Ceruloplasmin and heart failure in the Atherosclerosis Risk in Communities study

Ceruloplasmin (Cp) decreases nitric oxide bioavailability in blood and has been associated with cardiovascular disease (CVD) in clinical studies. We assessed the associations between Cp and incident heart failure (HF), death, and CVD in the Atherosclerosis Risk in Communities (ARIC) study. Cp was me...

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Veröffentlicht in:Circulation. Heart failure 2013-09, Vol.6 (5), p.936-943
Hauptverfasser: Dadu, Razvan T, Dodge, Rhiannon, Nambi, Vijay, Virani, Salim S, Hoogeveen, Ron C, Smith, Nicholas L, Chen, Fengju, Pankow, James S, Guild, Cameron, Tang, W H Wilson, Boerwinkle, Eric, Hazen, Stanley L, Ballantyne, Christie M
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container_issue 5
container_start_page 936
container_title Circulation. Heart failure
container_volume 6
creator Dadu, Razvan T
Dodge, Rhiannon
Nambi, Vijay
Virani, Salim S
Hoogeveen, Ron C
Smith, Nicholas L
Chen, Fengju
Pankow, James S
Guild, Cameron
Tang, W H Wilson
Boerwinkle, Eric
Hazen, Stanley L
Ballantyne, Christie M
description Ceruloplasmin (Cp) decreases nitric oxide bioavailability in blood and has been associated with cardiovascular disease (CVD) in clinical studies. We assessed the associations between Cp and incident heart failure (HF), death, and CVD in the Atherosclerosis Risk in Communities (ARIC) study. Cp was measured at ARIC visit 4 (1996-1998). We studied 9240 individuals without HF or CVD at ARIC visit 4 and followed them for a mean of 10.5 years. Genome-wide association study was performed to identify genetic determinants of Cp levels and evaluate their association with incident HF in ARIC participants. Cp levels (mean±SD) were higher in women versus men (335±79 versus 258±44 mg/L; P
doi_str_mv 10.1161/circheartfailure.113.000270
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We assessed the associations between Cp and incident heart failure (HF), death, and CVD in the Atherosclerosis Risk in Communities (ARIC) study. Cp was measured at ARIC visit 4 (1996-1998). We studied 9240 individuals without HF or CVD at ARIC visit 4 and followed them for a mean of 10.5 years. Genome-wide association study was performed to identify genetic determinants of Cp levels and evaluate their association with incident HF in ARIC participants. Cp levels (mean±SD) were higher in women versus men (335±79 versus 258±44 mg/L; P&lt;0.0001), women on versus not on hormone-replacement therapy (398±89 versus 291±60 mg/L; P&lt;0.0001), and African Americans versus whites (299±63 versus 293±74 mg/L; P=0.0005). After adjusting for traditional risk factors, high-sensitivity C-reactive protein, N-terminal pro-B-type natriuretic peptide, and high-sensitivity cardiac troponin T, higher levels of Cp were associated with HF (hazard ratio, 1.44; 95% confidence interval, 1.13-1.83) and mortality (hazard ratio, 1.38; 95% confidence interval, 1.11-1.63). A locus on the ceruloplasmin gene on chromosome 3 was significantly associated with Cp levels (normal 295.56±77.60 mg/L; heterozygote 316.72±88.02 mg/L; homozygote 331.04±85.40 mg/L; P=8.3×10(-13)) but not with incident HF. After adjustment for traditional risk factors, Cp levels were also weekly associated with CVD. Cp was associated with incident HF, mortality, and CVD in the ARIC population. 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Heart failure</title><addtitle>Circ Heart Fail</addtitle><description>Ceruloplasmin (Cp) decreases nitric oxide bioavailability in blood and has been associated with cardiovascular disease (CVD) in clinical studies. We assessed the associations between Cp and incident heart failure (HF), death, and CVD in the Atherosclerosis Risk in Communities (ARIC) study. Cp was measured at ARIC visit 4 (1996-1998). We studied 9240 individuals without HF or CVD at ARIC visit 4 and followed them for a mean of 10.5 years. Genome-wide association study was performed to identify genetic determinants of Cp levels and evaluate their association with incident HF in ARIC participants. Cp levels (mean±SD) were higher in women versus men (335±79 versus 258±44 mg/L; P&lt;0.0001), women on versus not on hormone-replacement therapy (398±89 versus 291±60 mg/L; P&lt;0.0001), and African Americans versus whites (299±63 versus 293±74 mg/L; P=0.0005). 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Heart failure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dadu, Razvan T</au><au>Dodge, Rhiannon</au><au>Nambi, Vijay</au><au>Virani, Salim S</au><au>Hoogeveen, Ron C</au><au>Smith, Nicholas L</au><au>Chen, Fengju</au><au>Pankow, James S</au><au>Guild, Cameron</au><au>Tang, W H Wilson</au><au>Boerwinkle, Eric</au><au>Hazen, Stanley L</au><au>Ballantyne, Christie M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ceruloplasmin and heart failure in the Atherosclerosis Risk in Communities study</atitle><jtitle>Circulation. Heart failure</jtitle><addtitle>Circ Heart Fail</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>6</volume><issue>5</issue><spage>936</spage><epage>943</epage><pages>936-943</pages><issn>1941-3289</issn><eissn>1941-3297</eissn><abstract>Ceruloplasmin (Cp) decreases nitric oxide bioavailability in blood and has been associated with cardiovascular disease (CVD) in clinical studies. We assessed the associations between Cp and incident heart failure (HF), death, and CVD in the Atherosclerosis Risk in Communities (ARIC) study. Cp was measured at ARIC visit 4 (1996-1998). We studied 9240 individuals without HF or CVD at ARIC visit 4 and followed them for a mean of 10.5 years. Genome-wide association study was performed to identify genetic determinants of Cp levels and evaluate their association with incident HF in ARIC participants. Cp levels (mean±SD) were higher in women versus men (335±79 versus 258±44 mg/L; P&lt;0.0001), women on versus not on hormone-replacement therapy (398±89 versus 291±60 mg/L; P&lt;0.0001), and African Americans versus whites (299±63 versus 293±74 mg/L; P=0.0005). After adjusting for traditional risk factors, high-sensitivity C-reactive protein, N-terminal pro-B-type natriuretic peptide, and high-sensitivity cardiac troponin T, higher levels of Cp were associated with HF (hazard ratio, 1.44; 95% confidence interval, 1.13-1.83) and mortality (hazard ratio, 1.38; 95% confidence interval, 1.11-1.63). A locus on the ceruloplasmin gene on chromosome 3 was significantly associated with Cp levels (normal 295.56±77.60 mg/L; heterozygote 316.72±88.02 mg/L; homozygote 331.04±85.40 mg/L; P=8.3×10(-13)) but not with incident HF. After adjustment for traditional risk factors, Cp levels were also weekly associated with CVD. Cp was associated with incident HF, mortality, and CVD in the ARIC population. A single locus on chromosome 3 was associated with Cp levels but not with HF.</abstract><cop>United States</cop><pmid>23861484</pmid><doi>10.1161/circheartfailure.113.000270</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects African Americans - genetics
Aged
Atherosclerosis - blood
Atherosclerosis - epidemiology
Atherosclerosis - ethnology
Atherosclerosis - genetics
Atherosclerosis - mortality
Biomarkers - blood
Ceruloplasmin - analysis
Ceruloplasmin - genetics
Chromosomes, Human, Pair 3
Disease-Free Survival
Estrogen Replacement Therapy
European Continental Ancestry Group - genetics
Female
Genetic Predisposition to Disease
Genome-Wide Association Study
Heart Failure - blood
Heart Failure - epidemiology
Heart Failure - ethnology
Heart Failure - genetics
Heart Failure - mortality
Humans
Incidence
Linear Models
Male
Middle Aged
Polymorphism, Single Nucleotide
Proportional Hazards Models
Prospective Studies
Risk Factors
Time Factors
United States - epidemiology
title Ceruloplasmin and heart failure in the Atherosclerosis Risk in Communities study
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