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Blood:高血浆GDF-15水平与静脉血栓栓塞风险增加相关

2020-08-19 MedSci原创 MedSci原创

高GDF-15水平与静脉血栓栓塞风险增加强烈相关;孟德尔随机分析显示,GDF-15是静脉血栓栓塞的风险标志物,而不是致病风险因子。

中心点:

高GDF-15水平与静脉血栓栓塞风险增加强烈相关;

孟德尔随机分析显示,GDF-15是静脉血栓栓塞的风险标志物,而不是致病风险因子。

摘要:

生长分化因子15(GDF-15)是炎症和氧化应激的标志物,已成为动脉血管疾病的生物标志物。然而,GDF-15和静脉血栓栓塞(VTE)之间的关系仍不确定。

因此,Hansen等调查了血浆GDF-15水平与未来发生静脉血栓栓塞的风险之间的关系,并使用孟德尔随机化(MR)方法探索了其因果关系的可能性。

这是一项基于人群的嵌套病例对照研究,招募了416名静脉血栓栓塞患者和848名来自Tromsø 研究的年龄和性别匹配的对照。Logistic回归用于计算GDF-15四分位数间静脉血栓栓塞的优势比(OR)。

结果发现,VTE的OR值在GDF-15四分位数中增加(趋势P=0.002)。在年龄和性别调整的模型中,GDF15值位于最高四分位数(≥358pg/mL)的受试者与GDF15值位于最低四分位数(<200pg/mL)的受试者相比,发生VTE的OR为2.05(95%CI 1.3 7~3.08)。在进一步校正体重指数、吸烟、激素治疗、体力活动和C反应蛋白后,ORS基本上保持不变。在诱发/非诱发事件、深静脉血栓形成和肺栓塞方面也有类似的结果。与SNPs预测的一致,在MR中,GDF-15水平与VTE无关。

本研究结果表明,高GDF-15水平与VTE风险增加相关,但孟德尔随机分析提示这种联系不是因果关系。

原始出处:

Hansen Ellen-Sofie,Hindberg Kristian,Latysheva Nadezhda et al. Plasma levels of growth differentiation factor 15 are associated with future risk of venous thromboembolism. Blood, 2020.

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    2020-11-07 fusion
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    2021-04-13 ms4000000902214885

    好用🧐

    0

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    2021-08-04 xue8602
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    2020-08-19 曲流觞

    1

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