C-reactive protein (CRP) elevation in patients with abdominal aortic aneurysm is independent of the most important
Stephen A Badger1, Chee V Soong, Mark E O'Donnell
1Vascular and Endovascular Surgery Department, Belfast City Hospital, Belfast, Northern Ireland, United Kingdom. StephenBadger@btinternet.com
Insights
C-reactive protein (CRP) levels are higher in patients with abdominal aortic aneurysm (AAA), particularly in larger aneurysms. The CRP gene
Area of Science:
- Cardiovascular Disease Research
- Biomarker Analysis
- Genetics and Aneurysm Formation
Background:
- C-reactive protein (CRP) is a known marker for cardiovascular disease.
- Abdominal aortic aneurysm (AAA) is a serious vascular condition.
- Understanding the relationship between CRP and AAA is crucial for risk assessment.
Purpose of the Study:
- To investigate the association between C-reactive protein (CRP) serum concentration and abdominal aortic aneurysm (AAA).
- To determine if the CRP gene is associated with the presence and size of AAA.
- To explore the correlation between a specific CRP gene single nucleotide polymorphism (SNP) and AAA.
Main Methods:
- Recruitment of AAA patients and healthy controls.
- Measurement of serum CRP concentration.
- Assessment of the CRP gene SNP rs3091244 in participants.
- Correlation analysis of CRP levels with AAA diameter.
Main Results:
- Significantly higher CRP concentrations were observed in AAA patients compared to controls.
- CRP levels showed a positive correlation with AAA size, being highest in large aneurysms.
- No significant difference in the distribution of the CRP gene SNP rs3091244 was found between cases and controls.
- CRP serum concentration was not influenced by the assessed CRP gene SNP.
Conclusions:
- CRP production may be linked to the presence of AAA, especially in advanced stages.
- The studied functional SNP of the CRP gene does not appear to influence serum CRP concentration.
- The CRP gene SNP rs3091244 is not associated with AAA formation.
Objective:
C-reactive protein (CRP) is a marker of cardiovascular disease. The objective was to determine if abdominal aortic aneurysm (AAA) and CRP serum concentration and its CRP gene are associated.
Methods And Results:
AAA patients and AAA negative controls were recruited. CRP concentration was measured and the single nucleotide polymorphism (SNP), rs3091244, assessed. AAA cases were divided into those measuring 30-55 mm and >55 mm in diameter, to assess correlation of CRP with AAA size. A total of 248 (227 male) cases and 400 (388 male) controls were included. CRP concentration was higher in cases (385.0 microl/dL [310.4-442.8] vs 180.3 microl/dL [168.1-196.9]; P < .0001). It was higher in large aneurysms (685.7 microl/dL [511.8-1083.0] vs 291.0 microl/dL [223.6-349.6]; P < .0001), with significant correlation observed to size (r = 0.37, P < .0001). CC was the most common SNP genotype with no difference in distribution (P = .43) between cases and controls. No difference existed in CRP for each genotype in the overall cohort (P = .17), cases (P = .18) and controls (P = .19).
Conclusion:
The results demonstrate that CRP production may be related to the presence of AAA, especially in advanced disease. The serum concentration of CRP does not appear to be influenced by the functional SNP of the CRP gene, which also appears to have no association with AAA formation.
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