Huang Lei, Teng Tianming, Bian Bo, Yao Wei, Yu Xuefang, Wang Zhuoqun, Xu Zhelong, Sun Yuemin
Department of Cardiology, Tianjin Medical University General Hospital, No. 154, Anshan Road, Heping District, Tianjin, 300052, China.
Department of Physiology & Pathophysiology, Tianjin Medical University, 22 Qixiangtai Road, Tianjin, 300070, China.
Biol Trace Elem Res. 2017 Mar;176(1):48-55. doi: 10.1007/s12011-016-0808-y. Epub 2016 Jul 25.
Zinc is one of the most important trace elements in the body and zinc homeostasis plays a critical role in maintaining cellular structure and function. Zinc dyshomeostasis can lead to many diseases, such as cardiovascular disease. Our aim was to investigate whether there is a relationship between zinc and left ventricular hypertrophy (LVH). A total of 519 patients was enrolled and their serum zinc levels were measured in this study. We performed analyses on the relationship between zinc levels and LVH and the four LV geometry pattern patients: normal LV geometry, concentric remodeling, eccentric LVH, and concentric LVH. We performed further linear and multiple regression analyses to confirm the relationship between zinc and left ventricular mass (LVM), left ventricular mass index (LVMI), and relative wall thickness (RWT). Our data showed that zinc levels were 710.2 ± 243.0 μg/L in the control group and were 641.9 ± 215.2 μg/L in LVH patients. We observed that zinc levels were 715 ± 243.5 μg/L, 694.2 ± 242.7 μg/L, 643.7 ± 225.0 μg/L, and 638.7 ± 197.0 μg/L in normal LV geometry, concentric remodeling, eccentric LVH, and concentric LVH patients, respectively. We further found that there was a significant inverse linear relationship between zinc and LVM (p = 0.001) and LVMI (p = 0.000) but did not show a significant relationship with RWT (p = 0.561). Multiple regression analyses confirmed that the linear relationship between zinc and LVM and LVMI remained inversely significant. The present study revealed that serum zinc levels were significantly decreased in the LVH patients, especially in the eccentric LVH and concentric LVH patients. Furthermore, zinc levels were significantly inversely correlated with LVM and LVMI.
锌是人体中最重要的微量元素之一,锌稳态在维持细胞结构和功能方面起着关键作用。锌稳态失衡会导致许多疾病,如心血管疾病。我们的目的是研究锌与左心室肥厚(LVH)之间是否存在关联。本研究共纳入519例患者,并测量了他们的血清锌水平。我们分析了锌水平与LVH以及四种左心室几何形态模式患者(正常左心室几何形态、向心性重构、离心性LVH和向心性LVH)之间的关系。我们进一步进行线性和多元回归分析,以确认锌与左心室质量(LVM)、左心室质量指数(LVMI)和相对室壁厚度(RWT)之间的关系。我们的数据显示,对照组的锌水平为710.2±243.0μg/L,LVH患者的锌水平为641.9±215.2μg/L。我们观察到,正常左心室几何形态、向心性重构、离心性LVH和向心性LVH患者的锌水平分别为715±243.5μg/L、694.2±242.7μg/L、643.7±225.0μg/L和638.7±197.0μg/L。我们进一步发现,锌与LVM(p=0.001)和LVMI(p=0.000)之间存在显著的负线性关系,但与RWT没有显著关系(p=0.561)。多元回归分析证实,锌与LVM和LVMI之间的线性关系仍然呈显著负相关。本研究表明,LVH患者的血清锌水平显著降低,尤其是在离心性LVH和向心性LVH患者中。此外,锌水平与LVM和LVMI显著负相关。