PMID- 29769455 OWN - NLM STAT- MEDLINE DCOM- 20190610 LR - 20200225 IS - 1880-3873 (Electronic) IS - 1340-3478 (Print) IS - 1340-3478 (Linking) VI - 26 IP - 1 DP - 2019 Jan 1 TI - Tenascin C: A Potential Biomarker for Predicting the Severity of Coronary Atherosclerosis. PG - 31-38 LID - 10.5551/jat.42887 [doi] AB - AIMS: Coronary artery disease (CAD) is the leading cause of mortality and morbidity worldwide and one of the greatest threats to public health. Tenascin C (TNC) is an extracellular matrix glycoprotein that is found in low concentrations in normal tissues and is enhanced by a range of cardiovascular pathologies. This study aimed to evaluate the value of TNC in assessing the severity of atherosclerosis measured by the Gensini score. METHODS: A total of 157 patients with chest pains who underwent selective coronary angiography for suspected coronary atherosclerosis were enrolled. The patients were divided into the CAD group and non-CAD group according to symptoms and angiography. Demographic data and laboratory analyses were collected. RESULTS: The mean TNC level was significantly higher in the CAD group than in the non-CAD group (p<0.001). A significant positive correlation between TNC levels and Gensini score (p<0.01, r=0.672) was found. ROC curve analysis demonstrated that the cutoff value for TNC at 89.48 ng/mL was well differentiated in the CAD and non-CAD groups. Furthermore, TNC was also a good predictor for a higher Gensini score (the third tertile) in the ROC curve analysis. When the cutoff was accepted as 100.91 ng/mL, the sensitivity and specificity were 82.7% and 79%, respectively. CONCLUSION: A significant relationship was found between the Gensini score and serum TNC level. TNC levels can be considered in risk assessments for CAD before angiography. FAU - Gao, Wen AU - Gao W AD - Department of Cardiology, Huashan Hospital, Fudan University. FAU - Li, Jian AU - Li J AD - Department of Cardiology, Huashan Hospital, Fudan University. FAU - Ni, Huanchun AU - Ni H AD - Department of Cardiology, Huashan Hospital, Fudan University. FAU - Shi, Haiming AU - Shi H AD - Department of Cardiology, Huashan Hospital, Fudan University. FAU - Qi, Zhiyong AU - Qi Z AD - Department of Cardiology, Zhongshan Hospital, Fudan University. FAU - Zhu, Shouguo AU - Zhu S AD - Department of Cardiology, Yunnan Kungang Hospital, Kunming. FAU - Hao, Chuanming AU - Hao C AD - Department of Nephrology, Huashan Hospital, Fudan University. FAU - Xie, Qionghong AU - Xie Q AD - Department of Nephrology, Huashan Hospital, Fudan University. FAU - Luo, Xinping AU - Luo X AD - Department of Cardiology, Huashan Hospital, Fudan University. FAU - Xie, Kun AU - Xie K AD - Department of Cardiology, Huashan Hospital, Fudan University. LA - eng PT - Journal Article DEP - 20180517 PL - Japan TA - J Atheroscler Thromb JT - Journal of atherosclerosis and thrombosis JID - 9506298 RN - 0 (Biomarkers) RN - 0 (TNC protein, human) RN - 0 (Tenascin) SB - IM MH - Aged MH - Biomarkers/*blood MH - Case-Control Studies MH - Coronary Artery Disease/blood/*pathology MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prognosis MH - ROC Curve MH - *Severity of Illness Index MH - Tenascin/*blood PMC - PMC6308263 OTO - NOTNLM OT - Atherosclerosis OT - Coronary artery disease OT - Gensini score OT - Tenascin C COIS- The authors report no relationships that could be construed as a conflict of interest. EDAT- 2018/05/18 06:00 MHDA- 2019/06/14 06:00 PMCR- 2019/01/01 CRDT- 2018/05/18 06:00 PHST- 2018/05/18 06:00 [pubmed] PHST- 2019/06/14 06:00 [medline] PHST- 2018/05/18 06:00 [entrez] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.5551/jat.42887 [doi] PST - ppublish SO - J Atheroscler Thromb. 2019 Jan 1;26(1):31-38. doi: 10.5551/jat.42887. Epub 2018 May 17.