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Published on: October 12, 2017
Gender difference in C-reactive protein concentrations in individuals with atherothrombotic risk factors and
Ori Rogowski1, David Zeltser, Itzhak Shapira
1Department of Internal Medicine D Tel-Aviv Sourasky Medical Center 6 Weizman Street Tel Aviv 64239, Israel.
Insights
Gender differences in highly sensitive C-reactive protein (hs-CRP) exist, even when age and BMI are matched. These findings suggest current vascular risk stratification guidelines may need adjustment for hs-CRP cut-off points.
Area of Science:
- Cardiovascular Medicine
- Biomarkers
- Inflammation Research
Background:
- C-reactive proteins play a role in atherothrombosis.
- hs-CRP concentrations may predict future vascular events.
Purpose of the Study:
- To investigate gender disparities in highly sensitive C-reactive protein (hs-CRP) levels.
- To compare hs-CRP in individuals with and without atherothrombotic risk factors.
Main Methods:
- Matched cohort study of 469 females and 469 males.
- Age and body mass index (BMI) were controlled for.
- hs-CRP levels were measured in healthy individuals and those with risk factors.
Main Results:
- Women exhibited higher hs-CRP concentrations than men in both healthy and overall cohorts (p<0.0005).
- Significant gender differences persisted despite matching for age and BMI.
Conclusions:
- Significant gender differences in hs-CRP levels are present, independent of age and BMI.
- Clinical guidelines for vascular risk stratification using hs-CRP may require gender-specific cut-off points.
Abstract:
Recent studies have shown that C-reactive proteins have a pathogenetic role in atherothrombosis and concentrations of these substances could be used as a marker for future vascular events. The objective of this study was to determine gender differences in highly sensitive C-reactive protein (hs-CRP) in individuals with atherothrombotic risk factors and apparently healthy ones. We have presently matched 469 females and 469 males having the same age and body mass index (BMI). Of these, 210 men and 210 women had no atherothrombotic risk factors. In this group the hs-CRP concentrations were 1.6+/-3.4 mg l(-1) in women and 1.0+/-2.7 mg l(-1) in men (p<0.0005). These values were 2.1+/-3.4 mg l(-1) and 1.5+/-2.8 mg l(-1), respectively, in the entire cohort (p<0.0005), which included also individuals with atherothrombotic risk factors. We conclude that significant gender differences exist in hs-CRP concentrations despite perfect matching for age and BMI. These differences should be reflected in guidelines that suggest hs-CRP cut-off points for the stratification of vascular risk.
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