首页|冠心病患者血清血管紧张素样蛋白5水平变化及临床意义

冠心病患者血清血管紧张素样蛋白5水平变化及临床意义

Expression Level and Clinical Significance of Serum Angiopoietin-like Protein 5 in Coronary Artery Disease

扫码查看
目的:分析冠心病患者血清血管生成素样蛋白5(ANGPTL5)水平变化及与冠心病糖脂代谢紊乱的相关性.方法:纳入2019-01-2019-12本院就诊的疑似冠心病患者239例,根据冠脉造影结果分为冠心病组(n=156)和非冠心病组(n=83).酶联免疫吸附试验检测所有患者血清ANGPTL5的表达水平,分析血清ANGPTL5水平与冠心病患者糖脂水平、冠脉病变支数等临床参数的相关性.结果:与非冠心病组相比,冠心病组患者血清ANGPTL5水平明显升高(P<0.01).随着冠脉病变支数增加,冠心病患者ANGPTL5水平升高,三支病变组水平最高(P<0.05).合并糖尿病或高脂血症的冠心病患者的血清ANGPTL5水平较未合并糖尿病或高脂血症的冠心病患者明显升高,差异具有统计学意义(P<0.05).相关性分析显示,冠心病患者血清ANGPTL5水平与空腹血糖(FPG)(r=0.339,P<0.01)、甘油三酯(TG)(r=0.354,P<0.01)、极低密度脂蛋白胆固醇(VLDL-C)(r=0.188,P<0.05)水平均呈正相关.多因素Logistic回归显示ANGPTL5是冠心病的危险因素(OR=1.998,95%CI:1.440-2.773,P<0.01).校正混杂因素(性别、年龄、空腹血糖和血脂)后血清ANGPTL5水平升高仍是冠心病的危险因素(OR=1.916,95%CI:1.155-3.177,P<0.01).结论:冠心病患者血清ANGPTL5水平升高,且与冠心病患者糖脂代谢状况和冠脉病变支数有关.
Objective:To investigate changes of the serum level of angiopoietin-like protein 5(ANGPTL5)in coronary artery disease(CAD)patients and explore its relationship with glycometabolism and lipid metabolism.Method:A total of 239 individuals suspected as CAD were enrolled from January 2019 to December 2019.According to the results of coronary angiography,they were classified as CAD group(n=156)and non-CAD group(n=83)respectively.Serum ANGPTL5 levels were detected by enzyme-linked immunosorbent assay.Correlations between serum ANGPTL5 and parameters such as blood lipids,glucose and number of lesion vessels were all evaluated sta-tistically.Results:Serum ANGPTL5 levels in CAD patients were higher than those without CAD(P<0.01).Mo-reover,serum ANGPTL5 levels were significantly higher in CAD patients with higher lesion vessels,especially the highest in three-vessel group(P<0.05).Similarly,it was higher in patients with diabetes mellitus or hyperlipi-demia than those without diabetes mellitus or hyperlipidemia(P<0.05).The ANGPTL5 level was positively cor-related with the levels of FPG(r=0.339,P<0.01),triglycerides(r=0.354,P<0.01)and very low density lip-oprotein-cholesterol(r=0.188,P<0.05).ANGPTL5 was a risk factor for CAD(OR=1.998,95%CI:1.440-2.773,P<0.01).After the adjustment for confounding factors including sex,age,FPG and blood lipids,patients with higher ANGPTL5 levels still had a higher OR for CAD(OR=1.916,95%CI:1.155-3.177,P<0.01).Conclusion:Serum ANGPTL5 levels were elevated in CAD patients and positively correlated with the disorder of glycometabolism,lipid metabolism and the number of lesion vessels of CAD.

ANGPTL5Coronary artery diseaseGlycometabolismLipid metabolismLesion vessels

吴星亮、李君、吕永楠、徐红新、任伟、蒋学俊、刘畅、易欣

展开 >

武汉大学人民医院心内科,武汉 430060

武汉大学心血管病研究所,武汉 430060

心血管病湖北省重点实验室,武汉 430060

武汉大学人民医院检验科,武汉 430060

阜外华中心血管病医院结构心脏病科,郑州 450000

展开 >

血管生成素样蛋白5 冠心病 糖代谢 脂代谢 病变支数

湖北省自然科学重点研发计划河南省医学科技攻关计划省部共建项目

2022BCA051SBGJ202102047

2024

微循环学杂志
武汉大学人民医院,中国病理生理学会微循环专业委员会

微循环学杂志

CSTPCD
影响因子:0.969
ISSN:1005-1740
年,卷(期):2024.34(2)
  • 21