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Increased carotid plaque burden in men with the fibrillin-1 2/3 genotype

De Basso, Rachel ; Hedblad, Bo LU ; Carlson, Joyce LU ; Persson, Margaretha LU orcid ; Östling, Gerd LU and Lanne, Toste (2014) In Clinical and Experimental Pharmacology and Physiology 41(9). p.637-642
Abstract
Fibrillin-1 (FBN1) is an important constituent of the vascular wall and earlier studies have indicated an effect of the FBN1 2/3 genotype on blood pressure as well as aortic stiffness in men. The aim of the present study was to determine whether the FBN1 2/3 genotype was associated with the presence of carotid plaque and incident cardiovascular morbidity and mortality in middle-aged subjects. The FBN1 genotype was characterized in 5765 subjects (2424 men, 3341 women; age 45-69years) recruited from the Malmo Diet and Cancer Study Cardiovascular Cohort, Sweden. Plaque occurrence and intima-media thickness (IMT) of the carotid artery were assessed by ultrasound. The incidence of first cardiovascular events (myocardial infarction and stroke)... (More)
Fibrillin-1 (FBN1) is an important constituent of the vascular wall and earlier studies have indicated an effect of the FBN1 2/3 genotype on blood pressure as well as aortic stiffness in men. The aim of the present study was to determine whether the FBN1 2/3 genotype was associated with the presence of carotid plaque and incident cardiovascular morbidity and mortality in middle-aged subjects. The FBN1 genotype was characterized in 5765 subjects (2424 men, 3341 women; age 45-69years) recruited from the Malmo Diet and Cancer Study Cardiovascular Cohort, Sweden. Plaque occurrence and intima-media thickness (IMT) of the carotid artery were assessed by ultrasound. The incidence of first cardiovascular events (myocardial infarction and stroke) and cause-specific mortality were monitored over a mean follow-up period of 13.2years. The most common FBN1 genotypes were 2/2, 2/3 and 2/4, which accounted for 92.2% (n=5317) of subjects. There were no differences between the three genotypes regarding age, blood pressure, glucose, lipids, smoking habits, common carotid artery diameter and intima-media thickness in men and women. The presence of plaque in the carotid artery was higher in men with the 2/3 genotype compared with the 2/2 and 2/4 genotypes (55% vs 46% and 50%, respectively; P=0.007). No similar differences were observed in women. No significant relationship was observed between FBN1 genotypes and the incidence of cardiovascular disease or all-cause mortality. The increased prevalence of plaque in the carotid artery of middle-aged men with the FBN1 2/3 genotype indicates pathological arterial wall remodelling with a more pronounced atherosclerotic burden. (Less)
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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
arterial wall, blood pressure, cardiovascular risk, human, intima-media, thickness
in
Clinical and Experimental Pharmacology and Physiology
volume
41
issue
9
pages
637 - 642
publisher
Wiley-Blackwell
external identifiers
  • wos:000344348100004
  • scopus:84911147884
  • pmid:24837032
ISSN
1440-1681
DOI
10.1111/1440-1681.12259
language
English
LU publication?
yes
id
c98cd643-8548-47b3-affd-72cda9fe48ff (old id 4875851)
date added to LUP
2016-04-01 10:01:10
date last changed
2022-01-25 18:55:03
@article{c98cd643-8548-47b3-affd-72cda9fe48ff,
  abstract     = {{Fibrillin-1 (FBN1) is an important constituent of the vascular wall and earlier studies have indicated an effect of the FBN1 2/3 genotype on blood pressure as well as aortic stiffness in men. The aim of the present study was to determine whether the FBN1 2/3 genotype was associated with the presence of carotid plaque and incident cardiovascular morbidity and mortality in middle-aged subjects. The FBN1 genotype was characterized in 5765 subjects (2424 men, 3341 women; age 45-69years) recruited from the Malmo Diet and Cancer Study Cardiovascular Cohort, Sweden. Plaque occurrence and intima-media thickness (IMT) of the carotid artery were assessed by ultrasound. The incidence of first cardiovascular events (myocardial infarction and stroke) and cause-specific mortality were monitored over a mean follow-up period of 13.2years. The most common FBN1 genotypes were 2/2, 2/3 and 2/4, which accounted for 92.2% (n=5317) of subjects. There were no differences between the three genotypes regarding age, blood pressure, glucose, lipids, smoking habits, common carotid artery diameter and intima-media thickness in men and women. The presence of plaque in the carotid artery was higher in men with the 2/3 genotype compared with the 2/2 and 2/4 genotypes (55% vs 46% and 50%, respectively; P=0.007). No similar differences were observed in women. No significant relationship was observed between FBN1 genotypes and the incidence of cardiovascular disease or all-cause mortality. The increased prevalence of plaque in the carotid artery of middle-aged men with the FBN1 2/3 genotype indicates pathological arterial wall remodelling with a more pronounced atherosclerotic burden.}},
  author       = {{De Basso, Rachel and Hedblad, Bo and Carlson, Joyce and Persson, Margaretha and Östling, Gerd and Lanne, Toste}},
  issn         = {{1440-1681}},
  keywords     = {{arterial wall; blood pressure; cardiovascular risk; human; intima-media; thickness}},
  language     = {{eng}},
  number       = {{9}},
  pages        = {{637--642}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Clinical and Experimental Pharmacology and Physiology}},
  title        = {{Increased carotid plaque burden in men with the fibrillin-1 2/3 genotype}},
  url          = {{http://dx.doi.org/10.1111/1440-1681.12259}},
  doi          = {{10.1111/1440-1681.12259}},
  volume       = {{41}},
  year         = {{2014}},
}