Relationship between angiogenesis biomarker endocan and apolipoproteins in patients with acute myocardial infarction

Mehdi Hassanpour1,2, Reza Rahbarghazi3,4, Aysa Rezabakhsh5

  • 1Department of Clinical Biochemistry and Laboratory Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

Future Cardiology
|July 5, 2024
PubMed

Insights

High endocan levels indicate endothelial dysfunction and ischemic cardiovascular conditions in ST-elevation myocardial infarction patients. This is significantly correlated with apolipoprotein-B (APO-B), but not apolipoprotein-A1 (APO-A1).

Area of Science:

  • Cardiovascular Medicine
  • Biochemistry
  • Biomarkers

Background:

  • Endocan, a novel endothelial cell-specific molecule, is implicated in vascular inflammation.
  • Apolipoproteins A-I (APO-A1) and B (APO-B) are key lipid-binding proteins involved in cardiovascular risk.
  • Endothelial dysfunction is a critical factor in the pathogenesis of acute myocardial infarction (AMI).

Purpose of the Study:

  • To investigate serum endocan levels in patients with ST-elevation myocardial infarction (STEMI).
  • To assess the correlation between endocan and apolipoprotein-A1 (APO-A1) and apolipoprotein-B (APO-B) in STEMI patients.

Main Methods:

  • Serum levels of endocan, cardiac troponin I (cTnI), APO-A1, and APO-B were measured in 80 male STEMI patients and a control group.
  • Statistical analysis was performed to evaluate correlations between endocan, APO-A1, APO-B, and the APO-B/APO-A1 ratio.

Main Results:

  • STEMI patients exhibited significant differences in APO-A1, APO-B, endocan levels, and the APO-B/APO-A1 ratio compared to controls (p < 0.05).
  • A significant positive correlation was observed between serum endocan and APO-B levels.
  • No significant correlation was found between endocan and APO-A1 levels.

Conclusions:

  • Elevated serum endocan levels serve as an independent marker for endothelial dysfunction and ischemic cardiovascular conditions.
  • The findings suggest a potential link between high endocan levels and APO-B in the context of STEMI.

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