Plasma haptoglobin as a potential biomarker for coronary artery disease in young hypertensive adults
Introduction: Uncontrolled hypertension is a primary risk factor for premature coronary artery disease (CAD) in young adults. The risk of CAD among young hypertensive adults is commonly underestimated owing to the young age. Hence, identification of novel biomarker(s) to improve risk stratification...
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my.iium.irep.1103482024-05-23T07:12:47Z http://irep.iium.edu.my/110348/ Plasma haptoglobin as a potential biomarker for coronary artery disease in young hypertensive adults Mohamed Bakrim, Norbaiyah Wan Omar, Wan Fatein Nabeila Abdullah, Aszrin Hamidon, Nurul Nadiah Abdul Muid, Suhaila Badrulhisham, Aisyah QP Physiology Introduction: Uncontrolled hypertension is a primary risk factor for premature coronary artery disease (CAD) in young adults. The risk of CAD among young hypertensive adults is commonly underestimated owing to the young age. Hence, identification of novel biomarker(s) to improve risk stratification of CAD in young hypertensive adults is essential for more accurate CAD risk assessment and thus to improve management of hypertension in this cohort. This study investigated plasma haptoglobin concentration in young adults with acute myocardial infarction (AMI) and hypertension to evaluate the potential of haptoglobin as a biomarker in the establishment of CAD in young hypertensive adults. Materials and Methods: A total of 120 male young adults aged between 18 to 45 years were enrolled in this cross-sectional study (40 subjects in control, hypertensive and AMI group respectively). Blood samples were collected from all subjects. Plasma concentrations of haptoglobin was measured using enzyme-linked immunosorbent assays. Other CAD risk factors including high sensitivity C-reactive protein (hs-CRP) levels were analyzed. Results: Plasma concentration of haptoglobin in the AMI group was the highest as compared to hypertensive and control group (290.63±99.90 vs. 208.47±112.93 vs. 170.02±108.11 ng/ml, p<0.006). There was a significant association between AMI and plasma haptoglobin concentration in hypertensive subjects independent of other known CAD risk factors (OR: 0.985, 95% CI 0.973-0.997, p=0.017). There was positive correlation between plasma haptoglobin and hs-CRP (r=0.0370, p<0.001). Conclusion: Plasma haptoglobin is a potential biomarker to identify young hypertensive adults who are at risk of developing CAD. (246 words) IIUM Press 2024-01-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/110348/13/110348_Plasma%20haptoglobin%20as%20a%20potential%20biomarker.pdf application/pdf en http://irep.iium.edu.my/110348/19/110348_Plasma%20haptoglobin%20as%20a%20potential%20biomarker_SCOPUS.pdf Mohamed Bakrim, Norbaiyah and Wan Omar, Wan Fatein Nabeila and Abdullah, Aszrin and Hamidon, Nurul Nadiah and Abdul Muid, Suhaila and Badrulhisham, Aisyah (2024) Plasma haptoglobin as a potential biomarker for coronary artery disease in young hypertensive adults. IIUM Medical Journal Malaysia, 23 (1). pp. 115-122. ISSN 1823-4631 E-ISSN 2735-2285 https://journals.iium.edu.my/kom/index.php/imjm/article/view/2371/1460 https://journals.iium.edu.my/kom/index.php/imjm/issue/view/54 |
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QP Physiology Mohamed Bakrim, Norbaiyah Wan Omar, Wan Fatein Nabeila Abdullah, Aszrin Hamidon, Nurul Nadiah Abdul Muid, Suhaila Badrulhisham, Aisyah Plasma haptoglobin as a potential biomarker for coronary artery disease in young hypertensive adults |
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Introduction: Uncontrolled hypertension is a primary risk factor for premature coronary artery disease (CAD) in young adults. The risk of CAD among young hypertensive adults is commonly underestimated owing to the young age. Hence, identification of novel biomarker(s) to improve risk stratification of CAD in young hypertensive adults is essential for more accurate CAD risk assessment and thus to improve management of hypertension in this cohort. This study investigated plasma haptoglobin concentration in young adults with acute myocardial infarction (AMI) and hypertension to evaluate the potential of haptoglobin as a biomarker in the establishment of CAD in young hypertensive adults. Materials and Methods: A total of 120 male young adults aged between 18 to 45 years were enrolled in this cross-sectional study (40 subjects in control, hypertensive and AMI group respectively). Blood samples were collected from all subjects. Plasma concentrations of haptoglobin was measured using enzyme-linked immunosorbent assays. Other CAD risk factors including high sensitivity C-reactive protein (hs-CRP) levels were analyzed. Results: Plasma concentration of haptoglobin in the AMI group was the highest as compared to hypertensive and control group (290.63±99.90 vs. 208.47±112.93 vs. 170.02±108.11 ng/ml, p<0.006). There was a significant association between AMI and plasma haptoglobin concentration in hypertensive subjects independent of other known CAD risk factors (OR: 0.985, 95% CI 0.973-0.997, p=0.017). There was positive correlation between plasma haptoglobin and hs-CRP (r=0.0370, p<0.001). Conclusion: Plasma haptoglobin is a potential biomarker to identify young hypertensive adults who are at risk of developing CAD. (246 words) |
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Article |
author |
Mohamed Bakrim, Norbaiyah Wan Omar, Wan Fatein Nabeila Abdullah, Aszrin Hamidon, Nurul Nadiah Abdul Muid, Suhaila Badrulhisham, Aisyah |
author_facet |
Mohamed Bakrim, Norbaiyah Wan Omar, Wan Fatein Nabeila Abdullah, Aszrin Hamidon, Nurul Nadiah Abdul Muid, Suhaila Badrulhisham, Aisyah |
author_sort |
Mohamed Bakrim, Norbaiyah |
title |
Plasma haptoglobin as a potential biomarker for coronary artery disease in young hypertensive adults |
title_short |
Plasma haptoglobin as a potential biomarker for coronary artery disease in young hypertensive adults |
title_full |
Plasma haptoglobin as a potential biomarker for coronary artery disease in young hypertensive adults |
title_fullStr |
Plasma haptoglobin as a potential biomarker for coronary artery disease in young hypertensive adults |
title_full_unstemmed |
Plasma haptoglobin as a potential biomarker for coronary artery disease in young hypertensive adults |
title_sort |
plasma haptoglobin as a potential biomarker for coronary artery disease in young hypertensive adults |
publisher |
IIUM Press |
publishDate |
2024 |
url |
http://irep.iium.edu.my/110348/13/110348_Plasma%20haptoglobin%20as%20a%20potential%20biomarker.pdf http://irep.iium.edu.my/110348/19/110348_Plasma%20haptoglobin%20as%20a%20potential%20biomarker_SCOPUS.pdf http://irep.iium.edu.my/110348/ https://journals.iium.edu.my/kom/index.php/imjm/article/view/2371/1460 https://journals.iium.edu.my/kom/index.php/imjm/issue/view/54 |
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13.211869 |