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Published on: January 28, 2020
Soluble CD36 Concentration in Diabetic Hypertensive Patients with Coronary Atherosclerosis
Amer Ali Khaleel1, Ruqaya Mohammed Ghareeb Taher Al-Barzinji2
1Department Medical Microbiology, College of Health Sciences, Hawler Medical University, Erbil-Iraq. amer.khaleel@hmu.edu.krd.
Insights
Soluble CD36 (sCD36) and high-sensitivity C-reactive protein (hs-CRP) show increased levels in patients with coronary atherosclerosis, particularly those with diabetes and hypertension. sCD36 is a potential diagnostic marker, correlating with BMI and lipid profiles.
Area of Science:
- Cardiovascular Research
- Biomarker Discovery
- Atherosclerosis Pathophysiology
Background:
- Atherosclerosis involves cholesterol retention and arterial inflammation.
- CD36, a membrane protein, plays a key role in oxidized LDL uptake and atherosclerosis.
- Soluble CD36 (sCD36) and hs-CRP are potential biomarkers for cardiovascular disease.
Purpose of the Study:
- To compare the diagnostic utility of sCD36 versus hs-CRP in patients with coronary atherosclerosis, diabetes mellitus (DM), and/or hypertension (HTN).
- To investigate the correlation between sCD36 and hs-CRP levels in these patient groups.
Main Methods:
- Serum sCD36 and hs-CRP levels were measured in 100 coronary atherosclerosis patients (divided into DM and/or HTN groups) and 100 controls using ELISA and immune turbidimetric assay, respectively.
- Lipid profiles, hematological markers, and clinical data were compared across groups.
Main Results:
- Both sCD36 and hs-CRP levels were significantly elevated in patients compared to controls (p<0.05).
- sCD36 levels differed significantly among patient groups, with the highest levels observed in the DM-HTN group (p<0.05).
- sCD36 showed significant positive correlations with BMI, hs-CRP, total cholesterol, and non-HDL-C (p<0.05).
Conclusions:
- Elevated sCD36 and hs-CRP levels are associated with coronary atherosclerosis, especially in patients with diabetes and hypertension.
- sCD36 demonstrates diagnostic potential and correlates with key metabolic and inflammatory markers in this population.
Abstract:
Atherosclerosis is a chronic condition defined by cholesterol retention and arterial wall inflammation. CD36 is indeed a membrane protein found in the monocyte-macrophage systems and endothelial cells involved in the cellular uptake of oxidized low-density lipoproteins and long-chain fatty acids with a crucial role in the pathophysiology of atherosclerosis. The purpose of this research is to compare the diagnostic usefulness of soluble CD36 (sCD36) to high sensitivity C reactive protein (hs-CRP) in diabetic hypertensive individuals with coronary atherosclerosis and the correlation between these parameters in research groups. One hundred individuals with coronary atherosclerosis were divided into four groups based on diabetes mellitus (DM) and/or hypertension (HTN), with 100 participants with routine angiography serving as a control group. The serum levels of sCD36 and hs-CRP were quantified using a sandwich enzyme-linked immunosorbent assay (ELISA) for sCD36 and a particle-enhanced immune turbidimetric assay for hs-CRP, respectively. A study group's lipid profiles, hematological markers, and clinical aspects were compared. Compared to the control, sCD36 and hs-CRP levels in patients increased considerably (p<0.05). The sCD36 level varied substantially between groups (p<0.05), with the DM-HTN group having the highest sCD36 level among the patient groups. Further, the hs-CRP level indicated a significant difference among patients and controls (p<0.05). CD36 correlated significantly and positively with the following terms BMI, hs-CRP, Total cholesterol and non-HDL-C (p<0.05).
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