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Published on: February 7, 2015
ABO Blood Groups, RhD Factor and Their Association with Subclinical Atherosclerosis Assessed by Carotid
Malin Mickelsson1, Kim Ekblom1,2, Kristina Stefansson1
1Department of Medical Biosciences, Clinical Chemistry, Umeå University, 90187 Umeå, Sweden.
Insights
RhD- blood group is linked to early atherosclerosis in younger adults. In older individuals with cardiovascular disease history, non-O blood groups show reduced plaque risk.
Area of Science:
- Cardiovascular Science
- Genetics
- Medical Diagnostics
Background:
- The ABO blood group system is linked to cardiovascular disease (CVD) risk, with non-O groups showing higher risk.
- Few studies examine both ABO and RhD blood groups in relation to early atherosclerotic disease.
- Subclinical atherosclerosis assessment in healthy populations requires further investigation regarding blood group associations.
Purpose of the Study:
- To investigate the association between ABO and RhD blood groups and subclinical atherosclerosis.
- To determine if blood groups influence early signs of atherosclerosis in a healthy cohort.
Main Methods:
- Utilized data from 3532 participants in the VIPVIZA trial.
- Assessed subclinical atherosclerosis using carotid ultrasonography.
- Obtained blood group information from the SCANDAT-3 database.
Main Results:
- RhD- individuals at age 40 exhibited increased carotid intima-media thickness compared to RhD+ individuals.
- No significant ABO blood group differences were observed in the overall study population's ultrasonography results.
- Among 60-year-olds with a family history of CVD, non-O blood groups showed reduced odds of carotid plaques.
Conclusions:
- The RhD blood group is associated with subclinical atherosclerosis in younger individuals, suggesting a role in the atherosclerotic process.
- A non-O blood group was linked to decreased subclinical atherosclerosis in 60-year-olds with a family history of CVD, a group with high atherosclerotic burden.
Abstract:
Background: The ABO blood group system has previously been associated with cardiovascular disease (CVD), where non-O blood group individuals have shown an increased risk. Studies assessing early atherosclerotic disease while also including RhD are few. We aimed to determine whether the ABO and RhD blood groups are associated with subclinical atherosclerosis in a healthy population. Methods: We included 3532 participants from the VIPVIZA trial with available carotid ultrasonography results to assess subclinical disease. Information about blood groups was obtained from the SCANDAT-3 database, where 85% of VIPVIZA participants were registered. Results: RhD- individuals aged 40 years showed increased carotid intima-media thickness (B 1.09 CI 95% 1.03; 1.14) compared to RhD+ individuals. For ABO, there were no differences in ultrasonography results when assessing the whole study population. However, 60-year-old individuals with heredity for CVD and a non-O blood group had decreased odds for carotid plaques (OR 0.54 CI 95% 0.33; 0.88). Conclusions: RhD blood group is associated with subclinical atherosclerosis in younger individuals, indicating a role as a mediator in the atherosclerotic process. In addition, a non-O blood group was associated with decreased subclinical atherosclerosis in individuals aged 60 and with heredity (corresponding to the group with the highest atherosclerotic burden).
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