Vascular Biology |
From the Cardiovascular Division (L.E.P.R., P.M.R.), and the Division of Preventive Medicine (C.H.H., P.M.R.), Brigham and Women's Hospital; and the Department of Ambulatory Care and Prevention (C.H.H.), Harvard Medical School, Boston, Mass.
Correspondence to Paul M. Ridker, MD, Cardiovascular Division, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115. E-mail pmridker{at}bics.bwh.harvard.edu
AbstractAn elevated plasma
concentration of the soluble intercellular adhesion molecule-1
(sICAM-1) is associated with increased risk for future coronary
events. However, data exploring the interrelations of sICAM-1 with
known cardiovascular risk factors are sparse. We
determined sICAM-1 levels in 948 middle-aged men with no prior history
of cardiovascular disease. sICAM-1 levels increased
with age (P<0.001) and were significantly associated
with smoking (P<0.001), hypertension
(P<0.05), and frequent alcohol consumption
(P=0.006). Positive correlations were observed between
sICAM-1 and triglycerides (r=0.15;
P<0.001), fibrinogen (r=0.21;
P<0.001), tissue-type plasminogen
activator antigen (r=0.17;
P<0.001), and total homocysteine
(r=0.09; P=0.02); whereas a negative
correlation was observed for high density lipoprotein
cholesterol (r=-0.15;
P<0.001). Overall, plasma concentrations of sICAM-1
increased with increasing prevalence of usual
cardiovascular risk factors; mean plasma concentrations
were 231, 236, 245, 257, and 312 ng/mL for those subjects with 0, 1, 2,
3, and >4 risk factors, respectively (P<0.01 for
trend). In multivariate analysis, age, smoking
status, diabetes, systolic blood pressure, positive family
history of coronary disease, and serum levels of total
homocysteine and fibrinogen were all independently associated with
sICAM-1 levels (all P
0.05). sICAM-1 levels are
associated with several established cardiovascular risk
factors. Further studies will be needed to evaluate whether these
associations reflect the role of sICAM-1 as a marker of preclinical
atherosclerosis, and whether such interrelations might
have a causal basis.
Key Words: adhesion molecules inflammation risk factors atherosclerosis
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