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.
Abstract

Related Concept Videos

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers

Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...