硒、硒蛋白与10年心血管风险:来自ATTICA研究的结果

IF 2.8 3区 医学 Q2 PERIPHERAL VASCULAR DISEASE
Paraskevi Detopoulou, Sophia Letsiou, Tzortzis Nomikos, Alexandros Karagiannis, Spiros A Pergantis, Christos Pitsavos, Demosthenes B Panagiotakos, Smaragdi Antonopoulou
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引用次数: 0

摘要

背景:硒(Se)是人体必需的微量元素,参与多种病理生理功能。硒与心血管疾病的关系仍然没有定论,特别是关于不同硒种类的作用。目的:本研究在ATTICA前瞻性研究中评估血浆硒蛋白(谷胱甘肽过氧化物酶3 (GPx3)、硒蛋白P (SelP)和硒白蛋白(SeAlb))中的硒分布水平和硒蛋白中硒总含量与10年心血管风险的关系。方法:考虑来自ATTICA研究数据库的子样本,由278名受试者(114名女性和164名男性)组成,具有硒和硒蛋白水平的数据。采用高效液相色谱(HPLC)和电感耦合等离子体质谱(ICP-MS)同时测定人血浆中的SeGPx3、SelP和SeAlb。随访时间为8.74±2.36年(平均±标准差),记录心血管结局。采用Cox比例风险模型,以总硒或硒蛋白硒为自变量,对多个协变量进行调整。结果:硒蛋白中的总硒与心血管疾病的10年相对风险呈正相关(风险比为3 / 2,95% CI:1.15, 92.34)。高硒但低SeGPx3的受试者,通过SeGPx3和Se分布的不一致百分位数来确定,心血管风险更高。结论:在本研究中,循环硒蛋白对心血管疾病风险的不同影响提示了特定硒蛋白氧化还原调节的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Selenium, Selenoproteins and 10-year Cardiovascular Risk: Results from the ATTICA Study.

Background: Selenium (Se) is an essential trace element that is involved in several pathophysiological functions. The relationship of Se with cardiovascular disease remains inconclusive, especially regarding the role of different selenospecies.

Objective: The present study assessed the levels of Se distribution in plasma selenoproteins, namely glutathione peroxidase 3 (GPx3), selenoprotein P (SelP) and selenoalbumin (SeAlb) and total Se in selenoproteins in relation to 10-year cardiovascular risk in the ATTICA prospective study.

Methods: A sub-sample from the ATTICA Study's database, consisting of 278 subjects (114 women and 164 men) with data on Se and selenoproteins levels, was considered. SeGPx3, SelP, and SeAlb in human plasma were simultaneously determined by high-performance liquid chromatography (HPLC) coupled with inductively coupled plasma mass spectrometry (ICP-MS) at baseline. The duration of the follow-up was 8.74 ±2.36 years (mean± standard deviation) and cardiovascular outcomes were recorded. Cox proportional hazards models were applied with total Se or selenoprotein Se as independent variables adjusted for several covariates.

Results: Total Se in selenoproteins was positively related to 10-year relative risk of cardiovascular disease (Hazard Ratios of 3rd vs 2nd tertile 10.02, 95% CI:1.15, 92.34). Subjects with high Se but low SeGPx3, as identified by discordant percentiles in the distribution of SeGPx3 and Se, had a higher cardiovascular risk.

Conclusion: The differentiated effects of circulating selenoproteins on cardiovascular disease risk in the present study, suggest the importance of redox regulation by specific selenoproteins.

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来源期刊
Current vascular pharmacology
Current vascular pharmacology 医学-外周血管病
CiteScore
9.20
自引率
4.40%
发文量
54
审稿时长
6-12 weeks
期刊介绍: Current Vascular Pharmacology publishes clinical and research-based reviews/mini-reviews, original research articles, letters, debates, drug clinical trial studies and guest edited issues to update all those concerned with the treatment of vascular disease, bridging the gap between clinical practice and ongoing research. Vascular disease is the commonest cause of death in Westernized countries and its incidence is on the increase in developing countries. It follows that considerable research is directed at establishing effective treatment for acute vascular events. Long-term treatment has also received considerable attention (e.g. for symptomatic relief). Furthermore, effective prevention, whether primary or secondary, is backed by the findings of several landmark trials. Vascular disease is a complex field with primary care physicians and nurse practitioners as well as several specialties involved. The latter include cardiology, vascular and cardio thoracic surgery, general medicine, radiology, clinical pharmacology and neurology (stroke units).
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