Relationship Between 25-Hydroxyvitamin D, Renin, and Collagen Remodeling Biomarkers in Atrial Fibrillation

The interplay between vitamin D, the renin–angiotensin system (RAS), and collagen remodeling has been implicated in the pathogenesis of various cardiovascular diseases. This study sought to explore this relationship in atrial fibrillation (AF) by profiling plasma levels of 25-hydroxyvitamin D, RAS b...

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Main Authors: Dimpi Patel BA, Aleksander Druck BS, Debra Hoppensteadt PhD, Vinod Bansal MD, Yevgeniy Brailovsky DO, Mushabbar Syed MD, Jawed Fareed PhD
Format: Article
Language:English
Published: SAGE Publishing 2020-02-01
Series:Clinical and Applied Thrombosis/Hemostasis
Online Access:https://doi.org/10.1177/1076029619899702
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author Dimpi Patel BA
Aleksander Druck BS
Debra Hoppensteadt PhD
Vinod Bansal MD
Yevgeniy Brailovsky DO
Mushabbar Syed MD
Jawed Fareed PhD
author_facet Dimpi Patel BA
Aleksander Druck BS
Debra Hoppensteadt PhD
Vinod Bansal MD
Yevgeniy Brailovsky DO
Mushabbar Syed MD
Jawed Fareed PhD
author_sort Dimpi Patel BA
collection DOAJ
description The interplay between vitamin D, the renin–angiotensin system (RAS), and collagen remodeling has been implicated in the pathogenesis of various cardiovascular diseases. This study sought to explore this relationship in atrial fibrillation (AF) by profiling plasma levels of 25-hydroxyvitamin D, RAS biomarkers, and collagen remodeling biomarkers using the enzyme-linked immunosorbent assay method. We hypothesized that 25-hydroxyvitamin D levels would inversely correlate with RAS biomarkers and that levels of RAS and collagen remodeling biomarkers would positively correlate with each other. Although our AF cohort (n = 37) did not exhibit decreased 25-hydroxyvitamin D levels compared to normal controls (n = 26), these levels inversely correlated with renin (Spearman r = −0.57, P = 0.005). Renin levels were elevated in patients with AF compared to normal controls (1233 ± 238 ng/mL vs 401 ± 27 ng/mL, P = 0.0002) and positively correlated with levels of matrix metalloproteinase 1 (MMP-1; Spearman r = 0.89, P = 0.01) and MMP-2 (Spearman r = 0.82, P = 0.03). These data suggest that 25-hydroxyvitamin D may influence RAS activation, and renin may help mediate the collagen remodeling process in AF. Understanding mediators of RAS dysregulation in AF may elucidate targets for therapeutic intervention to prevent collagen remodeling.
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spelling doaj.art-d874116a00864eab902e702a353817592022-12-21T19:22:00ZengSAGE PublishingClinical and Applied Thrombosis/Hemostasis1938-27232020-02-012610.1177/1076029619899702Relationship Between 25-Hydroxyvitamin D, Renin, and Collagen Remodeling Biomarkers in Atrial FibrillationDimpi Patel BA0Aleksander Druck BS1Debra Hoppensteadt PhD2Vinod Bansal MD3Yevgeniy Brailovsky DO4Mushabbar Syed MD5Jawed Fareed PhD6 Hemostasis and Thrombosis Laboratories, Center of Translational Research and Education, Maywood, IL, USA Loyola University of Chicago, Stritch School of Medicine, Maywood, IL, USA Hemostasis and Thrombosis Laboratories, Center of Translational Research and Education, Maywood, IL, USA Loyola University Medical Center, Maywood, IL, USA Center for Advanced Cardiac Care, Columbia University Medical Center, New York, NY, USA Loyola University Medical Center, Maywood, IL, USA Hemostasis and Thrombosis Laboratories, Center of Translational Research and Education, Maywood, IL, USAThe interplay between vitamin D, the renin–angiotensin system (RAS), and collagen remodeling has been implicated in the pathogenesis of various cardiovascular diseases. This study sought to explore this relationship in atrial fibrillation (AF) by profiling plasma levels of 25-hydroxyvitamin D, RAS biomarkers, and collagen remodeling biomarkers using the enzyme-linked immunosorbent assay method. We hypothesized that 25-hydroxyvitamin D levels would inversely correlate with RAS biomarkers and that levels of RAS and collagen remodeling biomarkers would positively correlate with each other. Although our AF cohort (n = 37) did not exhibit decreased 25-hydroxyvitamin D levels compared to normal controls (n = 26), these levels inversely correlated with renin (Spearman r = −0.57, P = 0.005). Renin levels were elevated in patients with AF compared to normal controls (1233 ± 238 ng/mL vs 401 ± 27 ng/mL, P = 0.0002) and positively correlated with levels of matrix metalloproteinase 1 (MMP-1; Spearman r = 0.89, P = 0.01) and MMP-2 (Spearman r = 0.82, P = 0.03). These data suggest that 25-hydroxyvitamin D may influence RAS activation, and renin may help mediate the collagen remodeling process in AF. Understanding mediators of RAS dysregulation in AF may elucidate targets for therapeutic intervention to prevent collagen remodeling.https://doi.org/10.1177/1076029619899702
spellingShingle Dimpi Patel BA
Aleksander Druck BS
Debra Hoppensteadt PhD
Vinod Bansal MD
Yevgeniy Brailovsky DO
Mushabbar Syed MD
Jawed Fareed PhD
Relationship Between 25-Hydroxyvitamin D, Renin, and Collagen Remodeling Biomarkers in Atrial Fibrillation
Clinical and Applied Thrombosis/Hemostasis
title Relationship Between 25-Hydroxyvitamin D, Renin, and Collagen Remodeling Biomarkers in Atrial Fibrillation
title_full Relationship Between 25-Hydroxyvitamin D, Renin, and Collagen Remodeling Biomarkers in Atrial Fibrillation
title_fullStr Relationship Between 25-Hydroxyvitamin D, Renin, and Collagen Remodeling Biomarkers in Atrial Fibrillation
title_full_unstemmed Relationship Between 25-Hydroxyvitamin D, Renin, and Collagen Remodeling Biomarkers in Atrial Fibrillation
title_short Relationship Between 25-Hydroxyvitamin D, Renin, and Collagen Remodeling Biomarkers in Atrial Fibrillation
title_sort relationship between 25 hydroxyvitamin d renin and collagen remodeling biomarkers in atrial fibrillation
url https://doi.org/10.1177/1076029619899702
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