Key result
Higher circulating ANGPTL8 levels were an independent risk factor for thoracic aortic dissection (OR 1.587 per 100 pg/mL increase) and were positively associated with aortic diameter and hs-CRP.
Why the study?
Thoracic aortic dissection is characterized by an inflammatory response, and while ANGPTL8 regulates lipid metabolism and inflammation, its relationship with TAD remains unknown.
Case-Control (n=150)
No
Odds Ratio: 1.587 (95% CI 1.121–2.247)
Absolute Event Rate: 562.5% vs 419.7%
p-value: p=0.009
Circulating ANGPTL8 levels are significantly elevated in patients with thoracic aortic dissection and correlate with disease severity and inflammation, suggesting potential utility as a diagnostic biomarker.
PURPOSE: Thoracic aortic dissection (TAD) is characterized by an inflammatory response. Angiopoietin-like protein 8 (ANGPTL8) is a hormone involved in the regulation of lipid metabolism and inflammation. However, the relationship between ANGPTL8 and TAD remains unknown. METHODS: This case-control study included 78 TAD patients and 72 controls. The aortic diameter was evaluated by computed tomography and used to assess TAD severity. Circulating ANGPTL8 levels were measured by enzyme-linked immunosorbent assay. Associations of ANGPTL8 with TAD were determined by multivariate logistic regression. RESULTS: Serum ANGPTL8 levels were significantly higher in TAD patients compared with controls (562.50 ± 20.84 vs. 419.70 ± 22.65 pg/mL, respectively; P < 0.001). After adjusting for confounding factors, circulating ANGPTL8 levels were an independent risk factor for TAD (odds ratio = 1.587/100 pg ANGPTL8, 95% confidence interval [CI] = 1.121-2.247, P < 0.001) and positively associated with diameter (β = 1.081/100 pg ANGPTL8, 95% CI = 0.075-2.086, P = 0.035) and high-sensitivity C-reactive protein (hs-CRP) (β = 0.845/100 pg ANGPTL8, 95% CI = 0.020-1.480, P = 0.009). The area under the curve (AUC) on receiver operating characteristic (ROC) analysis of the combination of ANGPTL8, hs-CRP, and D-dimer was 0.927, and the specificity and sensitivity were 98.46% and 79.49%, respectively. ANGPTL8 was significantly increased in TAD tissue compared with controls. In vitro, ANGPTL8 was increased in angiotensin II (AngII)-treated macrophages and vascular smooth muscle cells (VSMCs), while ANGPTL8 siRNA-mediated knockdown decreased inflammatory factors in AngII-treated macrophages and decreased apoptosis in AngII-treated VSMCs. CONCLUSION: ANGPTL8 is associated with TAD occurrence and development, which may involve pro-inflammatory effects on macrophages. ANGPTL8 combined with D-dimer and hs-CRP might be a useful clinical predictor of TAD. TRIAL REGISTRATION: ChiCTR-COC-17010792 http://www.chictr.org.cn/showproj.aspx?proj=18288.
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Yang et al. (2020) conducted a case-control in Thoracic Aortic Dissection (TAD) (n=150). Circulating ANGPTL8 levels vs. Controls (unexposed/lower levels) was evaluated on Thoracic aortic dissection occurrence (OR 1.587, 95% CI 1.121-2.247, p=0.009). Higher circulating ANGPTL8 levels were an independent risk factor for thoracic aortic dissection (OR 1.587 per 100 pg/mL increase) and were positively associated with aortic diameter and hs-CRP.
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