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长期暴露于葡萄糖皮质激素和发生心血管疾病-生命线队列队列
Eline S van der Valk1,2, Mostafa Mohseni1,2, Anand M Iyer1,2
1Obesity Centre CGG, Erasmus MC, University Medical Center Rotterdam, 3000 CA Rotterdam, The Netherlands.
长期的皮质水平预测了未来的心血管疾病 (CVD) 风险,特别是在年轻人中. 这一发现表明,针对葡萄糖皮质激素的作用可能是一个新的心血管疾病预防策略.
科学领域:
- 内分泌学 在内分泌学.
- 心血管医学 心血管医学
- 免疫学 免疫学 免疫学
背景情况:
- 头皮毛发 (HairGCs) 的长期葡萄糖皮质类水平反映了几个月的累积全身暴露.
- 头发GCs已经显示与心脏代谢和免疫参数的关联,但纵向数据有限.
研究的目的:
- 调查头发皮质醇和皮质素水平与发生心血管疾病 (CVD) 之间的关联.
- 探索头发糖皮质醇水平与免疫参数之间的关系.
主要方法:
- 分析了来自生命线队列研究的6341个头发样本,以检测皮质醇和皮质素.
- 逻辑回归被用来计算发生心血管疾病的几率比率,调整心血管风险因素.
- 对不同年龄分队进行了敏感性分析.
主要成果:
- 头发皮质子水平与发生的心血管疾病独立相关 (P < .001).
- 这种关联在60岁以下的个体中尤为显著 (OR4.21,P<.001).
- 毛皮质子与大多数免疫参数有关,不包括乙氨基酸 (所有P < .05).
结论:
- 长期的皮质醇水平是未来心血管疾病的重要预测因素,特别是在年轻人中.
- 葡萄糖皮质类药物作用可能是预防心血管疾病的潜在治疗点.
- 头发皮质醇测量可以帮助识别那些可能受益于针对性心血管疾病预防策略的人.
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