Ceruloplasmin and Coronary Heart Disease-A Systematic Review

Antonio P Arenas de Larriva1,2, Laura Limia-Pérez1,2, Juan F Alcalá-Díaz1,2

  • 1Lipids and Atherosclerosis Unit, Department of Internal Medicine, Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Av. Menendez Pidal s/n, 14004 Cordoba, Spain.

Nutrients
|October 24, 2020
PubMed

Insights

Elevated ceruloplasmin levels are linked to increased coronary heart disease risk. Further research is needed to confirm ceruloplasmin

Area of Science:

  • Cardiovascular Medicine
  • Biochemistry
  • Epidemiology

Background:

  • Oxidative stress is implicated in cardiovascular diseases.
  • The role of ceruloplasmin in cardiovascular disease pathogenesis is unclear, with debate on whether it's a marker or mediator.
  • Understanding ceruloplasmin's impact on cardiovascular disease risk is crucial.

Purpose of the Study:

  • To assess the association between ceruloplasmin blood levels and cardiovascular disease risk, specifically coronary heart disease.
  • To synthesize evidence from observational studies on ceruloplasmin and coronary heart disease incidence.
  • To identify research gaps regarding ceruloplasmin's function and therapeutic potential.

Main Methods:

  • Systematic literature search of Medline via PubMed and EMBASE.
  • Inclusion of observational studies in the general adult population.
  • Quality assessment of eligible studies using US Preventive Services Task Force criteria.

Main Results:

  • Most of the 18 reviewed studies suggest a positive correlation between higher ceruloplasmin levels and increased coronary heart disease incidence.
  • Evidence points towards a potential direct relationship between elevated ceruloplasmin and coronary heart disease risk.
  • The reviewed studies highlight the need for further investigation into ceruloplasmin's specific role.

Conclusions:

  • Elevated ceruloplasmin levels appear associated with an increased risk of coronary heart disease.
  • Clinical trials are warranted to elucidate ceruloplasmin's mediating functions in coronary heart disease development.
  • Further research should evaluate the therapeutic implications of managing elevated ceruloplasmin levels for cardiovascular disease prevention and prognosis.

Related Concept Videos

Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
236
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
500
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
711
Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
116
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
146
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers

Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
391