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Published on: January 28, 2020
Potential relation between soluble growth differentiation factor-15 and testosterone deficiency in male patients with
Huan Liu1, Yongnan Lyu2, Di Li1
1Dept of Clinical Laboratory, Wuhan Univ, Renmin Hospital, Jiefang Road 238, Wuhan, 430060, Hubei, China.
Background:
There is a mutual interaction between inflammation and endocrine disorders in the development of coronary artery disease (CAD). Growth differentiation factor-15 (GDF-15) is associated with CAD, and the effects of testosterone on CAD as reported in literature have been considered as anti-atherosclerotic. The present study aimed to examine the possible association between serum GDF-15 and testosterone in male CAD patients.
Methods:
GDF-15 and testosterone concentrations were determined in blood samples of 426 male patients with CAD and 220 male controls. Serum concentrations of hs-CRP, and other baseline characteristics were also measured.
Results:
Serum levels of GDF-15 were higher in CAD patients when compared to controls, and testosterone concentrations were lower (p < 0.001). Patients with low testosterone levels had higher concentrations of GDF-15 (p < 0.001). In stratified analyses, inverse relations between GDF-15 levels and testosterone were noted for almost all strata, stratified by categories of hs-CRP, leukocytes, neutrophils, neutrophil to lymphocyte ratio, glucose, HDL-c, and LDL-c, and whether had hypertension, diabetes, and underwent percutaneous coronary intervention (PCI). Furthermore, in the linear regression models with bootstrap resampling with 1000 replications, high GDF-15 levels were independently associated with testosterone deficiency in male patients with CAD.
Conclusions:
In male patients with CAD, high GDF-15 levels were associated with testosterone deficiency. These results support that upregulation of GDF-15 in the presence of low testosterone levels during CAD progression is a potential mechanism by which GDF-15 affects CAD.
Insights
In male patients with coronary artery disease (CAD), higher levels of Growth Differentiation Factor-15 (GDF-15) were linked to lower testosterone. This suggests GDF-15 may play a role in CAD progression alongside testosterone deficiency.
Area of Science:
- Endocrinology
- Cardiovascular Medicine
- Inflammation Biology
Background:
- Coronary artery disease (CAD) development involves interactions between inflammation and endocrine disorders.
- Growth Differentiation Factor-15 (GDF-15) is implicated in CAD.
- Testosterone's effects on CAD are considered anti-atherosclerotic.
Purpose of the Study:
- To investigate the association between serum GDF-15 and testosterone levels in male patients diagnosed with CAD.
Main Methods:
- Serum GDF-15 and testosterone concentrations were measured in 426 male CAD patients and 220 male controls.
- Hs-CRP and other baseline characteristics were also assessed.
Main Results:
- CAD patients exhibited higher GDF-15 and lower testosterone levels compared to controls (p < 0.001).
- Low testosterone levels correlated with elevated GDF-15 (p < 0.001).
- High GDF-15 was independently associated with testosterone deficiency in male CAD patients via regression analysis.
Conclusions:
- Elevated GDF-15 levels are associated with testosterone deficiency in male CAD patients.
- Upregulation of GDF-15 with low testosterone may be a mechanism influencing CAD progression.
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