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Circulating cell-free DNA is associated with cardiometabolic risk factors: the Health 2000 Survey
Juulia Jylhävä1, Terho Lehtimäki2, Antti Jula3
1Department of Microbiology and Immunology, School of Medicine, University of Tampere, FIN-33014 Tampere, Finland.
Insights
Elevated cell-free circulating DNA (cf-DNA) levels correlate with cardiometabolic risk factors and arterial stiffness, particularly in women. This suggests cf-DNA may aid in assessing cardiovascular risk and arterial health.
Area of Science:
- Cardiovascular Medicine
- Biomarker Discovery
- Genomics
Background:
- Cell-free circulating DNA (cf-DNA) shows promise as a biomarker for cardiovascular diseases and mortality prediction.
- Baseline cf-DNA levels are being investigated for their role in cardiovascular risk and early atherosclerosis detection.
Purpose of the Study:
- To determine if baseline cf-DNA concentration indicates increased cardiovascular risk and early atherosclerosis.
- To explore the association between cf-DNA levels and cardiometabolic risk factors, arterial elasticity, and glucose intolerance.
Main Methods:
- Analysis of 1337 participants (aged 46-77 years) from the Health 2000 Survey.
- Quantification of plasma cf-DNA using the Quant-iT™ high-sensitivity DNA assay.
- Assessment of cardiometabolic risk factors, arterial elasticity, and glucose intolerance.
Main Results:
- Increased cf-DNA levels were associated with higher blood pressure, unfavorable lipid profiles, and systemic inflammation in both sexes.
- Higher cf-DNA levels correlated with decreased arterial elasticity and glucose intolerance in women not using hormonal replacement therapy (HRT).
- cf-DNA independently determined Young's elastic modulus in women not using HRT.
Conclusions:
- cf-DNA may serve as an auxiliary biomarker for cardiometabolic risk assessment.
- cf-DNA can indicate arterial stiffness, especially in women not using HRT.
Abstract:
Cell-free circulating DNA (cf-DNA) has recently arisen as a promising biomarker in acute cardiovascular pathologies and as a mortality predictor in myocardial infarction. We wanted to investigate whether the baseline cf-DNA concentration could serve as an indicator of increased cardiovascular risk and early atherosclerosis. The study population consisted of 1337 participants (aged 46-77 years) in the Health 2000 Survey. cf-DNA was quantified directly in plasma using the fluorescence-based Quant-iT™ high-sensitivity DNA assay kit. Increased cf-DNA levels paralleled a cluster of cardiometabolic risk factors, such as high blood pressure, unfavorable lipid metabolism profile and systemic inflammation in both sexes. In addition, higher cf-DNA levels indicated decreased arterial elasticity and glucose intolerance in women not using hormonal replacement therapy (HRT). The cf-DNA level was also observed to be an independent determinant for Young's elastic modulus but not for carotid artery compliance or beta stiffness index in the women not using HRT. Hence, we conclude that cf-DNA could serve as an auxiliary biomarker in cardiometabolic risk assessment and as an indicator of arterial stiffness in women not using HRT.
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