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August 13, 2021Tzu Chi Medical JournalOpen Access

Higher fasting serum ANGPTL3 levels were independently associated with an increased risk of metabolic syndrome in patients with coronary artery disease (OR 1.023 per 1 ng/mL increase).

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Why the study?

ANGPTL3 regulates triglyceride metabolism, and MetS is an independent cardiovascular risk factor, but the relationship between fasting serum ANGPTL3 levels and MetS in CAD patients required evaluation.

Does fasting serum ANGPTL3 level correlate with metabolic syndrome in patients with coronary artery disease?

Population

90 patients with CAD

Comparison

CAD patients with MetS vs without MetS

Design

Cross-sectional study

Key result

Higher fasting serum ANGPTL3 levels were independently associated with an increased risk of metabolic syndrome in patients with coronary artery disease (OR 1.023 per 1 ng/mL increase).

Authors

SLSy-Harn LianBHBang-Gee HsuJWJi-Hung Wang

Discussion

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Member takes

Overview

Requires prospective validation before clinical use in CAD; leaves open causal and therapeutic implications.

Study Design

Type

Cross-Sectional (n=90)

Multicenter

No

Structured PICO

Does fasting serum ANGPTL3 level correlate with metabolic syndrome in patients with coronary artery disease?

P
Population
90 patients with coronary artery disease (>50% stenosis) were evaluated cross-sectionally to determine the relationship between fasting serum ANGPTL3 levels and metabolic syndrome.
O
Outcome
Relationship between fasting serum ANGPTL3 levels and metabolic syndrome (MetS)surrogate

Main Result

Odds Ratio: 1.023 (95% CI 1.008–1.038)

p-value: p=0.002

Fasting serum ANGPTL3 levels are positively associated with and independently predict the presence of metabolic syndrome in patients with coronary artery disease.

Limitations

  • Cross-sectional study design cannot establish a causal relationship between circulating ANGPTL3 values and the presence of MetS.
  • Relatively small sample size.
  • It remains unknown whether lower plasma ANGPTL3 levels equal the intracellular inactivation of ANGPTL3 mRNA expression.
  • The possible mechanism between lower ANGPTL3 levels and other components of MetS needs further assessment.
  • Cross-sectional study with a relatively small sample size, unable to elucidate causal relationship
  • Unknown whether lower plasma ANGPTL3 levels equal intracellular inactivation of ANGPTL3 mRNA expression
  • Possible mechanism between lower ANGPTL3 levels and other components of MetS needs further assessment

Cite This Study

Lian et al. (2021) conducted a cross-sectional in Coronary artery disease and metabolic syndrome (n=90). Fasting serum ANGPTL3 level vs. Lower ANGPTL3 levels was evaluated on Presence of metabolic syndrome (OR 1.023, 95% CI 1.008-1.038, p=0.002). Higher fasting serum ANGPTL3 levels were independently associated with an increased risk of metabolic syndrome in patients with coronary artery disease (OR 1.023 per 1 ng/mL increase).

synapsesocial.com/papers/6a20e95a920f77b2c049e1dchttps://doi.org/10.4103/tcmj.tcmj_49_21
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