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Association of Serum γ-Glutamyltransferase With C-Reactive Protein Levels in Patients With Coronary Heart Disease
Yuanyuan He1, Mengnan Huang1, Zhu Li1
1Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Insights
Serum gamma-glutamyltransferase (GGT) levels are linked to C-reactive protein (CRP) in coronary heart disease (CHD) patients. Higher GGT levels significantly correlate with elevated CRP, suggesting GGT as a potential inflammatory marker for cardiovascular risk assessment.
Area of Science:
- Cardiology
- Biochemistry
- Inflammation Research
Background:
- Serum gamma-glutamyltransferase (GGT) and C-reactive protein (CRP) are established biomarkers.
- Limited research exists on the GGT-CRP relationship specifically within coronary heart disease (CHD) populations.
- Inflammation plays a critical role in the pathogenesis of CHD.
Purpose of the Study:
- To investigate the association between serum GGT levels and CRP levels in a large cohort of patients with established CHD.
- To determine if GGT can serve as an indicator of inflammation and cardiovascular risk in CHD patients.
Main Methods:
- Retrospective analysis of 17,523 CHD patients who underwent GGT and CRP testing.
- Patients categorized into three groups based on GGT tertiles.
- Logistic regression analysis employed to assess the association between GGT and CRP, adjusting for relevant parameters.
Main Results:
- A significant positive association was observed between serum GGT and CRP levels in CHD patients.
- Patients in the highest GGT tertile (T3) had a significantly higher odds ratio (OR) for elevated CRP compared to the lowest tertile (T1) (OR: 2.15).
- The association between GGT and CRP was pronounced in males compared to females.
Conclusions:
- Serum GGT levels are significantly associated with CRP levels in patients with coronary heart disease.
- GGT may function as a valuable inflammatory marker in CHD.
- Elevated GGT could represent an additional tool for assessing cardiovascular risk in this patient group.
Abstract:
Serum γ-glutamyltransferase (GGT) levels have been shown to be associated with C-reactive protein (CRP) levels. Nevertheless, studies on this relationship in coronary heart disease (CHD) populations are limited. This study retrospectively assessed 17 523 patients with CHD undergoing GGT and CRP testing. They were divided into 3 groups according to GGT tertiles. The critical points for high CRP levels was 10.0 mg/L, which corresponded to the 75th percentile. Logistic regression analysis was used to analyze the association between GGT and CRP levels in CHD patients. The baseline analysis showed significant differences in related parameters among patients with CHD. Compared with GGT tertile 1 (T1), the odds ratio (OR) of T3 for GGT in CHD patients was 2.15 (95% confidence interval [CI]: 1.96-2.36). The association between GGT and CRP was higher in males (OR: 2.23; 95% CI: 1.98-2.52) than in females (OR: 2.18; 95% CI: 1.89-2.51). This study showed an association between serum GGT and CRP levels in patients with CHD. GGT may be an inflammatory marker and an additional measure for assessing cardiovascular risk.
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