High baseline fetuin-A levels are associated with lower atherosclerotic plaque progression as measured by 3D ultrasound.
Atheroscler Plus
; 45: 10-17, 2021 Nov.
Article
em En
| MEDLINE
| ID: mdl-36643995
ABSTRACT
Background and aims:
The glycoprotein fetuin-A has anti-inflammatory effects, increases insulin resistance and plays an important role in calcium metabolism. The aim of our study was to assess the predictive value of fetuin-A on atherosclerotic plaque progression in comparison to the established cardiovascular biomarker high sensitivity C-reactive protein (hsCRP).Methods:
In this prospective, single center-, cohort study, we included 194 patients with at least one cardiovascular risk factor or established cardiovascular disease (CVD). Over a period of 4 years, each patient underwent 3D plaque volumetry of the carotid and femoral arteries on a yearly basis. To evaluate the predictive value of biomarkers in terms of plaque progression, the baseline values of fetuin-A and hsCRP were correlated with the plaque progression from baseline to the last follow up visit.Results:
171 patients were included in the final analysis. Baseline fetuin-A levels showed a significant negative correlation with plaque progression (r = -0.244; p = 0.001). In contrast, baseline hsCRP levels showed no correlation with plaque progression (r = 0.096, p = 0.20). In the ROC-analysis, fetuin-A had a significantly better predictive value than hsCRP (fetuin-A AUC 0.67; p = 0.001 vs hsCRP AUC 0.49; p = 0.88) with an optimal cut-off value at 712 µg/ml. In patients with high fetuin A levels (>712 µg/ml), a significantly lower plaque progression was observed compared to the group with low fetuin-A levels <712 µg/ml (high fetuin-A 197 mm3 vs. low fetuin-A 279 mm3; p = 0.01).Conclusions:
Higher fetuin-A levels appear to predict lower atherosclerotic plaque progression in patients with or at risk of cardiovascular disease.
3D ultrasonography; 3D, three-dimensional; ABI, ankle-brachial-index; Atherosclerosis; CBVD, cerebrovascular disease; CPP, carotid plaque progression; CPV, carotid plaque volume; CVD, cardiovascular diseases; CVRF, cardiovascular risk factor; FPP, femoral plaque progression; FPV, femoral plaque volume; FRS, Framingham Risk Score; Fetuin A; IMT, intima media thickness; PAD, peripheral arterial disease; PWV, pulse wave velocity; SD, standard deviation; TPP, total plaque progression; TPV, total plaque volume; hsCRP, high sensitivity C-reactive protein
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Base de dados:
MEDLINE
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article