In healthy normotensive subjects age and blood pressure better predict subclinical vascular and cardiac organ damage than atherosclerosis biomarkers

Purpose: Only few studies evaluated biomarkers useful for defining the cardiovascular risk of a subject in a pre-clinical condition (i.e. healthy subjects). In this context we sought to determine the relationships of Plasminogen activator inhibitor type 1 (PAI‐1), P-Selectin, Tissue Inhibitors Metal...

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Main Authors: Alessandro Maloberti, Francesca Farina, Marco Carbonaro, Enrico Piccinelli, Ilaria Bassi, Francesco Pansera, Guido Grassi, Giuseppe Mancia, Paola Palestini, Cristina Giannattasio
Format: Article
Language:English
Published: Taylor & Francis Group 2018-09-01
Series:Blood Pressure
Subjects:
Online Access:http://dx.doi.org/10.1080/08037051.2018.1461010
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author Alessandro Maloberti
Francesca Farina
Marco Carbonaro
Enrico Piccinelli
Ilaria Bassi
Francesco Pansera
Guido Grassi
Giuseppe Mancia
Paola Palestini
Cristina Giannattasio
author_facet Alessandro Maloberti
Francesca Farina
Marco Carbonaro
Enrico Piccinelli
Ilaria Bassi
Francesco Pansera
Guido Grassi
Giuseppe Mancia
Paola Palestini
Cristina Giannattasio
author_sort Alessandro Maloberti
collection DOAJ
description Purpose: Only few studies evaluated biomarkers useful for defining the cardiovascular risk of a subject in a pre-clinical condition (i.e. healthy subjects). In this context we sought to determine the relationships of Plasminogen activator inhibitor type 1 (PAI‐1), P-Selectin, Tissue Inhibitors Metalloproteinases type 1 (TIMP-1) and Cystatin-C with subclinical Target Organ Damage (TOD) in normotensive and normoglycemic subjects without known cardiovascular and kidney diseases. Materials and Methods: 480 blood donors participated at the present analysis. TOD was evaluated as Pulse Wave Velocity (PWV), Left Ventricular Hypertrophy (LVH) and Intima Media Thickness (IMT) and carotid plaque presence) grouped together under carotid TOD. Results: 3.1% of the subjects showed a PWV higher than 10 m/sec with those subjects exerting significantly lower values of P-Selectine (0.068 ± 0.015 vs 0.08 ± 0.036 mg/L, p = .014). 8.8% of the subjects showed carotid TOD that was associated with higher Cystatin-C values (0.67 ± 0.17 vs 0.63 ± 0.14 mg/L, p = .045). Finally 23.8% of the subjects showed LVH with no significant differences regarding biomarkers. Despite some significant correlations between biomarkers and TOD, at the multivariate analysis none came out to be as significant predictor of the assessed TOD. Conclusions: in normotensive and normoglycemic healthy subjects, the evaluated biomarkers of atherosclerotic process didn’t show any significant association with cardiac, carotid and vascular TOD while age and BP are its principal predictors.
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spelling doaj.art-942e686201854878ada0a272682fb5f82023-09-15T08:45:22ZengTaylor & Francis GroupBlood Pressure0803-70511651-19992018-09-0127526227010.1080/08037051.2018.14610101461010In healthy normotensive subjects age and blood pressure better predict subclinical vascular and cardiac organ damage than atherosclerosis biomarkersAlessandro Maloberti0Francesca Farina1Marco Carbonaro2Enrico Piccinelli3Ilaria Bassi4Francesco Pansera5Guido Grassi6Giuseppe Mancia7Paola Palestini8Cristina Giannattasio9Ospedale Niguarda Ca’ GrandaMilano-Bicocca UniversityMilano-Bicocca UniversityOspedale Niguarda Ca’ GrandaOspedale Niguarda Ca’ GrandaOspedale Niguarda Ca’ GrandaMilano-Bicocca UniversityMilano-Bicocca UniversityMilano-Bicocca UniversityOspedale Niguarda Ca’ GrandaPurpose: Only few studies evaluated biomarkers useful for defining the cardiovascular risk of a subject in a pre-clinical condition (i.e. healthy subjects). In this context we sought to determine the relationships of Plasminogen activator inhibitor type 1 (PAI‐1), P-Selectin, Tissue Inhibitors Metalloproteinases type 1 (TIMP-1) and Cystatin-C with subclinical Target Organ Damage (TOD) in normotensive and normoglycemic subjects without known cardiovascular and kidney diseases. Materials and Methods: 480 blood donors participated at the present analysis. TOD was evaluated as Pulse Wave Velocity (PWV), Left Ventricular Hypertrophy (LVH) and Intima Media Thickness (IMT) and carotid plaque presence) grouped together under carotid TOD. Results: 3.1% of the subjects showed a PWV higher than 10 m/sec with those subjects exerting significantly lower values of P-Selectine (0.068 ± 0.015 vs 0.08 ± 0.036 mg/L, p = .014). 8.8% of the subjects showed carotid TOD that was associated with higher Cystatin-C values (0.67 ± 0.17 vs 0.63 ± 0.14 mg/L, p = .045). Finally 23.8% of the subjects showed LVH with no significant differences regarding biomarkers. Despite some significant correlations between biomarkers and TOD, at the multivariate analysis none came out to be as significant predictor of the assessed TOD. Conclusions: in normotensive and normoglycemic healthy subjects, the evaluated biomarkers of atherosclerotic process didn’t show any significant association with cardiac, carotid and vascular TOD while age and BP are its principal predictors.http://dx.doi.org/10.1080/08037051.2018.1461010cystatin-cplasminogen activator inhibitor-1tissue inhibitor metalloproteinases-1p-selectincarotid intima media thicknesscarotid plaquepulse wave velocityleft ventricular mass index
spellingShingle Alessandro Maloberti
Francesca Farina
Marco Carbonaro
Enrico Piccinelli
Ilaria Bassi
Francesco Pansera
Guido Grassi
Giuseppe Mancia
Paola Palestini
Cristina Giannattasio
In healthy normotensive subjects age and blood pressure better predict subclinical vascular and cardiac organ damage than atherosclerosis biomarkers
Blood Pressure
cystatin-c
plasminogen activator inhibitor-1
tissue inhibitor metalloproteinases-1
p-selectin
carotid intima media thickness
carotid plaque
pulse wave velocity
left ventricular mass index
title In healthy normotensive subjects age and blood pressure better predict subclinical vascular and cardiac organ damage than atherosclerosis biomarkers
title_full In healthy normotensive subjects age and blood pressure better predict subclinical vascular and cardiac organ damage than atherosclerosis biomarkers
title_fullStr In healthy normotensive subjects age and blood pressure better predict subclinical vascular and cardiac organ damage than atherosclerosis biomarkers
title_full_unstemmed In healthy normotensive subjects age and blood pressure better predict subclinical vascular and cardiac organ damage than atherosclerosis biomarkers
title_short In healthy normotensive subjects age and blood pressure better predict subclinical vascular and cardiac organ damage than atherosclerosis biomarkers
title_sort in healthy normotensive subjects age and blood pressure better predict subclinical vascular and cardiac organ damage than atherosclerosis biomarkers
topic cystatin-c
plasminogen activator inhibitor-1
tissue inhibitor metalloproteinases-1
p-selectin
carotid intima media thickness
carotid plaque
pulse wave velocity
left ventricular mass index
url http://dx.doi.org/10.1080/08037051.2018.1461010
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