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男性多血管性冠状动脉疾病患者血清 C1q 结合型脂联素复合物与总脂联素比值升高。

Increased serum C1q-binding adiponectin complex to total-adiponectin ratio in men with multi-vessel coronary disease.

机构信息

Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan ; Kishida Clinic, Toyonaka, Osaka, Japan.

Department of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.

出版信息

Diabetol Metab Syndr. 2014 May 27;6:64. doi: 10.1186/1758-5996-6-64. eCollection 2014.

Abstract

BACKGROUND

Adiponectin plays a role as a positive contributor to the stabilization of atherosclerotic plaques. Circulating total adiponectin (Total-APN) levels associates with the number of coronary vessels in men with coronary artery disease (CAD). We recently reported that adiponectin binds to C1q in human blood, and serum C1q-binding adiponectin (C1q-APN) /Total-APN levels are associated with CAD in type 2 diabetic subjects. The present study investigated the relationship between circulating C1q-APN levels and the number of angiographic coronary artery vessel in male subjects.

METHODS

The study subjects were 53 male Japanese patients who underwent diagnostic coronary angiography. Blood total adiponectin (Total-APN), high-molecular weight adiponectin (HMW-APN), C1q-APN and C1q were measured by enzyme-linked immunosorbent assays.

RESULTS

Serum C1q-APN/Total-APN ratio significantly increased in subjects with single and multi-vessel coronary diseases (p = 0.029 for trend, the Kruskal-Wallis test). However, serum Total-APN, HMW-APN, C1q-APN and C1q levels did not correlate with number of diseased coronary vessels.

CONCLUSION

Serum C1q-APN/Total-APN ratio progressively increases in men with single and multi-vessel coronary disease.

TRIAL REGISTRATION

UMIN000002997.

摘要

背景

脂联素在稳定动脉粥样硬化斑块方面发挥积极作用。循环总脂联素(Total-APN)水平与冠心病(CAD)男性患者冠状动脉血管数量有关。我们最近报道,脂联素在人血液中与 C1q 结合,血清 C1q 结合脂联素(C1q-APN)/总脂联素(Total-APN)水平与 2 型糖尿病患者的 CAD 相关。本研究探讨了循环 C1q-APN 水平与男性患者血管造影冠状动脉血管数量之间的关系。

方法

本研究对象为 53 名接受诊断性冠状动脉造影的日本男性患者。通过酶联免疫吸附试验测定血液总脂联素(Total-APN)、高分子量脂联素(HMW-APN)、C1q-APN 和 C1q。

结果

单支和多支病变冠状动脉疾病患者血清 C1q-APN/Total-APN 比值显著升高(Kruskal-Wallis 检验趋势,p=0.029)。然而,血清 Total-APN、HMW-APN、C1q-APN 和 C1q 水平与病变冠状动脉血管数量无关。

结论

患有单支和多支病变冠状动脉疾病的男性患者血清 C1q-APN/Total-APN 比值逐渐升高。

试验注册

UMIN000002997。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9aeb/4038830/6556631f2d7e/1758-5996-6-64-1.jpg

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