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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.
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.
Abstract:
Several studies indicate that oxidative stress might play a central role in the initiation and maintenance of cardiovascular diseases. It remains unclear whether ceruloplasmin acts as a passive marker of inflammation or as a causal mediator. To better understand the impact of ceruloplasmin blood levels on the risk of cardiovascular disease, and paying special attention to coronary heart disease, we conducted a search on the two most commonly used electronic databases (Medline via PubMed and EMBASE) to analyze current assessment using observational studies in the general adult population. Each study was quality rated using criteria developed by the US Preventive Services Task Force. Most of 18 eligible studies reviewed support a direct relationship between ceruloplasmin elevated levels and incidence of coronary heart disease. Our results highlight the importance of promoting clinical trials that determine the functions of ceruloplasmin as a mediator in the development of coronary heart disease and evaluate whether the treatment of elevated ceruloplasmin levels has a role in the prognosis or prevention of this condition.
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