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Published on: May 31, 2016
Fetuin-A is associated with calcified coronary artery disease
Katsuhito Mori1, Yuji Ikari, Shuichi Jono
1Department of Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine, Abeno-ku, Osaka, Japan. ktmori@med.osaka-cu.ac.jp
Insights
Serum fetuin-A levels were lower in patients with calcified coronary artery disease. This suggests fetuin-A may play a protective role against atherosclerosis progression in individuals without diabetes or kidney dysfunction.
Area of Science:
- Cardiovascular Research
- Biochemistry
- Atherosclerosis Studies
Background:
- Fetuin-A is a glycoprotein implicated in atherosclerosis.
- Its role in cardiovascular disease is debated, especially in patients with diabetes and uremia.
- Fetuin-A may inhibit calcification, potentially protecting against advanced atherosclerosis.
Purpose of the Study:
- To investigate the association between serum fetuin-A levels and calcified coronary artery disease.
- To clarify fetuin-A's role in cardiovascular disease in individuals without diabetes and renal dysfunction.
Main Methods:
- Serum fetuin-A levels were measured in 92 participants undergoing coronary angiography.
- Coronary artery stenosis and calcification were assessed.
- Multivariate logistic regression analyzed the correlation between fetuin-A and calcification.
Main Results:
- Fetuin-A levels were significantly lower in patients with three-vessel disease compared to those without stenosis.
- Patients with coronary artery calcification had lower fetuin-A levels than those without.
- Fetuin-A levels inversely correlated with the presence of coronary artery calcification (OR: 0.54; 95% CI: 0.31-0.92).
Conclusions:
- Serum fetuin-A levels are inversely correlated with advanced calcified coronary artery disease.
- Fetuin-A may be a protective factor against calcified coronary atherosclerosis in non-diabetic, non-uremic individuals.
Objective:
Fetuin-A is a circulating glycoprotein that is involved in various stages of atherosclerosis. Despite the fact that emerging evidence suggests fetuin-A acts as a calcification inhibitor that protects against advanced calcified atherosclerosis in dialyzed patients, the role of fetuin-A in cardiovascular disease is still controversial. As diabetes and uremia make the role of fetuin-A in cardiovascular disease uncertain, we investigated the association between fetuin-A and calcified coronary artery disease in participants without diabetes and renal dysfunction.
Methods:
Serum fetuin-A levels were measured in 92 participants who underwent coronary angiography. The number of diseased vessels and the presence of calcification were evaluated.
Results:
Fetuin-A levels significantly decreased in patients with advanced three-vessel disease compared with those without stenosis (245.5+/-50.9, 289.0+/-71.8 microg/ml, respectively; P<0.05). Likewise, fetuin-A levels were significantly lower in patients with coronary artery calcification compared with those without coronary artery calcification (257.1+/-49.7, 288.0+/-63.1 microg/ml, respectively; P = 0.010). Multivariate logistic regression analysis revealed that fetuin-A levels inversely correlated with the presence of coronary artery calcification (odds ratio: 0.54; 95% confidence interval: 0.31-0.92; P = 0.025).
Conclusion:
Serum fetuin-A levels inversely correlated with advanced calcified coronary artery disease.
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