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Published on: May 10, 2021
Fetuin-A levels in association with calcific aortic valve disease: A meta-analysis
1Department of Medicine, Dow International Medical College, Karachi, Pakistan.
Insights
Lower fetuin-A levels are associated with calcific aortic valve disease (CAVD). This meta-analysis suggests fetuin-A may be a potential biomarker for CAVD, though further research is needed.
Area of Science:
- Cardiovascular Medicine
- Biomarker Discovery
- Valvular Heart Disease Research
Background:
- Calcific aortic valve disease (CAVD) is a prevalent valvular condition, particularly in aging populations.
- Biomarkers are increasingly explored to aid CAVD diagnosis and severity assessment alongside imaging.
- Fetuin-A is investigated for its potential role in CAVD.
Purpose of the Study:
- To conduct a meta-analysis assessing the association between fetuin-A levels and the presence of CAVD.
- To evaluate fetuin-A as a potential diagnostic biomarker for CAVD.
Main Methods:
- Systematic literature search of PubMed and Cochrane databases up to April 2023.
- Meta-analysis pooling data from studies including 3,280 CAVD patients and 7,505 controls (total 10,785 patients).
- Risk of bias assessed using the Newcastle-Ottawa scale for cohort studies.
Main Results:
- Significantly lower circulating fetuin-A levels were observed in patients with CAVD (SMD: -0.20; P=0.03).
- No significant association was found between fetuin-A levels and CAVD in patients with co-existing kidney disease (SMD: 0.20; P=0.56).
Conclusions:
- Initial findings suggest fetuin-A may be a potential biomarker for CAVD.
- Further research is required to establish fetuin-A as a robust diagnostic biomarker for calcific aortic valve disease.
Background And Aims:
Calcific aortic valve disease (CAVD) is a common valvular disease, prevalent particularly within the older age groups. The potential use of biomarkers in diagnosing and assessing the severity of CAVD, in supplementation with imaging techniques, has recently gained momentum within the field of cardiovascular medicine. Therefore, a meta-analysis was performed that assessed the association between the fetuin-A levels, and the presence of CAVD.
Methods:
PubMed and Cochrane were searched from inception to April 2023. Risk of bias was assessed using the Newcastle-Ottawa scale for cohort studies.
Results:
This analysis includes a total of 3,280 patients with CAVD, and 7,505 patients as control, resulting in the pooling of 10,785 patients in this meta-analysis. It was observed that the circulating levels of fetuin-A were significantly lowered in patients with CAVD (SMD: -0.20; 95% CI: -0.39, -0.02; P = 0.03). Moreover, the analysis revealed that fetuin-A levels had no significant association with CAVD in patients suffering from kidney disease (SMD: 0.20; 95% CI: -0.46, 0.85; P = 0.56).
Conclusion:
While initial results demonstrate the potential effectiveness, further research is essential in order to arrive at a robust conclusion regarding the use of fetuin-A as a diagnostic biomarker for calcific aortic valve disease.
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