Implications of C1q/TNF-related protein-3 (CTRP-3) and progranulin in patients with acute coronary syndrome and stable angina pectoris.
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ABSTRACT: C1q/TNF-related protein-3 (CTRP-3), an adiponectin paralog, and progranulin were recently identified as novel adipokines which may link obesity with glucose dysregulation and subclinical inflammation. We analyzed the relationship between CTRP-3, progranulin and coronary artery disease (CAD) in Korean men and women.Circulating CTRP-3 and progranulin levels were examined in 362 Korean adults with acute coronary syndrome (ACS, n?=?69), stable angina pectoris (SAP, n?=?85), and control subjects (n?=?208) along with various kinds of cardiometabolic risk factors.CTRP-3 concentrations were significantly decreased in patients with ACS or SAP compared to control subjects (P <0.001, respectively), whereas progranulin and adiponectin levels were similar. Correlation analysis adjusted for age and gender exhibited that CTRP-3 levels showed significant negative relationship with glucose (r?=?-0.110, P?=?0.041) and high sensitive C-reactive protein (hsCRP) levels (r?=?-0.159, P?=?0.005), and positive relationship with HDL-cholesterol (r?=?0.122, P?=?0.025) and adiponectin levels (r?=?0.194, P <0.001). In a multivariate logistic regression analysis, the odds ratio for CAD risk was 5.14 (95% CI, 1.83-14.42) in the second, and 9.04 (95% CI, 2.81-29.14) in the first tertile of CTRP-3 levels compared to third tertile after adjusting for other cardiometabolic risk variables.Patients with ACS or SAP had significantly lower circulating CTRP-3 concentrations compared to control subjects, although progranulin levels were not different. These results suggest the possibility that CTRP-3 might be useful for assessing the risk of CAD.(Clinical trials No.: NCT01594710).
SUBMITTER: Choi KM
PROVIDER: S-EPMC3897880 | biostudies-literature | 2014 Jan
REPOSITORIES: biostudies-literature
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