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.
Abstract

Related Concept Videos

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...
413
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
93
Atherosclerosis III: Management01:26

Atherosclerosis III: Management

Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
75
Coronary Artery Disease III: Clinical Manifestations01:30

Coronary Artery Disease III: Clinical Manifestations

Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
85
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...
49
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...
72