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可溶性心钠肽前体与中国成年人代谢综合征的性别相关性研究。

Sex-specific association between soluble corin and metabolic syndrome in Chinese adults.

机构信息

Department of Epidemiology, School of Public Health and Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, Medical College of Soochow University, Suzhou, China.

Center for Disease Prevention and Control of Gusu District, Suzhou, China.

出版信息

Hypertens Res. 2019 Jul;42(7):1029-1035. doi: 10.1038/s41440-019-0228-4. Epub 2019 Feb 14.

DOI:10.1038/s41440-019-0228-4
PMID:30765878
Abstract

Soluble corin has been associated with cardiovascular disease and its risk factors, but whether it is associated with metabolic syndrome (MetS), a cluster of cardiometabolic disorders, remains unclear. We aimed to examine the association between soluble corin and MetS in Chinese men and women. We examined serum soluble corin using immunoassays in 962 men (mean age, 53 years) and 1536 women (mean age, 54 years) free of cardiovascular disease. Logistic regression was applied to examine the association between soluble corin and MetS in men and women. The results showed that participants in the 3rd and 4th quartiles of serum soluble corin had 1.99 (95% CI: 1.32-3.00) and 3.84 (95% CI: 2.54-5.83) times the risk of having MetS for men and 1.48 (95% CI: 1.06-2.06) and 1.53 (95% CI: 1.10-2.12) times the risk of having MetS for women compared to those in the lowest quartile. The magnitude of the association between serum soluble corin and MetS was significantly stronger for men than for women (P < 0.001). These results indicated that soluble corin was significantly associated with MetS, and this association was stronger for men than for women. Corin may contribute to cardiometabolic risks differently between men and women and thereby accounting, at least partly, for the sex difference in cardiovascular risk.

摘要

可溶性心钠肽素与心血管疾病及其危险因素相关,但它是否与代谢综合征(MetS),即一组心血管代谢疾病相关,尚不清楚。我们旨在研究中国男性和女性中可溶性心钠肽素与 MetS 的相关性。我们使用免疫分析法检测了 962 名男性(平均年龄 53 岁)和 1536 名女性(平均年龄 54 岁)无心血管疾病患者的血清可溶性心钠肽素。我们应用 logistic 回归分析来研究男性和女性中可溶性心钠肽素与 MetS 之间的关系。结果表明,血清可溶性心钠肽素第 3 和第 4 四分位组的男性发生 MetS 的风险是第 1 四分位组的 1.99 倍(95%CI:1.32-3.00)和 3.84 倍(95%CI:2.54-5.83),女性则是 1.48 倍(95%CI:1.06-2.06)和 1.53 倍(95%CI:1.10-2.12)。与最低四分位组相比,血清可溶性心钠肽素与 MetS 之间的关联在男性中明显强于女性(P<0.001)。这些结果表明,可溶性心钠肽素与 MetS 显著相关,且这种相关性在男性中强于女性。心钠肽素可能在男性和女性之间对心血管代谢风险的贡献方式不同,从而至少部分解释了心血管风险的性别差异。

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本文引用的文献

1
Association of rs2271037 and rs3749585 polymorphisms in CORIN with susceptibility to hypertension in a Chinese Han population: A case-control study.CORIN基因中rs2271037和rs3749585多态性与中国汉族人群高血压易感性的关联:一项病例对照研究
Gene. 2018 Apr 20;651:79-85. doi: 10.1016/j.gene.2018.01.080. Epub 2018 Jan 31.
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Increased levels of soluble corin in pre-eclampsia and fetal growth restriction.子痫前期和胎儿生长受限中可溶性Corin水平升高。
Placenta. 2016 Dec;48:20-25. doi: 10.1016/j.placenta.2016.10.002. Epub 2016 Oct 5.
3
Plasma Corin as a Predictor of Cardiovascular Events in Patients With Chronic Heart Failure.
慢性肾脏病与心肌营养素表达增加但心钠肽前体转化活性降低相关。
J Am Heart Assoc. 2022 Jul 19;11(14):e025208. doi: 10.1161/JAHA.121.025208. Epub 2022 Jul 5.
血浆心钠肽前体作为慢性心力衰竭患者心血管事件的预测因子。
JACC Heart Fail. 2016 Aug;4(8):664-9. doi: 10.1016/j.jchf.2016.03.006. Epub 2016 May 11.
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Brain natriuretic peptide and insulin resistance in older adults.老年人中的脑钠肽与胰岛素抵抗
Diabet Med. 2017 Feb;34(2):235-238. doi: 10.1111/dme.13139. Epub 2016 May 21.
5
Association between serum corin levels and risk of acute myocardial infarction.血清Corin水平与急性心肌梗死风险之间的关联。
Clin Chim Acta. 2016 Jan 15;452:134-7. doi: 10.1016/j.cca.2015.11.012. Epub 2015 Nov 11.
6
Corin is down-regulated and exerts cardioprotective action via activating pro-atrial natriuretic peptide pathway in diabetic cardiomyopathy.在糖尿病性心肌病中,Corin表达下调,并通过激活心钠素原途径发挥心脏保护作用。
Cardiovasc Diabetol. 2015 Oct 7;14:134. doi: 10.1186/s12933-015-0298-9.
7
Increased serum soluble corin in dyslipidemia: A cross-sectional study.血脂异常患者血清可溶性心脏营养素 1 水平升高:一项横断面研究。
Clin Chim Acta. 2015 Oct 23;450:310-5. doi: 10.1016/j.cca.2015.09.003. Epub 2015 Sep 3.
8
Plasma soluble corin and N-terminal pro-atrial natriuretic peptide levels in pregnancy induced hypertension.妊娠高血压疾病患者血浆可溶性 corin 和 N 末端前心钠素水平
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Increased plasma corin levels in patients with atrial fibrillation.心房颤动患者血浆中 corin 水平升高。
Clin Chim Acta. 2015 Jul 20;447:79-85. doi: 10.1016/j.cca.2015.05.017. Epub 2015 Jun 3.
10
Serum Soluble Corin is Decreased in Stroke.血清可溶性心钠肽前体在脑卒中患者中降低。
Stroke. 2015 Jul;46(7):1758-63. doi: 10.1161/STROKEAHA.114.008368. Epub 2015 May 28.