血中的fetuin-a水平以及心肌梗塞和缺血性中风的风险
Cornelia Weikert1, Norbert Stefan, Matthias B Schulze
1Department of Epidemiology, German Institute of Human Nutrition, Nuthetal, Germany. Weikert@dife.de
Circulation
|November 26, 2008
概括
高水平的fetuin-A蛋白与显著增加心肌梗塞 (MI) 和缺血性中风 (IS) 的风险有关. 这一发现表明,fetuin-A可能在心血管疾病的发展中起作用.
科学领域:
- 心血管研究研究心血管研究
- 代谢性疾病研究研究
- 生物标志物发现发现
背景情况:
- 肝脏分泌的蛋白质Fetuin-A与胰岛素抵抗和炎症有关.
- 在有代谢综合征和胰岛素耐药的人群中观察到循环中的Fetuin-A水平升高.
- 这些情况是已知的心血管疾病 (CVD) 的风险因素.
研究的目的:
- 研究血Fetuin-A水平与心肌梗塞 (MI) 和缺血性中风 (IS) 的未来风险之间的关联.
主要方法:
- 使用来自欧洲癌症和营养前性调查 (EPIC) - 波茨坦研究的数据进行了一项案例和队列研究.
- 血Fetuin-A水平测量了患有MI,IS的受试者,以及那些没有事件的受试者.
- 以各种心血管风险因素进行调整的统计分析.
主要成果:
- 与最低五分之一相比,血 fetuin-A 的最高五分之一的个体显著增加了心脏病发作风险 (RR 3.80) 和IS (RR 3.93) 的风险.
- 这些关联在调整多个混因素 (包括代谢和炎症标志物) 后仍然显著.
- 针对MI和IS的调整后风险分别为RR3.25和RR3.78.
结论:
- 这项研究提供了证据,将更高的血脂肪酸A水平与心脏病发作和心脏病发作风险的增加联系起来.
- 需要进一步的研究来阐明fetuin-A在心血管疾病病理生理学中的作用.
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