MedPath

CTRP3 and Progranulin in Patients With Coronary Artery Disease

Completed
Conditions
Coronary Artery Disease
Registration Number
NCT01869816
Lead Sponsor
Korea University
Brief Summary

Visceral obesity is the one of the major causes of cardiovascular morbidity and mortality in industrialized countries. Adipose tissue secretes various kinds of bioactive molecules termed adipokines which contribute to the development of obesity-related disorders including cardiovascular disease (CVD). Progranulin and CTRP3 are recently discovered novel adipokines. Therefore, the investigators tried to compare circulating CTRP-3 and progranulin levels in patients with CAD and investigated whether CTRP-3 or progranulin is significantly associated with CAD prevalence after adjustment for well-known CAD risk factors.

Detailed Description

CTRP-3 (synonyms CORS-26, cartducin and cartonectin) is a potent anti-inflammatory adipokine that inhibits proinflammatory pathways in monocytes and adipocytes. Using a recently developed enzymelinked immunosorbent assay (ELISA), we reported that circulating CTRP-3 levels were elevated in patients with glucose metabolism dysregulation.

Progranulin was identified as a key adipokine mediating high fat diet-induced insulin resistance and obesity through interleukin-6 (IL-6) in adipose tissue. We previously reported that progranulin levels were significantly higher in individuals with type 2 diabetes and were associated with macrophage infiltration in omental adipose tissue. Moreover, the expression of progranulin reduces inflammation and its degradation into granulins peptides enhances inflammation in atherosclerotic plaque, which may contribute to the progression of atherosclerosis There has been no previous report on the implication of CTRP-3 or progranulin in humans with cardiovascular disease (CAD). In the present study, we compared circulating CTRP-3 and progranulin levels in patients with CAD and investigated whether CTRP-3 or progranulin is significantly associated with CAD prevalence after adjustment for well known CAD risk factors.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
362
Inclusion Criteria
  • acute myocardial infarction
  • unstable angina
  • stable angina pectoris
Exclusion Criteria

For control group, we exclude the participants who had

  • a history of CVD (myocardial infarction, unstable angina, stroke, or cardiovascular revascularization)
  • type 2 diabetes
  • stage 2 hypertension (resting blood pressure, ≥160/100 mmHg)
  • malignancy
  • severe renal or hepatic disease

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
CTRP316 months

CTRP3 (ng/ml)

Secondary Outcome Measures
NameTimeMethod
LDL cholesterol16 months

LDL (mg/dl)

hsCRP16 months

hsCRP (mg/dl)

creatinine16 months

creatinine (mg/dl)

SBP16 months

SBP (mmHg)

Trial Locations

Locations (1)

Korea University Guro Hospital Dept. of Endocrinology

🇰🇷

Seoul, Korea, Republic of

© Copyright 2025. All Rights Reserved by MedPath