5.4 MATRIX GLA PROTEIN IN RELATION TO LEFT VENTRICULAR DIASTOLIC FUNCTION
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- 10.1016/j.artres.2015.10.029How to use a DOI?
- Abstract
Introduction: Matrix Gla Protein (MGP) is highly expressed in cardiomyocytes and is upregulated after acute and chronic pressure overload and in myocardial hypertrophy in mice and humans. However, no study addressed the relation between cardiac function and MGP in humans.
Methods and results: In 767 participants randomly recruited from the Flemish population (51.5% women, mean age 50.6 years), we measured circulating levels of nonphosphorylated and uncarboxylated MGP (dp-ucMGP) and recorded early and late diastolic peak velocities of mitral inflow (E and A) by conventional Doppler and the mitral annular velocities (e′ and a′) by tissue Doppler imaging. Using principal component analysis, we summarized 7 Doppler indexes - namely, E, A, e′ and a′ velocities, and their ratios (E/A, e′/a′, and E/e′) - into a single diastolic score. According to published definitions, 73 (9.5%) participants had impaired relaxation and 114 (14.9%) had elevated LV filling pressure. In the continuous analysis, a doubling of dp-ucMGP is associated with a 6.9% increase in the diastolic score (95% CI 2.7–10.6, P < 0.001). No association was seen between systolic function and dp_ucMGP. Multivariable-adjusted odds ratio for a doubling of dp-ucMGP was 0.70 (95% CI 0.50–0.98; P = 0.038) for having elevated LV filling pressure. No significant association was seen between impaired relaxation and dp-ucMGP.
Conclusion: Higher circulating levels of dp-ucMGP are associated with better LV diastolic function. Pending confirmation in other cohorts and further experimental studies are required to translate our epidemiological findings into underlying molecular mechanisms.
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TY - JOUR AU - Thibault Petit* AU - Zhen-Yu Zhang AU - Wen-Yi Yang AU - Fang-Fei Wei AU - Yu-Mei Gu AU - Juditha Knez AU - Nicholas Cauwenberghs AU - Yan-Ping Liu AU - Nadja Drummen AU - Lotte Jacobs AU - Lutgarde Thijs AU - Tatiana Kuznetsova AU - Stefan Janssens AU - Cees Vermeer AU - Jan A. Staessen PY - 2015 DA - 2015/11/23 TI - 5.4 MATRIX GLA PROTEIN IN RELATION TO LEFT VENTRICULAR DIASTOLIC FUNCTION JO - Artery Research SP - 46 EP - 46 VL - 12 IS - C SN - 1876-4401 UR - https://doi.org/10.1016/j.artres.2015.10.029 DO - 10.1016/j.artres.2015.10.029 ID - Petit*2015 ER -