Document Detail


Fetuin-A is associated with calcified coronary artery disease.
MedLine Citation:
PMID:  20436350     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Fetuin-A is a circulating glycoprotein that is involved in various stages of atherosclerosis. Despite the fact that emerging evidence suggests fetuin-A acts as a calcification inhibitor that protects against advanced calcified atherosclerosis in dialyzed patients, the role of fetuin-A in cardiovascular disease is still controversial. As diabetes and uremia make the role of fetuin-A in cardiovascular disease uncertain, we investigated the association between fetuin-A and calcified coronary artery disease in participants without diabetes and renal dysfunction. METHODS: Serum fetuin-A levels were measured in 92 participants who underwent coronary angiography. The number of diseased vessels and the presence of calcification were evaluated. RESULTS: Fetuin-A levels significantly decreased in patients with advanced three-vessel disease compared with those without stenosis (245.5+/-50.9, 289.0+/-71.8 microg/ml, respectively; P<0.05). Likewise, fetuin-A levels were significantly lower in patients with coronary artery calcification compared with those without coronary artery calcification (257.1+/-49.7, 288.0+/-63.1 microg/ml, respectively; P = 0.010). Multivariate logistic regression analysis revealed that fetuin-A levels inversely correlated with the presence of coronary artery calcification (odds ratio: 0.54; 95% confidence interval: 0.31-0.92; P = 0.025). CONCLUSION: Serum fetuin-A levels inversely correlated with advanced calcified coronary artery disease.
Authors:
Katsuhito Mori; Yuji Ikari; Shuichi Jono; Masanori Emoto; Atsushi Shioi; Hidenori Koyama; Tetsuo Shoji; Eiji Ishimura; Masaaki Inaba; Kazuhiro Hara; Yoshiki Nishizawa
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Coronary artery disease     Volume:  21     ISSN:  1473-5830     ISO Abbreviation:  Coron. Artery Dis.     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-07     Completed Date:  2010-10-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011445     Medline TA:  Coron Artery Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  281-5     Citation Subset:  IM    
Affiliation:
Department of Metabolism, Endocrinology, and Molecular Medicine, Osaka City University Graduate School of Medicine, Abeno-ku, Osaka, Japan. ktmori@med.osaka-cu.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Biological Markers / blood
Blood Proteins / analysis*
Calcinosis / blood*,  radiography
Chi-Square Distribution
Coronary Angiography
Coronary Artery Disease / blood*,  radiography
Disease Progression
Down-Regulation
Female
Humans
Logistic Models
Male
Middle Aged
Odds Ratio
Prognosis
Risk Assessment
Risk Factors
Severity of Illness Index
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Blood Proteins; 0/alpha2HS glycoprotein

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