PMID- 25533425 OWN - NLM STAT- MEDLINE DCOM- 20160127 LR - 20211203 IS - 1876-4738 (Electronic) IS - 0914-5087 (Linking) VI - 66 IP - 1 DP - 2015 Jul TI - Differential profile in inflammatory and mineral metabolism biomarkers in patients with ischemic heart disease without classical coronary risk factors. PG - 22-7 LID - S0914-5087(14)00334-7 [pii] LID - 10.1016/j.jjcc.2014.11.006 [doi] AB - BACKGROUND: Patients with coronary heart disease (CHD) without classical cardiovascular risk factors (CRFs) are uncommon, and their profile has not been thoroughly studied. In CHD patients, we have assessed the differences in several biomarkers between those with and without CRF. METHODS: We studied 704 patients with CHD, analyzing plasma levels of biomarkers related to inflammation, thrombosis, renal damage, and heart failure: high-sensitivity C-reactive protein (hs-CRP), monocyte chemoattractant protein-1 (MCP-1), galectin-3, N-terminal fragment of brain natriuretic peptide (NT-pro-BNP), calcidiol (vitamin D metabolite), fibroblast growth factor-23 (FGF-23), parathormone, and phosphate. RESULTS: Twenty patients (2.8%) exhibited no CRFs. Clinical variables were well balanced in both groups, with the logical exceptions of no use of antidiabetic drugs, lower triglyceride and glucose, and higher high-density lipoprotein cholesterol in no-CRF patients. No-CRF patients showed lower hs-CRP (2.574+/-3.120 vs. 4.554+/-9.786mg/L; p=0.018), MCP-1 (114.75+/-36.29 vs. 143.56+/-65.37pg/ml; p=0.003), and FGF-23 (79.28+/-40.22 vs. 105.17+/-156.61RU/ml; p=0.024), and higher calcidiol (23.66+/-9.12 vs. 19.49+/-8.18ng/ml; p=0.025) levels. At follow-up, 10.0% vs. 11.0% patients experienced acute ischemic event, heart failure, or death in the non-CRF and CRF groups, respectively (p=0.815, log-rank test). The limited number of non-CRF patients may have influenced this finding. A Cox regression analysis in the whole population showed that high calcidiol, and low MCP-1 and FGF-23 plasma levels are associated with a better prognosis. CONCLUSIONS: CHD patients without CRFs show a favorable biomarker profile in terms of inflammation and mineral metabolism. Further studies are needed to investigate whether this difference translates into a better prognosis. CI - Copyright (c) 2014 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. FAU - Pello, Ana Maria AU - Pello AM AD - Department of Cardiology, IIS-Fundacion Jimenez Diaz, Madrid, Spain. FAU - Cristobal, Carmen AU - Cristobal C AD - Department of Cardiology, Hospital de Fuenlabrada, Fuenlabrada, Spain; Rey Juan Carlos University, Alcorcon, Spain. FAU - Tarin, Nieves AU - Tarin N AD - Department of Cardiology, Hospital Universitario de Mostoles, Mostoles, Spain. FAU - Huelmos, Ana AU - Huelmos A AD - Department of Cardiology, Hospital Universitario Fundacion Alcorcon, Alcorcon, Spain. FAU - Acena, Alvaro AU - Acena A AD - Department of Cardiology, IIS-Fundacion Jimenez Diaz, Madrid, Spain. FAU - Carda, Rocio AU - Carda R AD - Department of Cardiology, IIS-Fundacion Jimenez Diaz, Madrid, Spain. FAU - Gonzalez-Casaus, Maria Luisa AU - Gonzalez-Casaus ML AD - Laboratory of Nephrology and Mineral Metabolism, Hospital Gomez-Ulla, Madrid, Spain. FAU - Alonso, Joaquin AU - Alonso J AD - Department of Cardiology, Hospital de Fuenlabrada, Fuenlabrada, Spain; Rey Juan Carlos University, Alcorcon, Spain. FAU - Lorenzo, Oscar AU - Lorenzo O AD - Laboratory of Vascular Pathology, IIS-Fundacion Jimenez Diaz, Madrid, Spain; Autonoma University, Madrid, Spain. FAU - Blanco-Colio, Luis AU - Blanco-Colio L AD - Laboratory of Vascular Pathology, IIS-Fundacion Jimenez Diaz, Madrid, Spain. FAU - Martin-Ventura, Jose Luis AU - Martin-Ventura JL AD - Laboratory of Vascular Pathology, IIS-Fundacion Jimenez Diaz, Madrid, Spain; Autonoma University, Madrid, Spain. FAU - Franco Pelaez, Juan Antonio AU - Franco Pelaez JA AD - Department of Cardiology, IIS-Fundacion Jimenez Diaz, Madrid, Spain. FAU - Mahillo-Fernandez, Ignacio AU - Mahillo-Fernandez I AD - Department of Epidemiology, IIS-Fundacion Jimenez Diaz, Madrid, Spain. FAU - Farre, Jeronimo AU - Farre J AD - Department of Cardiology, IIS-Fundacion Jimenez Diaz, Madrid, Spain; Autonoma University, Madrid, Spain. FAU - Lopez-Bescos, Lorenzo AU - Lopez-Bescos L AD - Rey Juan Carlos University, Alcorcon, Spain. FAU - Egido, Jesus AU - Egido J AD - Laboratory of Vascular Pathology, IIS-Fundacion Jimenez Diaz, Madrid, Spain; Autonoma University, Madrid, Spain; Department of Nephrology, IIS-Fundacion Jimenez Diaz, Madrid, Spain; CIBERDEM, Madrid, Spain. FAU - Tunon, Jose AU - Tunon J AD - Department of Cardiology, IIS-Fundacion Jimenez Diaz, Madrid, Spain; Laboratory of Vascular Pathology, IIS-Fundacion Jimenez Diaz, Madrid, Spain; Autonoma University, Madrid, Spain. Electronic address: jtunon@secardiologia.es. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141219 PL - Netherlands TA - J Cardiol JT - Journal of cardiology JID - 8804703 RN - 0 (Biomarkers) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (FGF23 protein, human) RN - 0 (Galectin 3) RN - 0 (Lipoproteins, HDL) RN - 0 (Lipoproteins, LDL) RN - 0 (Parathyroid Hormone) RN - 0 (Peptide Fragments) RN - 0 (Phosphates) RN - 0 (Triglycerides) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) RN - 62031-54-3 (Fibroblast Growth Factors) RN - 7Q7P4S7RRE (Fibroblast Growth Factor-23) RN - 9007-41-4 (C-Reactive Protein) RN - 97C5T2UQ7J (Cholesterol) RN - P6YZ13C99Q (Calcifediol) SB - IM MH - Biomarkers/*blood MH - C-Reactive Protein/*metabolism MH - Calcifediol/blood MH - Chemokine CCL2/blood MH - Cholesterol/blood MH - Coronary Artery Disease/blood MH - Cross-Sectional Studies MH - Female MH - Fibroblast Growth Factor-23 MH - Fibroblast Growth Factors/blood MH - Galectin 3/blood MH - Humans MH - Lipoproteins, HDL/blood MH - Lipoproteins, LDL/blood MH - Male MH - Middle Aged MH - Myocardial Ischemia/*blood/etiology MH - Natriuretic Peptide, Brain/blood MH - Parathyroid Hormone/blood MH - Peptide Fragments/blood MH - Phosphates/blood MH - Prognosis MH - Risk Factors MH - Triglycerides/blood OTO - NOTNLM OT - Atherosclerosis OT - Biomarkers OT - Cardiovascular risk factors OT - Fibroblast growth factor-23 OT - Monocyte chemoattractant protein-1 EDAT- 2014/12/24 06:00 MHDA- 2016/01/28 06:00 CRDT- 2014/12/24 06:00 PHST- 2014/09/12 00:00 [received] PHST- 2014/10/28 00:00 [revised] PHST- 2014/11/19 00:00 [accepted] PHST- 2014/12/24 06:00 [entrez] PHST- 2014/12/24 06:00 [pubmed] PHST- 2016/01/28 06:00 [medline] AID - S0914-5087(14)00334-7 [pii] AID - 10.1016/j.jjcc.2014.11.006 [doi] PST - ppublish SO - J Cardiol. 2015 Jul;66(1):22-7. doi: 10.1016/j.jjcc.2014.11.006. Epub 2014 Dec 19.