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on December 2, 2002

Arteriosclerosis, Thrombosis, and Vascular Biology. 2002
Published online before print December 2, 2002, doi: 10.1161/01.ATV.0000048856.22331.50
A more recent version of this article appeared on January 1, 2003
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Submitted on August 9, 2002
Accepted on November 11, 2002

Association of Hypoadiponectinemia With Coronary Artery Disease in Men

Masahiro Kumada ; Shinji Kihara *; Satoru Sumitsuji ; Toshiharu Kawamoto ; Satoru Matsumoto ; Noriyuki Ouchi ; Yukio Arita ; Yoshihisa Okamoto ; Iichiro Shimomura ; Hisatoyo Hiraoka ; Tadashi Nakamura ; Tohru Funahashi ; Yuji Matsuzawa ; and for the Osaka CAD Study Group

From the Department of Internal Medicine and Molecular Science (M.K., S.K., N.O., Y.A., Y.O., I.S., H.H., T.N., T.F., Y.M.), Graduate School of Medicine, Osaka University; the Department of Cardiology (S.S.), Rinku General Medical Center; the Department of Cardiology (T.K.), National Hospital Kure Medical Center; and the Department of Cardiology (S.M.), Toyonaka Municipal Hospital, Osaka, Japan.

* To whom correspondence should be addressed. E-mail: kihara{at}imed2.med.osaka-u.ac.jp.

Background—Adiponectin is an adipocyte-derived plasma protein that accumulates in the injured artery and has potential antiatherogenic properties. This study was designed to determine whether a decreased plasma adiponectin level (hypoadiponectinemia) can be independently associated with the prevalence of coronary artery disease (CAD).

Methods and Results—The consecutive 225 male patients were enrolled from inpatients who underwent coronary angiography. Voluntary blood donors (n=225) matched for age served as controls. Plasma adiponectin levels in the CAD patients were significantly lower than those in the control subjects. Multiple logistic regression analysis including plasma adiponectin level, diabetes mellitus, dyslipidemia, hypertension, smoking habits, and body mass index revealed that hypoadiponectinemia was significantly and independently correlated with CAD (P<0.0088). The entire study population was categorized in quartiles based on the distribution of plasma adiponectin levels. The interquartile cutoff points were 4.0, 5.5, and 7.0 µg/mL. The multivariate-adjusted odds ratios for CAD in the first, second, and third quartiles were 2.051 (95% confidence interval [CI], 1.288 to 4.951), 1.221 (95% CI, 0.684 to2.186), and 0.749 (95%CI, 0.392 to 1.418), respectively.

Conclusions—Male patients with hypoadiponectinemia (<4.0 µg/mL) had a significant 2-fold increase in CAD prevalence, independent of well-known CAD risk factors.


Key words: adiponectin • risk factor • coronary artery disease




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[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
A. M. Kanaya, C. Wassel Fyr, E. Vittinghoff, P. J. Havel, M. Cesari, B. Nicklas, T. Harris, A. B. Newman, S. Satterfield, S. R. Cummings, et al.
Serum Adiponectin and Coronary Heart Disease Risk in Older Black and White Americans
J. Clin. Endocrinol. Metab., December 1, 2006; 91(12): 5044 - 5050.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
S. Araki, K. Dobashi, K. Kubo, K. Asayama, and A. Shirahata
High Molecular Weight, Rather than Total, Adiponectin Levels Better Reflect Metabolic Abnormalities Associated with Childhood Obesity
J. Clin. Endocrinol. Metab., December 1, 2006; 91(12): 5113 - 5116.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
F. Abbasi, H. M. F. Farin, C. Lamendola, T. McLaughlin, E. A. Schwartz, G. M. Reaven, and P. D. Reaven
The Relationship between Plasma Adiponectin Concentration and Insulin Resistance Is Altered in Smokers
J. Clin. Endocrinol. Metab., December 1, 2006; 91(12): 5002 - 5007.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
P. M. Nilsson, G. Engstrom, B. Hedblad, J. Frystyk, M. M. Persson, G. Berglund, and A. Flyvbjerg
Plasma Adiponectin Levels in Relation to Carotid Intima Media Thickness and Markers of Insulin Resistance
Arterioscler Thromb Vasc Biol, December 1, 2006; 26(12): 2758 - 2762.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
S. Pilz, H. Mangge, B. Wellnitz, U. Seelhorst, B. R. Winkelmann, B. Tiran, B. O. Boehm, and W. Marz
Adiponectin and Mortality in Patients Undergoing Coronary Angiography
J. Clin. Endocrinol. Metab., November 1, 2006; 91(11): 4277 - 4286.
[Abstract] [Full Text] [PDF]


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Clin. Chem.Home page
H. H. Hegener, I-M. Lee, N. R. Cook, P. M. Ridker, and R. Y.L. Zee
Association of Adiponectin Gene Variations with Risk of Incident Myocardial Infarction and Ischemic Stroke: A Nested Case-Control Study
Clin. Chem., November 1, 2006; 52(11): 2021 - 2027.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
W. Koenig, N. Khuseyinova, J. Baumert, C. Meisinger, and H. Lowel
Serum Concentrations of Adiponectin and Risk of Type 2 Diabetes Mellitus and Coronary Heart Disease in Apparently Healthy Middle-Aged Men: Results From the 18-Year Follow-Up of a Large Cohort From Southern Germany
J. Am. Coll. Cardiol., October 3, 2006; 48(7): 1369 - 1377.
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Eur Heart JHome page
H. Teoh, M. H. Strauss, P. E. Szmitko, and S. Verma
Adiponectin and myocardial infarction: a paradox or a paradigm?
Eur. Heart J., October 1, 2006; 27(19): 2266 - 2268.
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HeartHome page
J George, S Patal, D Wexler, Y Sharabi, E Peleg, Y Kamari, E Grossman, D Sheps, G Keren, and A Roth
Circulating adiponectin concentrations in patients with congestive heart failure
Heart, October 1, 2006; 92(10): 1420 - 1424.
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J Am Coll CardiolHome page
F. Otsuka, S. Sugiyama, S. Kojima, H. Maruyoshi, T. Funahashi, K. Matsui, T. Sakamoto, M. Yoshimura, K. Kimura, S. Umemura, et al.
Plasma Adiponectin Levels Are Associated With Coronary Lesion Complexity in Men With Coronary Artery Disease
J. Am. Coll. Cardiol., September 19, 2006; 48(6): 1155 - 1162.
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J. Am. Soc. Nephrol.Home page
V. Menon, L. Li, X. Wang, T. Greene, V. Balakrishnan, M. Madero, A. A. Pereira, G. J. Beck, J. W. Kusek, A. J. Collins, et al.
Adiponectin and Mortality in Patients with Chronic Kidney Disease
J. Am. Soc. Nephrol., September 1, 2006; 17(9): 2599 - 2606.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
C. S Mantzoros, C. J Williams, J. E Manson, J. B Meigs, and F. B Hu
Adherence to the Mediterranean dietary pattern is positively associated with plasma adiponectin concentrations in diabetic women.
Am. J. Clinical Nutrition, August 1, 2006; 84(2): 328 - 335.
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Diabetes CareHome page
R. Retnakaran, A. J.G. Hanley, and B. Zinman
Does Hypoadiponectinemia Explain the Increased Risk of Diabetes and Cardiovascular Disease in South Asians?
Diabetes Care, August 1, 2006; 29(8): 1950 - 1954.
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Am. J. Physiol. Heart Circ. Physiol.Home page
T. O. Kiviniemi, A. Snapir, M. Saraste, J. O. Toikka, O. T. Raitakari, M. Ahotupa, J. J. Hartiala, M. Scheinin, and J. W. Koskenvuo
Determinants of coronary flow velocity reserve in healthy young men
Am J Physiol Heart Circ Physiol, August 1, 2006; 291(2): H564 - H569.
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Diabetes CareHome page
P. E.H. Schwarz, G. W. Towers, S. Fischer, S. Govindarajalu, J. Schulze, S. R. Bornstein, M. Hanefeld, and F. Vasseur
Hypoadiponectinemia Is Associated With Progression Toward Type 2 Diabetes and Genetic Variation in the ADIPOQ Gene Promoter
Diabetes Care, July 1, 2006; 29(7): 1645 - 1650.
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DiabetesHome page
Y. Aso, R. Yamamoto, S. Wakabayashi, T. Uchida, K. Takayanagi, K. Takebayashi, T. Okuno, T. Inoue, K. Node, T. Tobe, et al.
Comparison of Serum High-Molecular Weight (HMW) Adiponectin With Total Adiponectin Concentrations in Type 2 Diabetic Patients With Coronary Artery Disease Using a Novel Enzyme-Linked Immunosorbent Assay to Detect HMW Adiponectin.
Diabetes, July 1, 2006; 55(7): 1954 - 1960.
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StrokeHome page
B. Iglseder, G. Ladurner, V. Mackevics, A. Stadlmayer, B. Paulweber, and G. Tasch
Response to Letter by Pilz et al
Stroke, July 1, 2006; 37(7): 1643 - 1643.
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Diabetes CareHome page
C. Langenberg, J. Bergstrom, C. Scheidt-Nave, J. Pfeilschifter, and E. Barrett-Connor
Cardiovascular Death and the Metabolic Syndrome: Role of adiposity-signaling hormones and inflammatory markers.
Diabetes Care, June 1, 2006; 29(6): 1363 - 1369.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
N. Bansal, V. Charlton-Menys, P. Pemberton, P. McElduff, J. Oldroyd, A. Vyas, A. Koudsi, P. E. Clayton, J. K. Cruickshank, and P. N. Durrington
Adiponectin in Umbilical Cord Blood Is Inversely Related to Low-Density Lipoprotein Cholesterol But Not Ethnicity
J. Clin. Endocrinol. Metab., June 1, 2006; 91(6): 2244 - 2249.
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Am. J. Clin. Nutr.Home page
L. J Martin, J. G Woo, S. R Geraghty, M. Altaye, B. S Davidson, W. Banach, L. M Dolan, G. M Ruiz-Palacios, and A. L Morrow
Adiponectin is present in human milk and is associated with maternal factors
Am. J. Clinical Nutrition, May 1, 2006; 83(5): 1106 - 1111.
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Diabetes CareHome page
K. Esposito, M. Ciotola, D. Carleo, B. Schisano, F. Saccomanno, F. C. Sasso, D. Cozzolino, R. Assaloni, D. Merante, A. Ceriello, et al.
Effect of Rosiglitazone on Endothelial Function and Inflammatory Markers in Patients With the Metabolic Syndrome
Diabetes Care, May 1, 2006; 29(5): 1071 - 1076.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
J. Lo, S. E. Dolan, J. R. Kanter, L. C. Hemphill, J. M. Connelly, R. S. Lees, and S. K. Grinspoon
Effects of Obesity, Body Composition, and Adiponectin on Carotid Intima-Media Thickness in Healthy Women
J. Clin. Endocrinol. Metab., May 1, 2006; 91(5): 1677 - 1682.
[Abstract] [Full Text] [PDF]


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Clin. Chem.Home page
M. von Eynatten, A. Hamann, D. Twardella, P. P. Nawroth, H. Brenner, and D. Rothenbacher
Relationship of Adiponectin with Markers of Systemic Inflammation, Atherogenic Dyslipidemia, and Heart Failure in Patients with Coronary Heart Disease
Clin. Chem., May 1, 2006; 52(5): 853 - 859.
[Abstract] [Full Text] [PDF]


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Am. J. Clin. Nutr.Home page
S. E Kasim-Karakas, A. Tsodikov, U. Singh, and I. Jialal
Responses of inflammatory markers to a low-fat, high-carbohydrate diet: effects of energy intake.
Am. J. Clinical Nutrition, April 1, 2006; 83(4): 774 - 779.
[Abstract] [Full Text] [PDF]


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CLIN APPL THROMB HEMOSTHome page
H. Ekmekci and O. B. Ekmekci
The Role of Adiponectin in Atherosclerosis and Thrombosis
Clinical and Applied Thrombosis/Hemostasis, April 1, 2006; 12(2): 163 - 168.
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Eur J EndocrinolHome page
I. Kowalska, M. Straczkowski, A. Nikolajuk, A. Krukowska, I. Kinalska, and M. Gorska
Plasma adiponectin concentration and tumor necrosis factor-{alpha} system activity in lean non-diabetic offspring of type 2 diabetic subjects
Eur. J. Endocrinol., February 1, 2006; 154(2): 319 - 324.
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DiabetesHome page
I. M. Heid, S. A. Wagner, H. Gohlke, B. Iglseder, J. C. Mueller, P. Cip, G. Ladurner, R. Reiter, A. Stadlmayr, V. Mackevics, et al.
Genetic Architecture of the APM1 Gene and Its Influence on Adiponectin Plasma Levels and Parameters of the Metabolic Syndrome in 1,727 Healthy Caucasians
Diabetes, February 1, 2006; 55(2): 375 - 384.
[Abstract] [Full Text] [PDF]