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Serum osteoprotegerin and its gene polymorphisms in patients with Takayasu's arteritis: a bicentric cross-sectional
Camila da Silva Cendon Duran1, Valéria de Falco Caparbo1, Mittermayer Barreto Santiago2
1Division of Rheumatology, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, Brazil.
Insights
Osteoprotegerin (OPG) did not emerge as a reliable biomarker for cardiovascular disease (CVD) risk in Takayasu
Area of Science:
- Rheumatology and Immunology
- Cardiovascular Medicine
- Biomarker Discovery
Background:
- Takayasu's arteritis (TAK) patients face increased risks of metabolic syndrome and cardiovascular diseases (CVD).
- Validated biomarkers for assessing CVD risk in TAK patients are currently lacking.
- Osteoprotegerin (OPG) has been previously associated with atherosclerosis and poor prognosis in CVD.
Purpose of the Study:
- To investigate serum OPG levels and OPG single nucleotide polymorphisms (SNPs) as potential biomarkers for CVD risk in TAK patients.
- To compare OPG parameters between TAK patients and healthy controls.
- To correlate OPG levels and SNPs with clinical data related to CVD risk.
Main Methods:
- A bicentric cross-sectional study comparing 101 TAK patients with 93 healthy controls.
- Measurement of serum OPG levels.
- Genotyping of four OPG SNPs: 1181G>C (rs2073618), 245A>C (rs3134069), 163T>C (rs3102735), and 209C>T (rs3134070).
- Association analysis of OPG parameters with clinical data and CVD risk factors.
Main Results:
- No significant differences were found in serum OPG levels between TAK patients and controls (P=0.059).
- Frequencies of the four studied OPG SNPs were comparable between the groups.
- In TAK patients, serum OPG levels and OPG SNPs were not associated with CVD parameters, with a trend towards higher OPG in patients without dyslipidemia.
Conclusions:
- Serum OPG levels and OPG SNPs do not appear to be reliable biomarkers for CVD risk in Takayasu's arteritis.
- No significant association was found between OPG parameters and CVD risk factors in the studied TAK patient cohort.
Introduction:
Takayasu's arteritis (TAK) patients are at an elevated risk of metabolic syndrome and cardiovascular diseases (CVD). Currently, there are no well-validated biomarkers to assess this risk in this population. Previous research in different cohorts has linked serum levels of osteoprotegerin (OPG) and its polymorphisms to accelerated atherosclerosis and a marker of poor prognosis in CVD. Thus, we assessed this protein as a potential biomarker of CVD in TAK patients.
Objectives:
To evaluate the serum levels of OPG and its SNPs (single nucleotide polymorphisms) in TAK patients and healthy controls, and to associate these parameters with clinical data.
Methods:
This bicentric cross-sectional study included TAK patients who were compared with healthy individuals (control group). The serum levels of OPG and the frequency of OPG SNPs [1181G > C (rs2073618), 245 A > C (rs3134069), 163T > C (rs3102735), and 209 C > T (rs3134070)] were compared between the both groups and associated with clinical data.
Results:
In total, 101 TAK patients and 93 controls were included in the study. The serum levels of OPG (3.8 ± 1.9 vs. 4.3 ± 1.8pmol/L, respectively; P = 0.059), and its four polymorphisms were comparable between both groups. In an additional analysis of only TAK patients, serum OPG levels and its four genes were not associated with any CVD parameters, except for higher OPG levels among patients without dyslipidemia.
Conclusion:
No significant differences were observed in serum OPG levels or in the genotype frequencies of OPG SNPs between the patient and control groups. Similarly, no correlation was found between laboratory parameters and clinical data on CVD risk in TAK patients.
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