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Hepatocyte growth factor and carotid intima-media thickness in relation to circulating CD34-positive cell levels
Yuji Shimizu1,2, Shimpei Sato3, Jun Koyamatsu4
1Department of Community Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki-shi, Sakamoto 1-12-4, Nagasaki, 852-8523, Japan. shimizuyuji@nagasaki-u.ac.jp.
Insights
Hepatocyte growth factor (HGF) is linked to carotid intima-media thickness (CIMT) in elderly men, but only when circulating CD34-positive cell levels are low. These cell levels appear to modify the HGF-CIMT association, highlighting their role in vascular health.
Area of Science:
- Cardiovascular Research
- Endocrinology
- Gerontology
Background:
- Hepatocyte growth factor (HGF) is a potential biomarker for vascular damage.
- Limited evidence exists on the association between HGF and carotid intima-media thickness (CIMT).
- Both HGF and circulating CD34-positive cells are crucial for endothelial repair, potentially influencing the HGF-CIMT relationship.
Purpose of the Study:
- To investigate the association between HGF and CIMT in elderly Japanese men.
- To determine if circulating CD34-positive cell levels modify the relationship between HGF and CIMT.
Main Methods:
- A cross-sectional study involving 269 elderly Japanese men (aged 60-69 years).
- Data collected during annual medical checkups between 2014 and 2015.
- Multivariable linear regression analysis used to assess associations and interactions.
Main Results:
- A significant positive association was found between HGF and CIMT specifically in men with low circulating CD34-positive cell levels (multi-adjusted β = 0.26, p = 0.005).
- No significant association was observed between HGF and CIMT in men with high circulating CD34-positive cell levels (multi-adjusted β = 0.002, p = 0.986).
- A significant interaction between HGF and circulating CD34-positive cell levels on CIMT was detected (multivariable p = 0.049).
Conclusions:
- The positive association between HGF and CIMT in community-dwelling elderly Japanese men is confined to individuals with low circulating CD34-positive cell counts.
- Circulating CD34-positive cell levels play a critical role in modulating the impact of HGF on CIMT in this population.
Background:
Hepatocyte growth factor (HGF) may act as a possible biochemical index for vascular damage, although evidence for the association between HGF and carotid intima-media thickness (CIMT) is limited. Since both HGF and circulating CD34-positive cells play an important role in endothelial repair, circulating CD34-positive cell levels may influence the association between HGF and CIMT.
Methods:
We conducted a cross-sectional study of 269 elderly Japanese men aged 60-69 years who had undertaken an annual medical checkup from 2014 to 2015.
Results:
The median value for circulating CD34-positive cells was 0.93 cells/μL. Among the study population, 135 men showed low circulating CD34-positive cell levels (≤ 0.93 cells/μL). By multivariable linear regression analysis, HGF was found to be significantly positively associated with CIMT only to participants with low circulating CD34-positive cell levels, with a multi-adjusted β of 0.26 (p = 0.005) and 0.002 (0.986) for low and high circulating CD34-positive cell levels, respectively. In addition, a significant interaction was observed between HGF and circulating CD34-positive cell levels (low and high) on CIMT (multivariable p value of 0.049). A positive association exists between HGF and CIMT in elderly Japanese men, limited to participants with low circulating CD34-positive cell levels.
Conclusion:
A positive association exists between HGF and CIMT in community-dwelling elderly Japanese men, which is limited to participants with low numbers of circulating CD34-positive cells. Our findings indicate that circulating CD34-positive cell levels could determine the influence of HGF on CIMT in elderly Japanese men.
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