Lack of Association between Serum Chitotriosidase Activity and Arterial Stiffness in Type 2 Diabetes without
Luca D'Onofrio1, Rocco Amendolara1, Carmen Mignogna1
1Department of Experimental Medicine, "Sapienza" University of Rome, 00161 Rome, Italy.
Insights
Chitotriosidase (CHIT) activity was not associated with arterial stiffness in people with type 2 diabetes (T2D) without cardiovascular disease (CVD). This study explored CHIT as a potential early biomarker for arterial stiffness in T2D.
Area of Science:
- Biochemistry
- Endocrinology
- Cardiovascular Research
Background:
- Chitotriosidase (CHIT) levels are elevated in cardiovascular disease (CVD) and type 2 diabetes (T2D).
- Arterial stiffness is an early indicator of CVD risk, particularly in individuals with T2D.
- The potential of CHIT as an early biomarker for arterial stiffness in T2D requires investigation.
Purpose of the Study:
- To assess chitotriosidase (CHIT) activity as an early biomarker for arterial stiffness.
- To evaluate CHIT activity in individuals with type 2 diabetes (T2D) but without overt vascular complications.
Main Methods:
- Cross-sectional study involving 174 individuals with T2D and no established CVD.
- Arterial stiffness measured using pulse wave velocity (PWV).
- CHIT serum activity quantified via electrochemiluminescence assay in high-PWV and low-PWV subgroups.
Main Results:
- No significant difference in CHIT activity was observed between high-PWV and low-PWV groups.
- High-PWV participants were older, had longer diabetes duration, higher blood pressure, glucose, HbA1c, and lower eGFR and BMI compared to the low-PWV group.
- No association was found between CHIT activity and age, sex, diabetes duration, BMI, blood pressure, or medications.
Conclusions:
- Chitotriosidase (CHIT) activity does not appear to be a reliable early biomarker for arterial stiffness in individuals with type 2 diabetes (T2D) without established cardiovascular disease (CVD).
- This study provides novel data on the relationship between CHIT activity and arterial stiffness, a specific CVD outcome, in a well-defined T2D population.
- Further research may be needed to explore other potential roles of CHIT in the context of diabetes and vascular health.
Abstract:
Chitotriosidase (CHIT), a mammalian chitinase secreted by neutrophils and activated macrophages, is increased in both cardiovascular disease (CVD) and type 2 diabetes (T2D). Arterial stiffness rises early in T2D and increases the risk of CVD. The aim of this study is to evaluate CHIT activity as an early biomarker of arterial stiffness in people with T2D free from overt vascular complications. In this cross-sectional study, arterial stiffness as measured using standard pulse wave velocity (PWV) was evaluated in 174 people with T2D without overt vascular disease. Then, we measured CHIT serum activity with an electrochemiluminescence assay in two subgroups of participants: 35 with the highest (high-PWV) and 40 with the lowest (low-PWV) PWV values. CHIT activity was no different between the low-PVW and high-PWV groups (12.7 [9.6-17.9] vs. 11.4 [8.8-15.0] nmol/mL/h, respectively). Compared with the low-PWV group, the high-PWV participants were older (p < 0.001); had a longer duration of diabetes (p = 0.03); higher ankle-brachial index ABI (p = 0.04), systolic blood pressure (p = 0.002), diastolic blood pressure (p = 0.005), fasting blood glucose (p = 0.008), and HbA1c (p = 0.005); and lower eGFR (p = 0.03) and body mass index (BMI) (p = 0.01). No association was present with sex, duration of diabetes, age, BMI, peripheral blood pressure, laboratory parameters, and glucose-lowering medications or ongoing antihypertensive therapy. Although no association was found, this study provides novel data about the association of CHIT activity with CVD, focusing on a specific outcome (arterial stiffness) in a well-defined population of subjects with T2D without established CVD.
Related Concept Videos
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Coronary Artery Disease I: Introduction
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Coronary Artery Disease II: Pathophysiology
Diabetes Mellitus: Type 2 and Gestational
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...


