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Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
Inflammation and descending thoracic aortic calcification as detected by computed tomography: the Multi-Ethnic Study
Junichiro Takasu1, Ronit Katz, David M Shavelle
1Division of Cardiology, Los Angeles Biomedical Research Institute at Harbor-UCLA, Torrance, CA, USA.
Insights
Interleukin-6 (IL-6) is linked to descending thoracic aortic calcification (DTAC), a marker of atherosclerosis. C-reactive protein (CRP) showed no significant association with DTAC in this large study.
Area of Science:
- Cardiovascular Medicine
- Inflammation Research
- Medical Imaging
Background:
- Inflammation plays a role in atherosclerosis development and progression.
- Inflammatory markers are associated with cardiovascular events.
- Descending thoracic aortic calcification (DTAC) is an indicator of atherosclerosis.
Purpose of the Study:
- To investigate the independent association of C-reactive protein (CRP) and interleukin-6 (IL-6) with DTAC.
- To examine DTAC as detected by computed tomography (CT) in a large cohort.
Main Methods:
- Utilized data from the Multi-Ethnic Study of Atherosclerosis (MESA) cohort.
- Included 6613 participants (ages 45-84) free of baseline cardiovascular disease.
- Measured CRP, IL-6, and DTAC (Agatston score) at baseline.
Main Results:
- DTAC prevalence was 27% among participants.
- Individuals with DTAC had higher CRP and IL-6 levels.
- IL-6 remained significantly associated with DTAC after adjustment (aRR per S.D., 1.07; 95% CI, 1.02–1.14), while CRP did not (aRR per S.D., 1.01; 95% CI, 0.97–1.05).
Conclusions:
- Interleukin-6 (IL-6) is associated with the presence and extent of descending thoracic aortic calcification (DTAC).
- Further research is needed to explore the predictive value of DTAC and inflammation markers for cardiovascular events.
Background:
Inflammation is related to many stages of atherosclerosis, and inflammatory markers have been associated with both atherosclerosis and future cardiovascular events. Descending thoracic aortic calcification (DTAC) is a manifestation of atherosclerosis, however, no previous study has examined the relationship of inflammatory markers and DTAC as detected by computed tomography (CT) in a large study. We examined whether C-reactive protein (CRP) and interleukin-6 (IL-6) are independently associated with DTAC.
Methods:
The Multi-Ethnic Study of Atherosclerosis (MESA) is a prospective cohort study that includes 6814 women and men ages 45-84 years old, all free of baseline cardiovascular disease. The inflammation markers CRP and IL-6, and DTAC by CT, quantified by Agatston score, were measured at baseline in all participants.
Results:
We studied 6613 participants with complete data (3112 men, 3501 women, mean age 62+/-10 years). The prevalence of DTAC was 27%. Participants with DTAC had significantly higher levels of both CRP and IL-6. After adjustment for baseline risk factors, CRP was not correlated with presence or severity of DTAC (Adjusted RR per S.D., 1.01; 95% confidence intervals 0.97; 1.05) while IL-6 associations remained significant (adjusted RR per S.D., 1.07; 95% confidence intervals 1.02; 1.14).
Conclusions:
IL-6, a systemic inflammatory marker, is related to the presence and extent of DTAC. Further studies are needed to evaluate the interaction between DTAC and inflammation markers as predictors of future cardiovascular events.
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