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Published on: January 28, 2020
Is plasma soluble CD36 associated with cardiovascular risk factors in early onset coronary artery disease patients?
Andrzej Krzystolik1, Violetta Dziedziejko, Krzysztof Safranow
1Department of Cardiology, County Hospital in Szczecin , Szczecin , Poland.
Insights
Higher soluble CD36 (sCD36) levels in early coronary artery disease (CAD) patients correlate with metabolic factors and cardiac function. Female gender, older age, and lower glucose/RBC predict higher sCD36, suggesting potential protective roles.
Area of Science:
- Cardiovascular Research
- Biomarker Discovery
- Genetics
Background:
- Coronary artery disease (CAD) is a leading cause of mortality.
- Understanding novel biomarkers like soluble CD36 (sCD36) is crucial for early detection and management.
- The role of sCD36 and its genetic variations in early CAD remains largely unexplored.
Purpose of the Study:
- To investigate the relationship between plasma sCD36 concentrations and CD36 gene polymorphisms.
- To examine the association of sCD36 levels with clinical and echocardiographic parameters in patients with early CAD.
- To identify predictors of elevated sCD36 plasma levels.
Main Methods:
- Plasma sCD36 concentrations were quantified using ELISA kits.
- CD36 gene sequence variations (rs3173798, rs3211892, rs5956, rs141680676) were identified via DHPLC.
- Clinical data and echocardiographic measurements were collected and analyzed.
Main Results:
- sCD36 showed significant negative correlations with RBC count, hemoglobin, hematocrit, glucose, ApoB/ApoA1 ratio, weight, waist circumference, BMI, WHR, systolic blood pressure, and cardiac dimensions (LV, LA, RV).
- Positive correlations were observed between sCD36 and age, mean corpuscular volume, HDL-cholesterol, and ApoA1.
- Higher sCD36 levels were found in females, with female gender, older age, lower glucose, and lower RBC independently predicting higher sCD36.
Conclusions:
- Elevated sCD36 may offer protective effects against metabolic syndrome components in CAD patients.
- Higher sCD36 is associated with a reduced risk of left ventricular hypertrophy.
- Conversely, increased sCD36 concentration might indicate a potential risk factor for impaired left ventricle diastolic function.
Background And Purpose:
This is the first study to investigate the relationship between plasma concentration of soluble CD36 (sCD36) and CD36 gene polymorphisms as well as clinical and echocardiographic parameters in patients with early onset coronary artery disease (CAD).
Methods:
sCD36 concentrations were measured by the ELISA kits. CD36 sequence alterations detected by the DHPLC technique comprised single nucleotide substitutions: rs3173798, rs3211892, rs5956 and rs141680676.
Results:
There were significant negative correlations between sCD36 and red blood cell count, hemoglobin, hematocrit and glucose concentration, ApoB/ApoA1 ratio, patients' weight and waist circumference, BMI, WHR, systolic blood pressure, MAP values, left ventricular end-diastolic diameter and volume, left atrium diameter, right ventricular end-diastolic diameter. There were significant positive correlations between sCD36 and patients' age, mean corpuscular volume of erythrocytes, HDL-cholesterol, ApoA1 concentrations. Significantly higher CD36 plasma levels were found in female subgroup. There was no association between CD36 genotypes and sCD36 concentrations. Multiple linear regression analysis revealed that significant independent predictors of higher plasma sCD36 level were female gender, older age, lower serum glucose and lower RBC.
Conclusion:
The presented data suggest possible protective effects of higher sCD36 concentration in relation to metabolic syndrome components in CAD patients. Higher sCD36 concentration is also associated with lower risk of left ventricular hypertrophy, but on the other hand is a potential risk factor of impaired left ventricle diastolic function.
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