Anti-Apolipoprotein A-1 IgG Levels Predict Coronary Artery Calcification in Obese but Otherwise Healthy Individuals

We aimed at determining whether anti-apolipoprotein (apo) A-1 IgG levels are independent predictors of coronary artery calcification (CAC) and coronary endothelial dysfunction in obese and nonobese subjects without cardiovascular disease. 48 nonobese and 43 obese subjects were included. CAC score wa...

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Main Authors: Alessandra Quercioli, Fabrizio Montecucco, Katia Galan, Osman Ratib, Pascale Roux-Lombard, Sabrina Pagano, François Mach, Thomas H. Schindler, Nicolas Vuilleumier
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/243158
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author Alessandra Quercioli
Fabrizio Montecucco
Katia Galan
Osman Ratib
Pascale Roux-Lombard
Sabrina Pagano
François Mach
Thomas H. Schindler
Nicolas Vuilleumier
author_facet Alessandra Quercioli
Fabrizio Montecucco
Katia Galan
Osman Ratib
Pascale Roux-Lombard
Sabrina Pagano
François Mach
Thomas H. Schindler
Nicolas Vuilleumier
author_sort Alessandra Quercioli
collection DOAJ
description We aimed at determining whether anti-apolipoprotein (apo) A-1 IgG levels are independent predictors of coronary artery calcification (CAC) and coronary endothelial dysfunction in obese and nonobese subjects without cardiovascular disease. 48 nonobese and 43 obese subjects were included. CAC score was measured by thorax scanner and defined by an Agatston score > 0. Coronary endothelial dysfunction was determined by measuring myocardial blood flow responses to cold pressor test (CPT) on PET/CT. Serum anti-apoA-1 IgG levels were measured by ELISA. Prevalence of coronary calcification was similar between the two study groups, but the prevalence of coronary endothelial dysfunction was higher in obese subjects. Anti-apoA-1 IgG levels and positivity rate were higher in obese than in nonobese individuals. CAC score was higher in anti-apoA-1 IgG positive subjects. ROC analyses indicated that anti-apoA-1 IgG levels were significant predictors of CAC > 0, but not of coronary endothelial dysfunction with a negative predictive value of 94%. Anti-apoA-1 IgG positivity was associated with a 17-fold independent increased risk of CAC > 0. In conclusion, those preliminary results indicate that anti-apoA-1 IgG autoantibodies are raised in obese subjects and independently predict the presence of coronary calcification in this population but not the presence of coronary endothelial dysfunction.
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spelling doaj-art-ad60ec3a493b4d62a4f562c2fed7ade82025-02-03T05:44:06ZengWileyMediators of Inflammation0962-93511466-18612012-01-01201210.1155/2012/243158243158Anti-Apolipoprotein A-1 IgG Levels Predict Coronary Artery Calcification in Obese but Otherwise Healthy IndividualsAlessandra Quercioli0Fabrizio Montecucco1Katia Galan2Osman Ratib3Pascale Roux-Lombard4Sabrina Pagano5François Mach6Thomas H. Schindler7Nicolas Vuilleumier8Division of Cardiology, Department of Medical Specialties, Geneva University Hospitals and University of Geneva, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva, SwitzerlandDivision of Cardiology, Department of Medical Specialties, Geneva University Hospitals and University of Geneva, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva, SwitzerlandDivision of Cardiology, Department of Medical Specialties, Geneva University Hospitals and University of Geneva, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva, SwitzerlandDivision of Nuclear Medicine, Geneva University Hospitals, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva, SwitzerlandDivision of Laboratory Medicine, Department of Genetics and Laboratory Medicine, Geneva University Hospitals, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva, SwitzerlandDivision of Laboratory Medicine, Department of Genetics and Laboratory Medicine, Geneva University Hospitals, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva, SwitzerlandDivision of Cardiology, Department of Medical Specialties, Geneva University Hospitals and University of Geneva, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva, SwitzerlandDivision of Cardiology, Department of Medical Specialties, Geneva University Hospitals and University of Geneva, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva, SwitzerlandDivision of Laboratory Medicine, Department of Genetics and Laboratory Medicine, Geneva University Hospitals, 4 Rue Gabrielle Perret-Gentil, 1211 Geneva, SwitzerlandWe aimed at determining whether anti-apolipoprotein (apo) A-1 IgG levels are independent predictors of coronary artery calcification (CAC) and coronary endothelial dysfunction in obese and nonobese subjects without cardiovascular disease. 48 nonobese and 43 obese subjects were included. CAC score was measured by thorax scanner and defined by an Agatston score > 0. Coronary endothelial dysfunction was determined by measuring myocardial blood flow responses to cold pressor test (CPT) on PET/CT. Serum anti-apoA-1 IgG levels were measured by ELISA. Prevalence of coronary calcification was similar between the two study groups, but the prevalence of coronary endothelial dysfunction was higher in obese subjects. Anti-apoA-1 IgG levels and positivity rate were higher in obese than in nonobese individuals. CAC score was higher in anti-apoA-1 IgG positive subjects. ROC analyses indicated that anti-apoA-1 IgG levels were significant predictors of CAC > 0, but not of coronary endothelial dysfunction with a negative predictive value of 94%. Anti-apoA-1 IgG positivity was associated with a 17-fold independent increased risk of CAC > 0. In conclusion, those preliminary results indicate that anti-apoA-1 IgG autoantibodies are raised in obese subjects and independently predict the presence of coronary calcification in this population but not the presence of coronary endothelial dysfunction.http://dx.doi.org/10.1155/2012/243158
spellingShingle Alessandra Quercioli
Fabrizio Montecucco
Katia Galan
Osman Ratib
Pascale Roux-Lombard
Sabrina Pagano
François Mach
Thomas H. Schindler
Nicolas Vuilleumier
Anti-Apolipoprotein A-1 IgG Levels Predict Coronary Artery Calcification in Obese but Otherwise Healthy Individuals
Mediators of Inflammation
title Anti-Apolipoprotein A-1 IgG Levels Predict Coronary Artery Calcification in Obese but Otherwise Healthy Individuals
title_full Anti-Apolipoprotein A-1 IgG Levels Predict Coronary Artery Calcification in Obese but Otherwise Healthy Individuals
title_fullStr Anti-Apolipoprotein A-1 IgG Levels Predict Coronary Artery Calcification in Obese but Otherwise Healthy Individuals
title_full_unstemmed Anti-Apolipoprotein A-1 IgG Levels Predict Coronary Artery Calcification in Obese but Otherwise Healthy Individuals
title_short Anti-Apolipoprotein A-1 IgG Levels Predict Coronary Artery Calcification in Obese but Otherwise Healthy Individuals
title_sort anti apolipoprotein a 1 igg levels predict coronary artery calcification in obese but otherwise healthy individuals
url http://dx.doi.org/10.1155/2012/243158
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