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Published on: January 28, 2020
Serum levels of Asprosin in patients diagnosed with coronary artery disease (CAD): a case-control study
Nariman Moradi1, Fatima Zahraa Fouani2, Akram Vatannejad3
1Cellular and Molecular Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Insights
Elevated serum asprosin levels are linked to coronary artery disease (CAD) development. This fasting-induced adipokine may contribute to CAD pathogenesis, particularly through insulin resistance and dyslipidemia.
Area of Science:
- Cardiovascular Research
- Endocrinology
- Metabolic Syndrome
Background:
- Coronary artery disease (CAD) is a chronic inflammatory condition linked to visceral adiposity and disrupted adipokine release.
- Asprosin, a novel fasting-induced adipokine, is associated with metabolic disorders like type II diabetes mellitus and polycystic ovary syndrome.
Purpose of the Study:
- To investigate the association between circulating asprosin levels and the presence of coronary artery disease (CAD).
- To explore the potential role of asprosin in CAD pathogenesis, considering its links to metabolic factors.
Main Methods:
- Serum asprosin, IL-6, TNF-α, and adiponectin levels were measured using ELISA kits.
- The study included 88 patients with CAD and 88 healthy non-CAD controls.
- Logistic regression analysis was performed to assess the association between asprosin and CAD risk, adjusting for confounders.
Main Results:
- Serum asprosin levels were significantly higher in CAD patients compared to controls (7.84 ± 2.08 vs. 5.02 ± 1.29 μg/mL, p < 0.001).
- CAD patients exhibited elevated TNF-α and IL-6, and reduced adiponectin levels.
- Asprosin levels correlated positively with BMI, fasting blood glucose (FBG), HOMA-IR, triglycerides (TG), and total cholesterol (TC).
- Asprosin was independently associated with an increased risk of developing CAD (OR: 3.01, 95% CI: 2.16–4.20, p < 0.001).
Conclusions:
- Circulating asprosin may play a role in the pathogenesis of coronary artery disease.
- The findings suggest that asprosin's contribution to CAD may be mediated by insulin resistance and dyslipidemia.
Background:
Coronary artery disease (CAD) is considered as a multi-faceted chronic inflammatory disease involving reduced blood supply to the myocardium as a result of accumulating lipids in the atrial walls. Visceral adiposity with disrupted release of adipokines play a key role in its pathogenesis. Asprosin is a newly identified fasting-induced glucogenic adipokine that has been related with metabolic disorders such as type II diabetes mellitus and polycystic ovary syndrome. The preset study sought to assess circulating asprosin in context of CAD.
Methods:
In this study, serum levels of asprosin were determined in 88 CAD patients and 88 non-CAD healthy controls. Serum IL-6, TNF-α, asprosin and adiponectin were assessed using ELISA kits.
Results:
Serum asprosin was found to be higher in CAD patients when compared to non-CAD subjects (7.84 ± 2.08 versus 5.02 ± 1.29 μg/mL, p < 0.001). Similarly, serum TNF-α, and IL-6 elevated in CAD group significantly (p < 0.001). However, circulating adiponectin diminished in CAD group when compared with non-CAD subjects (p < 0.001). Moreover, serum asprosin levels directly correlated with BMI, FBG, HOMA-IR, TG and TC. Logistic regression analyses showed that asprosin levels were associated with increased risk of developing CAD (odds ratio: 3.01, 95% CI: 2.16, 4.20 and p < 0.001), after adjusting for potential confounders (age, sex and BMI).
Conclusions:
The present study findings suggested a possible relation of serum asprosin with the pathogenesis of CAD, in particular through insulin resistance and dyslipidemia.
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