可溶性细胞间粘附分子-1,可溶性血管粘附分子-1,以及男性症状外周动脉疾病的发展
Aruna D Pradhan1, Nader Rifai, Paul M Ridker
1Center for Cardiovascular Disease Prevention, Brigham and Women's Hospital and Harvard Medical School, Boston, Mass 02115-1204, USA.
Circulation
|August 15, 2002
概括
高水平的可溶性细胞间粘附分子-1 (sICAM-1) 水平预测了健康男性的外周动脉疾病 (PAD) 的发展. 这一发现强调了sICAM-1作为早期系统性动脉样硬化风险的潜在生物标志物.
科学领域:
- 心血管医学 心血管医学
- 生物标志物 生物标志物
- 动脉样硬化研究 动脉样硬化研究
背景情况:
- 可溶性细胞粘附分子与冠状动脉事件有关.
- 与早期系统性动脉样硬化的关联是不确定的.
研究的目的:
- 研究可溶性细胞间粘附分子-1 (sICAM-1) 和可溶性血管细胞粘附分子-1 (sVCAM-1) 水平与症状外周动脉疾病 (PAD) 的发展之间的关系.
主要方法:
- 对14916名中年男性进行前性,嵌套的病例对照研究.
- 评估了基线的sICAM-1和sVCAM-1水平.
- 对PAD发育的参与者进行了9年的跟踪.
- 经风险因素调整后的统计分析.
主要成果:
- 在患有PAD的男性中观察到较高的基线sICAM-1水平 (P=0.005).
- 经过调整后,升高的sICAM-1与增加的PAD风险 (OR3.5,P=0.008) 有显著的关联.
- sVCAM-1水平与PAD发展没有关联.
结论:
- 升高的sICAM-1是加速动脉样硬化的一个独立预测因素.
- 在健康的男性中,sICAM-1可作为PAD风险的生物标志物.
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