Association between plasma CD36 levels and incident risk of coronary heart disease among Danish men and women

CD36 is a cholesterol receptor involved in the uptake of oxidized low-density lipoprotein cholesterol and development of atherosclerotic plaques. Cross-sectional studies have shown correlations between plasma CD36 and atherosclerosis but no prospective study has examined the association yet. We pros...

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Veröffentlicht in:Atherosclerosis 2018-10, Vol.277, p.163-168
Hauptverfasser: Wang, Yeli, Zhu, Jingwen, Handberg, Aase, Overvad, Kim, Tjønneland, Anne, Rimm, Eric B., Jensen, Majken K.
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Sprache:eng
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Zusammenfassung:CD36 is a cholesterol receptor involved in the uptake of oxidized low-density lipoprotein cholesterol and development of atherosclerotic plaques. Cross-sectional studies have shown correlations between plasma CD36 and atherosclerosis but no prospective study has examined the association yet. We prospectively examined the association between plasma CD36 levels and risk of incident coronary heart disease (CHD) in a Danish population. Plasma CD36 levels were measured in a case-cohort study nested within the Danish population-based cohort, the Diet, Cancer and Health Study. A total of 1963 incident CHD events occurred between baseline (1993–1997) and 2008, and a sub-cohort of 1759 participants were randomly selected as reference. Cox proportional hazard regression models were used to compute the hazard ratio (HR) and corresponding 95% confidence interval (CI). After adjusting for CHD risk factors, including history of hypercholesterolemia and diabetes, elevated plasma CD36 levels were not associated with higher CHD risk in the total population, and the HR comparing the highest versus lowest tertile of CD36 levels was 1.02 (95% CI: 0.84–1.23). High CD36 levels were only found to be associated with risk of CHD in combination with prevalent diabetes (HR = 2.83, 95% CI: 1.08–7.45) vs. the joint reference group of lowest CD36 tertile and no diabetes. Plasma CD36 levels were not predictive of CHD risk in the general population. •This is the first prospective cohort study to assess the association between plasma CD36 and coronary heart disease risk.•Plasma CD36 was not associated with risk of coronary heart disease in the Danish population.•There was a suggestion of higher risk of coronary heart disease among participants with both high CD36 levels and diabetes.
ISSN:0021-9150
1879-1484
DOI:10.1016/j.atherosclerosis.2018.08.045