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Serum endostatin concentrations are higher in men with symptoms of intermittent claudication
Jonathan Golledge1, Paula Clancy2, Graeme J Hankey3
1The Vascular Biology Unit, Queensland Research Centre for Peripheral Vascular Disease, School of Medicine and Dentistry, James Cook University, Townsville, QLD 4811, Australia ; Department of Vascular and Endovascular Surgery, The Townsville Hospital, Townsville, QLD 4814, Australia.
Insights
Serum endostatin levels are higher in older men experiencing intermittent claudication, a symptom of peripheral artery disease. Further research is needed to understand endostatin's role in this condition.
Area of Science:
- Biochemistry
- Vascular Biology
- Gerontology
Background:
- Endostatin, a collagen XVIII fragment, exhibits antiangiogenic properties in preclinical models.
- Peripheral artery disease (PAD) affects lower limb circulation, with intermittent claudication as a key symptom.
Purpose of the Study:
- To investigate the association between circulating endostatin levels and intermittent claudication in older men.
- To test the hypothesis that higher endostatin levels correlate with symptoms of lower limb PAD.
Main Methods:
- A cross-sectional study involving community-dwelling older men.
- Intermittent claudication assessed via the Edinburgh Claudication Questionnaire (ECQ).
- Serum endostatin measured using ELISA, with logistic regression analysis adjusting for cardiovascular risk factors.
Main Results:
- Serum endostatin concentrations were significantly higher in men with intermittent claudication (145.22 ± 106.93 ng/mL) compared to those with atypical pain or no lower limb pain (P < 0.001).
- A 70 ng/mL increase in endostatin was associated with a 1.17-fold increased odds of intermittent claudication (OR 1.17, P = 0.050).
Conclusions:
- Elevated serum endostatin is observed in older men with intermittent claudication symptoms.
- The precise role of endostatin in the development and progression of peripheral artery disease warrants additional investigation.
Objectives:
A cleavage fragment of collagen XVIII, endostatin, is released into the circulation and has been demonstrated to have antiangiogenic effects in animal models. We hypothesized that circulating endostatin would be increased in patients with symptoms of lower limb peripheral artery disease.
Design:
Cross-sectional study.
Participants:
Community dwelling older men.
Measurements:
Intermittent claudication was defined using the Edinburgh Claudication Questionnaire (ECQ). Serum endostatin was measured by a commercial ELISA. The association of serum endostatin with intermittent claudication was examined using logistic regression adjusting for age, diabetes, hypertension, dyslipidemia, coronary heart disease, and stroke.
Results:
Serum endostatin was measured in 1114 men who completed the ECQ. 106 men had intermittent claudication, 291 had atypical pain, and 717 had no lower limb pain. Mean (± standard deviation) serum endostatin concentrations (ng/mL) were 145.22 ± 106.93 for men with intermittent claudication, 129.11 ± 79.80 for men with atypical pain, and 116.34 ± 66.57 for men with no lower limb pain; P < 0.001. A 70 ng/mL increase in endostatin was associated with a 1.17-fold rise in the adjusted odds of having intermittent claudication (OR 1.17, 95% confidence interval 1.00-1.37, and P = 0.050).
Conclusions:
Serum endostatin is raised in older men who have symptoms of intermittent claudication. The role of endostatin in the genesis and outcome of peripheral artery disease requires further investigation.
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