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Published on: August 28, 2018
[Association between plasma adiponectin levels and coronary lesion complexity]
Xue Ying Wang1, Yan Hong Guo, Li Jun Guo
1Department of Cardiology, Peking University Third Hospital, Beijing 100083, China.
Insights
Lower plasma adiponectin levels are linked to more complex coronary artery disease (CAD). This finding suggests adiponectin may predict the severity and stability of coronary atherosclerosis.
Area of Science:
- Cardiovascular Research
- Biochemistry
- Medical Diagnostics
Context:
- Coronary artery disease (CAD) poses a significant global health burden.
- Assessing coronary artery lesion complexity is crucial for treatment strategies.
- Plasma adiponectin, an adipokine, has been implicated in metabolic and cardiovascular health.
Purpose:
- To investigate the relationship between plasma adiponectin concentrations and the complexity of coronary artery lesions.
- To determine if adiponectin levels can serve as a predictor for coronary atherosclerosis severity and plaque stability.
Summary:
- This study analyzed plasma adiponectin levels in 105 individuals (77 with CAD, 28 controls).
- Lower adiponectin levels were significantly associated with increased vessel disease, higher Gensini scores, and acute coronary syndrome (ACS).
- Adiponectin levels correlated positively with HDL-C and negatively with C-reactive protein and triglycerides.
Impact:
- Results indicate that decreased plasma adiponectin is an independent risk factor for coronary stenosis and unstable plaque.
- Plasma adiponectin may serve as a valuable biomarker for predicting the occurrence, severity, and stability of coronary atherosclerosis.
- These findings could inform diagnostic and therapeutic approaches in managing CAD.
Objective:
To explore the association between the levels of plasma adiponectin and coronary artery lesion complexity in patients undergoing coronary angiography.
Methods:
We measured the plasma concentrations of adiponectin in 105 candidates [28 healthy controls and 77 patients with coronary artery diseases (CAD)]. The complexity of coronary artery lesion was evaluated by the numbers of vessel disease and Gensini score.
Results:
Plasma concentrations of adiponectin in healthy group were significantly higher than those in CAD patients. Among patients with CAD, those with multiple vessel lesions had significantly lower adiponectin levels than those with a single vessel lesion. Plasma concentrations of adiponectin in Gensini score > or = 30 group were significantly lower than those in <30 group and control group(P<0.05). Patients with acute coronary syndrome (ACS) had lower adiponectin levels than those without ACS [(0.731+/-0.361) mg/L vs. (1.097+/-0.617) mg/L,P=0.03]. Logistic analysis indicated that the lower level of adiponectin was independent risk factor of coronary stenosis (OR 0.214, 95% CI 0.071-0.646, P=0.006) and unstable plaque (OR 0.151, 95% CI 0.044-0.515, P= 0.003). Adiponectin concentrations were correlated positively with high density lipoprotein cholesterol(HDL-C) and negatively with C-reactive protein and triglyceride(TG).
Conclusion:
The decreased plasma adiponectin concentration might be associated with the coronary artery lesion and be used as an independent predictor of the occurrence and severity of coronary atherosclerosis and the stability of plaque.
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