Increased circulating chemerin in patients with advanced carotid stenosis.

BMC Cardiovasc Disord

Research Laboratories; Clinic for Visceral, Transplantation, Thoracic and Vascular Surgery, Leipzig University, Liebigstr. 19, D-04103, Leipzig, Germany.

Published: April 2018

AI Article Synopsis

  • Chemerin is a protein in the body that is important for heart diseases and problems with blood vessels.
  • In a study of 178 patients with severe carotid artery blockages, they found that chemerin levels were higher than in 163 healthy people.
  • Higher chemerin is linked to higher inflammation and can increase the risk of heart disease in these patients.

Article Abstract

Background: Chemerin is an adipokine which plays a crucial role in atherosclerosis. Here, we examined whether circulating chemerin is enhanced in patients with advanced carotid stenosis.

Methods: Chemerin was quantified in 178 patients prior to carotid end arterectomy (CEA) and in age- and gender-matched controls (n = 163). Chemerin levels were related to anthropometric, clinical and metabolic characteristics of the patients.

Results: Chemerin levels were higher in patients compared to controls (p <  0.001). Chemerin correlated to parameters associated with inflammation such as C-reactive protein (CRP, p <  0.001), leukocyte blood count (p <  0.001) and circulating TNF-α (p = 0.004) in the patients. Chemerin levels did not differ between asymptomatic (n = 93) and symptomatic patients who experienced an ischemic event within 6 months prior to CEA (n = 85). However, in the case of high-grade carotid stenosis (≥ 90%), chemerin levels were higher in symptomatic (n = 44) compared to asymptomatic patients (n = 41, p = 0.014). Chemerin was increased in patients with (n = 50) compared to patients without (n = 128) coronary artery disease (CAD, p = 0.002). A high level of chemerin increases the risk for CAD in patients (p = 0.0013).

Conclusions: Circulating chemerin is increased and correlates to inflammatory parameters in patients with advanced carotid stenosis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899364PMC
http://dx.doi.org/10.1186/s12872-018-0803-7DOI Listing

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