Increased serum C1q-binding adiponectin complex to total-adiponectin ratio in men with multi-vessel coronary disease

Ken Kishida1, Yasuhiko Nakagawa2, Hironori Kobayashi3

  • 1Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan ; Kishida Clinic, Toyonaka, Osaka, Japan.

Insights

The ratio of C1q-binding adiponectin to total adiponectin (C1q-APN/Total-APN) increases with the number of diseased coronary vessels in men. This finding suggests C1q-APN may be a useful biomarker for coronary artery disease severity.

Area of Science:

  • Cardiovascular Research
  • Biochemistry
  • Immunology

Background:

  • Adiponectin is recognized for its role in stabilizing atherosclerotic plaques.
  • Previous research linked total adiponectin (Total-APN) levels to coronary artery disease (CAD) severity in men.
  • A novel finding indicated adiponectin binds to C1q in human blood, with C1q-binding adiponectin (C1q-APN)/Total-APN ratios associated with CAD in type 2 diabetes.

Purpose of the Study:

  • To investigate the relationship between circulating C1q-APN levels and the number of angiographically defined coronary artery vessels in male subjects.
  • To determine if C1q-APN levels correlate with the extent of coronary artery disease.
  • To explore the potential of C1q-APN as a biomarker for CAD.

Main Methods:

  • The study included 53 male Japanese patients undergoing diagnostic coronary angiography.
  • Enzyme-linked immunosorbent assays were used to measure serum levels of Total-APN, high-molecular weight adiponectin (HMW-APN), C1q-APN, and C1q.

Main Results:

  • A significant trend of increasing serum C1q-APN/Total-APN ratio was observed with increasing numbers of diseased coronary vessels (single and multi-vessel disease).
  • No significant correlation was found between serum Total-APN, HMW-APN, C1q-APN, or C1q levels and the number of diseased coronary vessels.

Conclusions:

  • The serum C1q-APN/Total-APN ratio progressively increases in men with single and multi-vessel coronary artery disease.
  • This suggests that the C1q-APN/Total-APN ratio may serve as a valuable indicator of coronary artery disease severity.
Abstract

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