Article ; Online: Non-alcoholic fatty liver disease biomarkers estimate cardiovascular risk based on coronary artery calcium score in type 2 diabetes: a cross-sectional study with two independent cohorts.
2024 Volume 23, Issue 1, Page(s) 69
Abstract: Background: Studies have demonstrated that coronary artery calcification on one hand and non-alcoholic fatty liver disease (NAFLD) on the other hand are strongly associated with cardiovascular events. However, it remains unclear whether NAFLD biomarkers ...
Abstract | Background: Studies have demonstrated that coronary artery calcification on one hand and non-alcoholic fatty liver disease (NAFLD) on the other hand are strongly associated with cardiovascular events. However, it remains unclear whether NAFLD biomarkers could help estimate cardiovascular risk in individuals with type 2 diabetes (T2D). The primary objective of the present study was to investigate whether the biomarkers of NAFLD included in the FibroMax® panels are associated with the degree of coronary artery calcification in patients with T2D. Methods: A total of 157 and 460 patients with T2D were included from the DIACART and ACCoDiab cohorts, respectively. The coronary artery calcium score (CACS) was measured in both cohorts using computed tomography. FibroMax® panels (i.e., SteatoTest®, FibroTest®, NashTest®, and ActiTest®) were determined from blood samples as scores and stages in the DIACART cohort and as stages in the ACCoDiab cohort. Results: CACS significantly increased with the FibroTest® stages in both the DIACART and ACCoDiab cohorts (p-value for trend = 0.0009 and 0.0001, respectively). In DIACART, the FibroTest® score was positively correlated with CACS in univariate analysis (r = 0.293, p = 0.0002) and remained associated with CACS independently of the traditional cardiovascular risk factors included in the SCORE2-Diabetes model [β = 941 ± 425 (estimate ± standard error), p = 0.028]. In the ACCoDiab cohort, the FibroTest® F3-F4 stage was positively correlated with CACS in point-biserial analysis (r Conclusions: FibroTest® is independently and positively associated with the degree of coronary artery calcification in patients with T2D, suggesting that FibroTest® could be a relevant biomarker of coronary calcification and cardiovascular risk. Trial registration: ClinicalTrials.gov identifiers NCT02431234 and NCT03920683. |
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MeSH term(s) | Humans ; Biomarkers ; Calcium ; Cardiovascular Diseases/complications ; Coronary Artery Disease/diagnostic imaging ; Coronary Artery Disease/epidemiology ; Cross-Sectional Studies ; Diabetes Mellitus, Type 2/complications ; Diabetes Mellitus, Type 2/diagnosis ; Diabetes Mellitus, Type 2/epidemiology ; Heart Disease Risk Factors ; Non-alcoholic Fatty Liver Disease/diagnosis ; Non-alcoholic Fatty Liver Disease/epidemiology ; Risk Factors ; Vascular Calcification/diagnostic imaging ; Vascular Calcification/epidemiology |
Chemical Substances | Biomarkers ; Calcium (SY7Q814VUP) |
Language | English |
Publishing date | 2024-02-13 |
Publishing country | England |
Document type | Clinical Study ; Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2093769-6 |
ISSN | 1475-2840 ; 1475-2840 |
ISSN (online) | 1475-2840 |
ISSN | 1475-2840 |
DOI | 10.1186/s12933-024-02161-x |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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