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Published on: January 7, 2018
Soluble CD40 ligand levels in otherwise healthy subjects with impaired fasting glucose
Ilker Tasci1, Teoman Dogru, Alper Sonmez
1Department of Internal Medicine, Gulhane School of Medicine, Ankara, Turkey.
Insights
Individuals with impaired fasting glucose (IFG) show no increase in soluble CD40L (sCD40L) or high-sensitivity C-reactive protein (hsCRP). This suggests sCD40L may not be an independent risk factor for atherosclerosis in IFG.
Area of Science:
- Cardiovascular Research
- Metabolic Disorders
- Immunology
Background:
- Impaired fasting glucose (IFG) risk for atherosclerosis remains unclear, unlike diabetes mellitus and impaired glucose tolerance.
- The CD40-CD40 ligand pathway is implicated in atherosclerotic mechanisms.
Purpose of the Study:
- To investigate elevated levels of soluble CD40L (sCD40L) and high-sensitivity C-reactive protein (hsCRP) in IFG subjects.
- To assess IFG's association with inflammation and atherosclerosis markers, excluding confounding factors.
Main Methods:
- Studied 24 IFG subjects without other disorders and 40 healthy controls.
- Measured serum levels of sCD40L and hsCRP.
- Analyzed blood pressure, lipid profiles, and HOMA-IR index.
Main Results:
- sCD40L and hsCRP levels were similar between IFG and control groups.
- IFG group showed lower HDL-cholesterol and higher HOMA-IR index.
- Blood pressure and other lipid parameters were comparable.
Conclusions:
- sCD40L levels do not appear altered in IFG subjects.
- sCD40L may not be an independent risk factor for atherosclerosis in IFG.
- Further research with larger cohorts is warranted.
Abstract:
Unlike diabetes mellitus and impaired glucose tolerance, it is not clear whether the subjects with impaired fasting glucose (IFG) are at increased risk of atherosclerosis and cardiovascular diseases. The CD40-CD40 ligand interaction is involved in the mechanism of atherosclerosis. We investigated whether soluble CD40L (sCD40L) as well as high sensitive C-reactive protein (hsCRP) levels are increased in subjects with IFG having no confounding factors for inflammation or atherosclerosis. Twenty four IFG subjects with no additional disorders and 40 appropriate healthy controls were studied. sCD40L and hsCRP levels in the IFG and control groups were similar. Blood pressures, total and LDL-cholesterol, and triglyceride levels were also similar, whereas HDL-cholesterol was lower and HOMA-IR indexes were higher in the IFG group. Though the sample size was small, the present data show that sCD40L seems not to alter in subjects with IFG suggesting that it might not be an independent risk factor for atherosclerosis.
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