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Title: Adiponectin profile in asian patients undergoing coronary revascularization and its association with plaque vulnerability: IDEAS-ADIPO study
Authors: Lee, C.-H.
Hau, W.K.T.
Tai, B.-C. 
Chan, M.Y.
Saw, B.
Phua, Q.-H.
Low, A.F.
Yeo, T.-C.
Richards, A.M.
Tan, H.-C.
Issue Date: Dec-2012
Citation: Lee, C.-H., Hau, W.K.T., Tai, B.-C., Chan, M.Y., Saw, B., Phua, Q.-H., Low, A.F., Yeo, T.-C., Richards, A.M., Tan, H.-C. (2012-12). Adiponectin profile in asian patients undergoing coronary revascularization and its association with plaque vulnerability: IDEAS-ADIPO study. Obesity 20 (12) : 2451-2457. ScholarBank@NUS Repository.
Abstract: Despite potent insulin-sensitizing, anti-inflammatory, and antiatherogenic effects in animal studies, the relationship between serum adiponectin level and coronary artery disease in patients remains unclear. We determined the adiponectin profile in a cohort of multiethnic Asian patients with coronary artery disease, and the association between serum adiponectin level and culprit lesion necrotic core (NC) content. Ninety-four Asian patients (BMI, 25.3 ± 3.7 kg/m 2) undergoing percutaneous coronary intervention were recruited. The serum adiponectin level was measured (n = 94), and the baseline virtual histology intravascular ultrasound examination was analyzed (n = 88). The median level of adiponectin was 3.7g/ml (interquartile range, 2.8-4.5g/ml). The serum adiponectin level was below 10g/ml in 90 patients (95.7%) and below 6g/ml in 80 patients (85.1%). There was a significant association between ethnicity and serum adiponectin level (P = 0.048). The median adiponectin level was highest among the Chinese, followed by the Malay and the Indians. Serum adiponectin levels were positively associated with culprit lesion NC content. A 1-g/ml increase in log adiponectin was associated with a 3.04% (95% confidence interval: 0.33-5.44) increase in culprit lesion NC content. This association remains significant after adjusting for age, sex, ethnicity, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, and procedural indication. We found a low serum level of adiponectin in Asian patients and a significant ethnic effect on serum adiponectin level. Increased serum adiponectin levels were independently associated with increased culprit lesion NC burden, suggesting a role for adiponectin in modulating coronary plaque vulnerability. © 2012 The Obesity Society.
Source Title: Obesity
ISSN: 19307381
DOI: 10.1038/oby.2012.92
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