PMID- 35662613 OWN - NLM STAT- MEDLINE DCOM- 20220817 LR - 20220817 IS - 1872-8227 (Electronic) IS - 0168-8227 (Linking) VI - 189 DP - 2022 Jul TI - Serum OPG/TRAIL ratio predicts the presence of cardiovascular disease in people with type 2 diabetes mellitus. PG - 109936 LID - S0168-8227(22)00750-1 [pii] LID - 10.1016/j.diabres.2022.109936 [doi] AB - AIMS: Cardiovascular disease (CVD) is the leading cause of mortality in type 2 diabetes mellitus (T2DM). Epidemiological studies suggest serum Osteoprotegrin (OPG)/Tumour-necrosis-factor-related-apoptosis-inducing- ligand (TRAIL) ratio may be a useful marker of cardiovascular risk. This study aimed to compare serum levels of TRAIL, OPG and OPG/TRAIL ratio in people with T2DM, with and without a history of CVD, and controls; and to determine which of these indices, if any, predict cardiovascular risk. METHODS: In this single centre observational study of 133 participants, people with T2DM, with and without a history of a cardiovascular event in the last 5 years, were recruited along with a control cohort without T2DM or CVD. Demographic information and anthropometric measurements were recorded. Blood samples were taken and OPG and TRAIL were measured using ELISA. RESULTS: People with T2DM and CVD had higher OPG/TRAIL ratios compared to controls or those with a new diagnosis of T2DM. After adjustment for potential confounding factors, OPG/TRAIL ratio was significantly associated with the presence of CVD in people with T2DM and an OPG/TRAIL ratio cut-off > 38.6 predicted the presence of CVD in this cohort with a sensitivity of 80% and specificity of 82%. CONCLUSION: This study suggests that OPG/TRAIL ratio may have a role as a biomarker of CVD in people with T2DM. CI - Copyright (c) 2022 Elsevier B.V. All rights reserved. FAU - Forde, H AU - Forde H AD - Department of Endocrinology, Beaumont Hospital and RCSI Medical School, Beaumont, Dublin 9, Ireland; School of Biotechnology, Dublin City University, Glasnevin, Dublin 9, Ireland. Electronic address: hannahforde@gmail.com. FAU - Davenport, C AU - Davenport C AD - Department of Endocrinology, Beaumont Hospital and RCSI Medical School, Beaumont, Dublin 9, Ireland; School of Biotechnology, Dublin City University, Glasnevin, Dublin 9, Ireland. FAU - Rochfort, K D AU - Rochfort KD AD - School of Nursing, Psychotherapy, and Community Health, Dublin City University, Glasnevin, Dublin 9, Ireland. FAU - Wallace, R G AU - Wallace RG AD - School of Biotechnology, Dublin City University, Glasnevin, Dublin 9, Ireland. FAU - Durkan, E AU - Durkan E AD - School of Health and Human Performance, Dublin City University, Glasnevin, Dublin 9, Ireland. FAU - Agha, A AU - Agha A AD - Department of Endocrinology, Beaumont Hospital and RCSI Medical School, Beaumont, Dublin 9, Ireland. FAU - Thompson, C J AU - Thompson CJ AD - Department of Endocrinology, Beaumont Hospital and RCSI Medical School, Beaumont, Dublin 9, Ireland. FAU - Tormey, W T AU - Tormey WT AD - Department of Chemical Pathology, Beaumont Hospital, Beaumont, Dublin 9, Ireland. FAU - O'Gorman, D J AU - O'Gorman DJ AD - School of Health and Human Performance, Dublin City University, Glasnevin, Dublin 9, Ireland; National Institute for Cellular Biotechnology, Dublin City University, Glasnevin, Dublin 9, Ireland. FAU - Cummins, P M AU - Cummins PM AD - School of Biotechnology, Dublin City University, Glasnevin, Dublin 9, Ireland. FAU - Smith, D AU - Smith D AD - Department of Endocrinology, Beaumont Hospital and RCSI Medical School, Beaumont, Dublin 9, Ireland. LA - eng PT - Journal Article PT - Observational Study DEP - 20220602 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (Biomarkers) RN - 0 (Osteoprotegerin) RN - 0 (TNF-Related Apoptosis-Inducing Ligand) SB - IM MH - Biomarkers MH - *Cardiovascular Diseases/diagnosis/etiology MH - *Diabetes Mellitus, Type 2/complications MH - Humans MH - Osteoprotegerin MH - TNF-Related Apoptosis-Inducing Ligand OTO - NOTNLM OT - Biomarker OT - Cardiovascular disease OT - Osteoprotegrin OT - Tumour-necrosis-factor-related apoptosis-inducing-ligand EDAT- 2022/06/07 06:00 MHDA- 2022/08/18 06:00 CRDT- 2022/06/06 13:41 PHST- 2021/11/25 00:00 [received] PHST- 2022/04/28 00:00 [revised] PHST- 2022/05/30 00:00 [accepted] PHST- 2022/06/07 06:00 [pubmed] PHST- 2022/08/18 06:00 [medline] PHST- 2022/06/06 13:41 [entrez] AID - S0168-8227(22)00750-1 [pii] AID - 10.1016/j.diabres.2022.109936 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2022 Jul;189:109936. doi: 10.1016/j.diabres.2022.109936. Epub 2022 Jun 2.