterial stiffness and CRP levels.
Main Results:
- C-reactive protein (CRP) levels correlated with age, mean arterial pressure (MAP), brachial and aortic PWV, and pulse pressures.
- Aortic PWV was independently associated with age, CRP, male gender, and MAP.
- Aortic, carotid, and brachial pulse pressures were also independently associated with CRP levels.
Conclusions:
- Arterial stiffness, including aortic and brachial PWV and pulse pressure, is related to inflammation levels in healthy individuals.
- These findings suggest that inflammation may play a role in the development of arterial stiffening.
- Anti-inflammatory strategies could potentially reduce arterial stiffness and cardiovascular risk, particularly in those with early signs of arterial stiffening.
Objective:
C-reactive protein (CRP) levels predict outcome in healthy individuals and patients with atherosclerosis. Arterial stiffness also independently predicts all-cause and cardiovascular mortality and may be involved in the process of atherosclerosis. The aim of this study was to investigate the relationship between stiffness and inflammation in a cohort of healthy individuals.
Methods And Results:
Pulse wave velocity (PWV) and blood pressure were assessed in 427 individuals. Subjects with cardiovascular disease, diabetes, hypercholesterolemia and those using medication were excluded. CRP correlated with age, mean arterial pressure (MAP), brachial and aortic PWV, and pulse pressures. In multiple regression models, aortic PWV correlated independently with age, CRP, male gender, and MAP (R2=0.593; P<0.001). CRP was also independently associated with brachial PWV. Aortic augmentation index correlated with age, gender, MAP, and inversely with heart rate and height, but not with CRP (R2=0.794; P<0.001). Aortic, carotid, and brachial pulse pressures were also independently associated with CRP levels.
Conclusions:
Aortic and brachial PWV, and pulse pressure, relate to levels of inflammation in healthy individuals, suggesting that inflammation may be involved in arterial stiffening. Anti-inflammatory strategies may, therefore, be of benefit in reducing arterial stiffness and thus cardiovascular risk, especially in patients with premature arterial stiffening.
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