PMID- 32775423 OWN - NLM STAT- MEDLINE DCOM- 20210422 LR - 20240329 IS - 2314-6141 (Electronic) IS - 2314-6133 (Print) VI - 2020 DP - 2020 TI - The Association between Hyperhomocysteinemia and Thoracoabdominal Aortic Aneurysms in Chinese Population. PG - 4691026 LID - 10.1155/2020/4691026 [doi] LID - 4691026 AB - OBJECTIVE: To shed light on the association between hyperhomocysteinemia (HHcy) and thoracoabdominal aortic aneurysms (TAAAs). METHODS: From July 2013 to March 2017, we conducted a matched case-control study involving individuals who presented to the Chinese People's Liberation Army General Hospital and underwent thoracoabdominal magnetic resonance angiography or computed tomography angiography. A total of 73 patients with TAAAs were enrolled in the case group, and 219 sex-matched subjects without TAAAs were included in the control group. We then examined the relationship between HHcy and TAAAs by logistic regression models and subgroup as well as interaction analyses. RESULTS: Serum total homocysteine (tHcy) concentrations and the proportion of HHcy were significantly higher in the patients with TAAAs than in those without TAAAs (P < 0.001). Furthermore, the multivariate logistic regression models indicated that participants with HHcy had a 2.14-fold higher risk of TAAAs than those with a normal serum tHcy level (adjusted odds ratio (OR), 2.14; 95% confidence interval, 1.00-4.56). Similarly, each 1 mumol/L increase in the serum tHcy concentration was associated with a 4% higher risk of TAAAs (adjusted OR, 1.04; 95% confidence interval, 1.00-1.07). Subgroup analyses indicated that HHcy tended to be associated with a greater risk of TAAAs in all stratified subgroups (adjusted ORs > 1). Furthermore, the interaction analyses revealed no interactive role in the association between HHcy and TAAAs. CONCLUSIONS: The present case-control study suggests that HHcy is an independent risk factor for TAAAs. Larger prospective cohort studies are warranted to validate these findings. CI - Copyright (c) 2020 Jianqing Deng et al. FAU - Deng, Jianqing AU - Deng J AUID- ORCID: 0000-0001-7319-0288 AD - Department of Vascular and Endovascular Surgery, The First Medical Centre, Chinese PLA General Hospital, Beijing, China. FAU - Liu, Jie AU - Liu J AD - Department of Vascular and Endovascular Surgery, The First Medical Centre, Chinese PLA General Hospital, Beijing, China. FAU - Cao, Long AU - Cao L AD - Department of Vascular and Endovascular Surgery, The First Medical Centre, Chinese PLA General Hospital, Beijing, China. AD - Department of General Surgery, Chinese PLA No.983 Hospital, Tianjin, China. FAU - Wang, Qun AU - Wang Q AD - Department of Neurosurgery, The First Medical Centre, Chinese PLA General Hospital, Beijing, China. FAU - Zhang, Hongpeng AU - Zhang H AD - Department of Vascular and Endovascular Surgery, The First Medical Centre, Chinese PLA General Hospital, Beijing, China. FAU - Liu, Xiaoping AU - Liu X AD - Department of Vascular and Endovascular Surgery, The First Medical Centre, Chinese PLA General Hospital, Beijing, China. FAU - Guo, Wei AU - Guo W AUID- ORCID: 0000-0001-6212-8390 AD - Department of Vascular and Endovascular Surgery, The First Medical Centre, Chinese PLA General Hospital, Beijing, China. LA - eng PT - Journal Article DEP - 20200728 PL - United States TA - Biomed Res Int JT - BioMed research international JID - 101600173 RN - 0LVT1QZ0BA (Homocysteine) SB - IM MH - Aortic Aneurysm, Thoracic/blood/*etiology MH - Asian People MH - Case-Control Studies MH - Female MH - Homocysteine/blood MH - Humans MH - Hyperhomocysteinemia/blood/*complications MH - Logistic Models MH - Male MH - Middle Aged MH - Odds Ratio MH - Risk Factors PMC - PMC7407013 COIS- The authors have no competing interests. EDAT- 2020/08/11 06:00 MHDA- 2021/04/23 06:00 PMCR- 2020/07/28 CRDT- 2020/08/11 06:00 PHST- 2020/06/08 00:00 [received] PHST- 2020/07/02 00:00 [accepted] PHST- 2020/08/11 06:00 [entrez] PHST- 2020/08/11 06:00 [pubmed] PHST- 2021/04/23 06:00 [medline] PHST- 2020/07/28 00:00 [pmc-release] AID - 10.1155/2020/4691026 [doi] PST - epublish SO - Biomed Res Int. 2020 Jul 28;2020:4691026. doi: 10.1155/2020/4691026. eCollection 2020.