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2016 ; 5
(7
): ä Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Circulating N-Linked Glycoprotein Side-Chain Biomarker, Rosuvastatin Therapy, and
Incident Cardiovascular Disease: An Analysis From the JUPITER Trial
#MMPMID27413042
Akinkuolie AO
; Glynn RJ
; Padmanabhan L
; Ridker PM
; Mora S
J Am Heart Assoc
2016[Jul]; 5
(7
): ä PMID27413042
show ga
BACKGROUND: GlycA, a novel protein glycan biomarker of N-acetyl side chains of
acute-phase proteins, was recently associated with incident cardiovascular
disease (CVD) in healthy women. Whether GlycA predicts CVD events in the setting
of statin therapy in men and women without CVD but with evidence of chronic
inflammation is unknown. METHODS AND RESULTS: In the Justfication for the Use of
Statins in Prevention: an Intervention Trial Evaluating Rosuvastatin (JUPITER)
trial (NCT00239681), participants with low-density lipoprotein cholesterol
<130 mg/dL and high-sensitivity C-reactive protein (hsCRP) ?2 mg/L were
randomized to rosuvastatin 20 mg/day or placebo. GlycA was quantified by nuclear
magnetic resonance spectroscopy in 12 527 before randomization and 10 039
participants at 1 year. A total of 310 first primary CVD events occurred during
maximum follow-up of 5.0 years (median, 1.9). GlycA changed minimally after
1 year on study treatment: 6.8% and 4.7% decrease in the rosuvastatin and placebo
groups, respectively. Overall, baseline GlycA levels were associated with
increased risk of CVD: multivariable-adjusted hazard ratio (HR) per SD increment,
1.20 (95% CI, 1.08-1.34; P=0.0006). After additionally adjusting for hsCRP, this
was slightly attenuated (HR, 1.18; 95% CI, 1.04-1.35; P=0.01). On-treatment GlycA
levels were also associated with CVD; corresponding multivariable-adjusted HRs
per SD before and after additionally adjusting for hsCRP: 1.27 (95% CI,
1.13-1.42; P<0.0001) and 1.24 (95% CI, 1.07-1.44; P=0.004), respectively. Tests
for heterogeneity by treatment arm were not significant (P for interaction,
>0.20). CONCLUSION: In the JUPITER trial, increased levels of GlycA were
associated with an increased risk of CVD events independent of traditional risk
factors and hsCRP. CLINICAL TRIALS REGISTRATION: URL:
http://www.clinicaltrials.gov. Unique identifier: NCT00239681.
|Acetylglucosamine/*blood
[MESH]
|Aged
[MESH]
|Anticholesteremic Agents/*therapeutic use
[MESH]
|Biomarkers/blood
[MESH]
|C-Reactive Protein/analysis
[MESH]
|Cardiovascular Diseases/*blood/diagnosis/prevention & control
[MESH]