Biscetti Federico, Straface Giuseppe, Porreca Carlo Filippo, Bertoletti Giovanni, Vincenzoni Claudio, Snider Francesco, Stigliano Egidio, Arena Vincenzo, Angelini Flavia, Pecorini Giovanni, Bianchi Antonio, Landolfi Raffaele, Flex Andrea
Institute of Rheumatology and Affine Sciences, Catholic University School of Medicine, Rome, Italy.
Laboratory of Vascular Biology and Genetics, Catholic University School of Medicine, Rome, Italy.
Cardiovasc Diabetol. 2015 Oct 12;14:139. doi: 10.1186/s12933-015-0301-5.
The object of this study was to investigate the potential role of FGF23 on plaque stability in type 2 diabetic patients with internal carotid artery stenosis.
In this retrospective observational study, we analyzed FGF23 serum level in 361 type 2 diabetic patients with internal carotid artery stenosis undergoing carotid endarterectomy and in 598 diabetic controls without carotid atherosclerosis.
We found that FGF23 median serum levels was significantly higher in patients than in diabetic controls [67.7 (59.5-77.8) pg/mL and 43.89 (37.5-50.4), P < 0.001] and was significantly and independently associated with unstable plaque in patients with internal carotid artery stenosis [OR, 5,71 (95% CI, 2.09-15.29].
We have found, for the first time, that FGF23 could be associated with unstable plaque in type 2 diabetic patients with internal carotid artery stenosis.
本研究的目的是探讨成纤维细胞生长因子23(FGF23)在2型糖尿病合并颈内动脉狭窄患者斑块稳定性中的潜在作用。
在这项回顾性观察研究中,我们分析了361例接受颈动脉内膜切除术的2型糖尿病合并颈内动脉狭窄患者和598例无颈动脉粥样硬化的糖尿病对照者的血清FGF23水平。
我们发现,患者的FGF23血清中位数水平显著高于糖尿病对照组[分别为67.7(59.5 - 77.8)pg/mL和43.89(37.5 - 50.4),P < 0.001],并且在颈内动脉狭窄患者中与不稳定斑块显著且独立相关[比值比(OR)为5.71(95%置信区间为2.09 - 15.29)]。
我们首次发现,FGF23可能与2型糖尿病合并颈内动脉狭窄患者的不稳定斑块有关。