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Peng LN, Chou MY, Liang CK, Lee WJ, Kojima T, Lin MH, Loh CH, Chen LK. Association between serum activin A and metabolic syndrome in older adults: Potential of activin A as a biomarker of cardiometabolic disease. Exp Gerontol 2018; 111:197-202. [PMID: 30071284 DOI: 10.1016/j.exger.2018.07.020] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2018] [Revised: 06/18/2018] [Accepted: 07/28/2018] [Indexed: 12/11/2022]
Abstract
Cardiovascular disease imposes substantial burdens of morbidity and mortality that increase with population aging. Estimating cardiometabolic risk accurately and expediently is challenging, and no single biomarker is satisfactory; hence, we investigated the potential of serum activin A for this purpose. Study data were collected from 433 community-dwelling adults age ≥53 years from Yilan County, Taiwan. Data included: demographics and medical history; physical measurements (blood pressure, body mass index, waist circumference); comprehensive functional assessments (frailty, cognitive function, depressive symptoms, nutritional status); fasting blood biochemistry (glucose, high-density lipoprotein cholesterol, triglycerides, high-sensitivity C-reactive protein, insulin-like growth factor-1, activin A, stratified into high, medium and low tertiles, and others); and dual-energy X-ray absorptiometry. Metabolic syndrome was considered a proxy for overall cardiometabolic risk. Subjects mean age was 69.3 ± 9.2 years, 48.3% were males. Compared to women, men had higher systolic blood pressure, education levels, relative appendicular skeletal muscle mass, waist circumference, physical activity, walking speed, free androgen index, and levels of serum uric acid, alanine aminotransferase, and dehydroepiandrosterone sulfate. High activin A was significantly associated with age, relative appendicular skeletal muscle mass in both gender, waist circumference in women, current alcohol drinking, hypertension, and Charlson Comorbidity Index. There were dose-dependent relationships (low to high) between serum activin A and frailty, cognitive impairment, malnutrition, metabolic syndrome, uric acid, and high-sensitivity C-reactive protein. Logistic regression analyses showed older age, serum uric acid, and metabolic syndrome were significantly associated with medium and high activin-A status, whereas, skeletal muscle mass, insulin-like growth factor-1 and dehydroepiandrosterone sulphate were associated with high, but not medium, serum activin A. This discovery of a dose-dependent association between serum activin A levels, age, and metabolic syndrome, suggests activin A may be a biomarker of overall cardiometabolic risk; however, further studies are needed to evaluate its potential applications in assessing and managing cardiometabolic risk.
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Affiliation(s)
- Li-Ning Peng
- Department of Geriatric Medicine, National Yang Ming University School of Medicine, 115, Sec. 2, Linong St., Taipei 11221, Taiwan; Aging and Health Research Center, National Yang Ming University, 155, Sec. 2, Linong St., Taipei 11221, Taiwan; Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Rd., Taipei 11217, Taiwan
| | - Ming-Yueh Chou
- Department of Geriatric Medicine, National Yang Ming University School of Medicine, 115, Sec. 2, Linong St., Taipei 11221, Taiwan; Aging and Health Research Center, National Yang Ming University, 155, Sec. 2, Linong St., Taipei 11221, Taiwan; Center for Geriatrics and Gerontology, Kaohsiung Veterans General Hospital, 386 Ta-Chun 1st Rd., Kaohsiung 81362, Taiwan
| | - Chih-Kuang Liang
- Department of Geriatric Medicine, National Yang Ming University School of Medicine, 115, Sec. 2, Linong St., Taipei 11221, Taiwan; Aging and Health Research Center, National Yang Ming University, 155, Sec. 2, Linong St., Taipei 11221, Taiwan; Center for Geriatrics and Gerontology, Kaohsiung Veterans General Hospital, 386 Ta-Chun 1st Rd., Kaohsiung 81362, Taiwan
| | - Wei-Ju Lee
- Department of Geriatric Medicine, National Yang Ming University School of Medicine, 115, Sec. 2, Linong St., Taipei 11221, Taiwan; Aging and Health Research Center, National Yang Ming University, 155, Sec. 2, Linong St., Taipei 11221, Taiwan; Department of Family Medicine, Taipei Veterans General Hospital Yuanshan Branch, 386 Rongguang Rd., Yuanshan Township, YiLan County 264, Taiwan
| | - Taro Kojima
- Department of Geriatric Medicine, Graduate Institute of Medicine, The University of Tokyo, 7-3-1 Jongo, Bunkyo-ku, Tokyo 113-8655, Japan
| | - Ming-Hsien Lin
- Department of Geriatric Medicine, National Yang Ming University School of Medicine, 115, Sec. 2, Linong St., Taipei 11221, Taiwan; Aging and Health Research Center, National Yang Ming University, 155, Sec. 2, Linong St., Taipei 11221, Taiwan; Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Rd., Taipei 11217, Taiwan
| | - Ching-Hui Loh
- Department of Geriatric Medicine, National Yang Ming University School of Medicine, 115, Sec. 2, Linong St., Taipei 11221, Taiwan; Aging and Health Research Center, National Yang Ming University, 155, Sec. 2, Linong St., Taipei 11221, Taiwan; Center for Aging and Health, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, 707, Sec. 3, Chung Yang Rd., Hualien 970, Taiwan
| | - Liang-Kung Chen
- Department of Geriatric Medicine, National Yang Ming University School of Medicine, 115, Sec. 2, Linong St., Taipei 11221, Taiwan; Aging and Health Research Center, National Yang Ming University, 155, Sec. 2, Linong St., Taipei 11221, Taiwan; Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Rd., Taipei 11217, Taiwan.
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Bornachea O, Vea A, Llorente-Cortes V. Interplay between epicardial adipose tissue, metabolic and cardiovascular diseases. CLINICA E INVESTIGACION EN ARTERIOSCLEROSIS 2018; 30:230-239. [PMID: 29903689 DOI: 10.1016/j.arteri.2018.03.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/29/2017] [Revised: 02/24/2018] [Accepted: 03/19/2018] [Indexed: 01/26/2023]
Abstract
Cardiovascular disease is the primary cause of death in obese and diabetic patients. In these groups of patients, the alterations of epicardial adipose tissue (EAT) contribute to both vascular and myocardial dysfunction. Therefore, it is of clinical interest to determine the mechanisms by which EAT influences cardiovascular disease. Two key factors contribute to the tight intercommunication among EAT, coronary arteries and myocardium. One is the close anatomical proximity between these tissues. The other is the capacity of EAT to secrete cytokines and other molecules with paracrine and vasocrine effects on the cardiovascular system. Epidemiological studies have demonstrated that EAT thickness is associated with not only metabolic syndrome but also atherosclerosis and heart failure. The evaluation of EAT using imaging modalities, although effective, presents several disadvantages including radiation exposure, limited availability and elevated costs. Therefore, there is a clinical interest in EAT as a source of new biomarkers of cardiovascular and endocrine alterations. In this review, we revise the mechanisms involved in the protective and pathological role of EAT and present the molecules released by EAT with greater potential to become biomarkers of cardiometabolic alterations.
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Affiliation(s)
- Olga Bornachea
- Institute of Biomedical Research IIB-Sant Pau, Barcelona, Spain; Institute of Biomedical Research of Barcelona (IibB)-CSIC, Barcelona, Spain
| | - Angela Vea
- Institute of Biomedical Research IIB-Sant Pau, Barcelona, Spain
| | - Vicenta Llorente-Cortes
- Institute of Biomedical Research IIB-Sant Pau, Barcelona, Spain; Institute of Biomedical Research of Barcelona (IibB)-CSIC, Barcelona, Spain; CIBERCV, Instituto de Salud Carlos III, Madrid, Spain.
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Schwaiberger AV, Heiss EH, Cabaravdic M, Oberan T, Zaujec J, Schachner D, Uhrin P, Atanasov AG, Breuss JM, Binder BR, Dirsch VM. Indirubin-3′-Monoxime Blocks Vascular Smooth Muscle Cell Proliferation by Inhibition of Signal Transducer and Activator of Transcription 3 Signaling and Reduces Neointima Formation In Vivo. Arterioscler Thromb Vasc Biol 2010; 30:2475-81. [DOI: 10.1161/atvbaha.110.212654] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- Andrea V. Schwaiberger
- From the Department of Pharmacognosy, University of Vienna, A-1090 Vienna, Austria (A.V.S., E.H.H., T.O., D.S., A.G.A., V. M. D.); Department of Vascular Biology and Thrombosis Research, Medical University of Vienna, A-1090 Vienna, Austria (M.C., J.Z., P.U., J.M.B., B.R.B.). Dr Binder died on August 28, 2010. Dr Schwaiberger and Dr Heiss contributed equally to this work
| | - Elke H. Heiss
- From the Department of Pharmacognosy, University of Vienna, A-1090 Vienna, Austria (A.V.S., E.H.H., T.O., D.S., A.G.A., V. M. D.); Department of Vascular Biology and Thrombosis Research, Medical University of Vienna, A-1090 Vienna, Austria (M.C., J.Z., P.U., J.M.B., B.R.B.). Dr Binder died on August 28, 2010. Dr Schwaiberger and Dr Heiss contributed equally to this work
| | - Muris Cabaravdic
- From the Department of Pharmacognosy, University of Vienna, A-1090 Vienna, Austria (A.V.S., E.H.H., T.O., D.S., A.G.A., V. M. D.); Department of Vascular Biology and Thrombosis Research, Medical University of Vienna, A-1090 Vienna, Austria (M.C., J.Z., P.U., J.M.B., B.R.B.). Dr Binder died on August 28, 2010. Dr Schwaiberger and Dr Heiss contributed equally to this work
| | - Tina Oberan
- From the Department of Pharmacognosy, University of Vienna, A-1090 Vienna, Austria (A.V.S., E.H.H., T.O., D.S., A.G.A., V. M. D.); Department of Vascular Biology and Thrombosis Research, Medical University of Vienna, A-1090 Vienna, Austria (M.C., J.Z., P.U., J.M.B., B.R.B.). Dr Binder died on August 28, 2010. Dr Schwaiberger and Dr Heiss contributed equally to this work
| | - Jan Zaujec
- From the Department of Pharmacognosy, University of Vienna, A-1090 Vienna, Austria (A.V.S., E.H.H., T.O., D.S., A.G.A., V. M. D.); Department of Vascular Biology and Thrombosis Research, Medical University of Vienna, A-1090 Vienna, Austria (M.C., J.Z., P.U., J.M.B., B.R.B.). Dr Binder died on August 28, 2010. Dr Schwaiberger and Dr Heiss contributed equally to this work
| | - Daniel Schachner
- From the Department of Pharmacognosy, University of Vienna, A-1090 Vienna, Austria (A.V.S., E.H.H., T.O., D.S., A.G.A., V. M. D.); Department of Vascular Biology and Thrombosis Research, Medical University of Vienna, A-1090 Vienna, Austria (M.C., J.Z., P.U., J.M.B., B.R.B.). Dr Binder died on August 28, 2010. Dr Schwaiberger and Dr Heiss contributed equally to this work
| | - Pavel Uhrin
- From the Department of Pharmacognosy, University of Vienna, A-1090 Vienna, Austria (A.V.S., E.H.H., T.O., D.S., A.G.A., V. M. D.); Department of Vascular Biology and Thrombosis Research, Medical University of Vienna, A-1090 Vienna, Austria (M.C., J.Z., P.U., J.M.B., B.R.B.). Dr Binder died on August 28, 2010. Dr Schwaiberger and Dr Heiss contributed equally to this work
| | - Atanas G. Atanasov
- From the Department of Pharmacognosy, University of Vienna, A-1090 Vienna, Austria (A.V.S., E.H.H., T.O., D.S., A.G.A., V. M. D.); Department of Vascular Biology and Thrombosis Research, Medical University of Vienna, A-1090 Vienna, Austria (M.C., J.Z., P.U., J.M.B., B.R.B.). Dr Binder died on August 28, 2010. Dr Schwaiberger and Dr Heiss contributed equally to this work
| | - Johannes M. Breuss
- From the Department of Pharmacognosy, University of Vienna, A-1090 Vienna, Austria (A.V.S., E.H.H., T.O., D.S., A.G.A., V. M. D.); Department of Vascular Biology and Thrombosis Research, Medical University of Vienna, A-1090 Vienna, Austria (M.C., J.Z., P.U., J.M.B., B.R.B.). Dr Binder died on August 28, 2010. Dr Schwaiberger and Dr Heiss contributed equally to this work
| | - Bernd R. Binder
- From the Department of Pharmacognosy, University of Vienna, A-1090 Vienna, Austria (A.V.S., E.H.H., T.O., D.S., A.G.A., V. M. D.); Department of Vascular Biology and Thrombosis Research, Medical University of Vienna, A-1090 Vienna, Austria (M.C., J.Z., P.U., J.M.B., B.R.B.). Dr Binder died on August 28, 2010. Dr Schwaiberger and Dr Heiss contributed equally to this work
| | - Verena M. Dirsch
- From the Department of Pharmacognosy, University of Vienna, A-1090 Vienna, Austria (A.V.S., E.H.H., T.O., D.S., A.G.A., V. M. D.); Department of Vascular Biology and Thrombosis Research, Medical University of Vienna, A-1090 Vienna, Austria (M.C., J.Z., P.U., J.M.B., B.R.B.). Dr Binder died on August 28, 2010. Dr Schwaiberger and Dr Heiss contributed equally to this work
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