PMID- 36300335 OWN - NLM STAT- MEDLINE DCOM- 20230612 LR - 20230612 IS - 2295-3337 (Electronic) IS - 1784-3286 (Linking) VI - 78 IP - 4 DP - 2023 Aug TI - Ectodysplasin A is associated with the presence and severity of coronary artery disease and poor long-term clinical outcome in patients presenting with ST-elevation myocardial infarction. PG - 270-279 LID - 10.1080/17843286.2022.2140246 [doi] AB - OBJECTIVES: Hepatokines are proteins secreted by hepatocytes and many hepatokines such as fetuin A/B, selenoprotein P have been shown to play a role in the pathogenesis of many metabolic dysfunctions such as diabetes, insulin resistance, hypertension, and metabolic syndrome by showing autocrine, paracrine and systemic effects. Ectodysplasin A (EDA) is a recently discovered hepatokine that plays a role in the development of ectodermal structures. In recent studies, it has been revealed that EDA may be associated with the pathogenesis of non-alcoholic liver disease, insulin resistance, Type 2 diabetes mellitus. The close relationship between these metabolic diseases and coronary artery disease (CAD), which may be associated with insulin resistance, has been well documented in previous studies. However, until now, there is no study examining the relationship of EDA with CAD and its effect on long-term outcomes. In this study, we aim to reveal this relationship on patients presenting with ST elevation myocardial infarction (STEMI). METHODS: EDA levels of 544 patients who applied to the study with STEMI and 544 people without coronary artery disease were included in the control group, and the patients with STEMI were followed for median of 33.7 +/- 6.8 months. RESULTS: We found that EDA levels were significantly higher in patients with STEMI and that EDA levels were proportional to the severity of CAD (p < 0.001) also EDA levels may be an independent predictor of poor clinical outcome in patients with STEMI. CONCLUSION: These results suggest that EDA is closely related to the presence and severity of CAD. FAU - Toprak, Kenan AU - Toprak K AUID- ORCID: 0000-0001-8923-8709 AD - Department of Cardiology, Faculty of Medicine, Harran University, Sanliurfa, Turkey. FAU - Kaplangoray, Mustafa AU - Kaplangoray M AD - Mehmet Akif Inan Training and Research Hospital, Sanliurfa, Turkey. FAU - Palice, Ali AU - Palice A AD - Mehmet Akif Inan Training and Research Hospital, Sanliurfa, Turkey. FAU - Tascanov, Mustafa Begenc AU - Tascanov MB AD - Department of Cardiology, Faculty of Medicine, Harran University, Sanliurfa, Turkey. FAU - Altiparmak, Ibrahim Halil AU - Altiparmak IH AD - Department of Cardiology, Faculty of Medicine, Harran University, Sanliurfa, Turkey. FAU - Bicer, Asuman AU - Bicer A AD - Department of Cardiology, Faculty of Medicine, Harran University, Sanliurfa, Turkey. FAU - Demirbag, Recep AU - Demirbag R AD - Department of Cardiology, Faculty of Medicine, Harran University, Sanliurfa, Turkey. LA - eng PT - Journal Article DEP - 20221027 PL - England TA - Acta Clin Belg JT - Acta clinica Belgica JID - 0370306 RN - 0 (Ectodysplasins) SB - IM MH - Humans MH - *Coronary Artery Disease/complications MH - *ST Elevation Myocardial Infarction/complications MH - Ectodysplasins MH - *Diabetes Mellitus, Type 2/complications MH - *Insulin Resistance MH - Risk Factors MH - Treatment Outcome OTO - NOTNLM OT - Ectodysplasin A OT - Hepatokine OT - Long-term clinical outcome OT - ST elevation myocardial infarction OT - coronary artery disease EDAT- 2022/10/28 06:00 MHDA- 2023/06/12 06:42 CRDT- 2022/10/27 04:22 PHST- 2023/06/12 06:42 [medline] PHST- 2022/10/28 06:00 [pubmed] PHST- 2022/10/27 04:22 [entrez] AID - 10.1080/17843286.2022.2140246 [doi] PST - ppublish SO - Acta Clin Belg. 2023 Aug;78(4):270-279. doi: 10.1080/17843286.2022.2140246. Epub 2022 Oct 27.