骨质保护素是渐进性动脉样硬化和心血管疾病的危险因素
Stefan Kiechl1, Georg Schett, Gregor Wenning
1Department of Neurology, University Clinic, Anichstrasse 35, A-6020 Innsbruck, Austria. Stefan.Kiechl@uibk.ac.at
Circulation
|May 1, 2004
概括
骨质保护素是心血管疾病和动脉样硬化进展的重要独立风险因素. 更高的水平预测了一般人群中血管疾病风险和死亡率的增加.
科学领域:
- 心血管研究研究心血管研究
- 生物标志物 生物标志物
- 动脉样硬化是一种动脉样硬化.
背景情况:
- 骨质保护蛋白 (OPG) 是一种新的瘤亡因子受体超级家族成员.
- OPG作为核因子-kappaB连接体的受体激活器的诱受体.
- 新兴研究表明OPG在动脉动脉产生中的作用,需要流行病学验证.
研究的目的:
- 调查OPG水平与动脉样硬化之间的流行病学关联.
- 确定OPG是否是心血管疾病 (CVD) 和血管死亡率的独立风险因素.
主要方法:
- 基于人口的前性布鲁内克研究 (1990-2000).
- 评估动脉动脉样硬化 (严重程度,开始,进展).
- 在基线和随访时测量血清OPG水平;记录发生的心血管疾病和血管死亡率.
主要成果:
- 血清OPG与血管风险因素相关:年龄,糖尿病,炎症,感染和吸烟.
- OPG水平与动脉样硬化严重程度和10年进展显著相关.
- 高OPG是发生心血管疾病 (RR 2.2) 和血管死亡率 (RR 3.1) 的独立预测因素.
结论:
- 骨质保护素是动脉样硬化进展的独立危险因素.
- 升高的OPG水平预测发生的心血管疾病和血管死亡率.
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