Author:
Zoltán Szeberin Department of Vascular Surgery, Semmelweis University, Városmajor u. 68, H-1122, Budapest, Hungary

Search for other papers by Zoltán Szeberin in
Current site
Google Scholar
PubMed
Close
Restricted access

Abstract

Atherosclerosis may present with arterial calcification, which is associated with increased cardiovascular morbidity and mortality. Fetuin-A plays a role in the inhibition of extraosseal calcification, and heat shock protein 70 (Hsp70) is elevated in peripheral artery disease. The aim of our study was to examine the potential role of fetuin-A and Hsp70 in the inhibition of arterial calcification in atherosclerotic patients. Classical risk factors of atherosclerosis as well as the severity of arterial calcification and atherosclerosis were assessed by ultrasound, angiography, and serum analysis in a cross-sectional study of patients with carotid stenosis, aortic aneurysm, and lower extremity atherosclerosis. We demonstrate that there is an inverse correlation between serum fetuin-A levels and the severity of arterial calcification in patients with chronic atherosclerotic lower extremity disease without renal disease or infection. Our data suggest that it is not end-stage renal disease and dialysis that explains the earlier reported association of low fetuin-A level and arterial calcification. The novel finding of our study is the significantly different serum fetuin-A levels in patients with aortic aneurysm of different etiologies (atherosclerosis and Marfan syndrome). Our results suggest that there is an association between serum fetuin-A levels and the severity of arterial calcification also in patients without renal failure.

  • 1. J.C. Chambers A. McGregor J. Jean-Marie J.S. Kooner 1998 Acute hyperhomocysteinaemia and endothelial dysfunction Lancet 351 36 37.

  • 2. P. Libby P.M. Ridker 2004 Inflammation and atherosclerosis: role of Creactive protein in risk assessment Am J Med 116 Suppl6A 9S 16S.

    • Search Google Scholar
    • Export Citation
  • 3. P.M. Ridker C.H. Hennekens J.E. Buring N. Rifai 2000 C-reactive protein and other markers of inflammation in the prediction of cardiovascular disease in women N Engl J Med 342 836 843.

    • Search Google Scholar
    • Export Citation
  • 4. G.D. Collett A.E. Canfield 2005 Angiogenesis and pericytes in the initiation of ectopic calcification Circ Res 96 930 938.

  • 5. M.R. Davies R.J. Lund K.A. Hruska 2003 BMP-7 is an efficacious treatment of vascular calcification in a murine model of atherosclerosis and chronic renal failure J Am Soc Nephrol 14 1559 1567.

    • Search Google Scholar
    • Export Citation
  • 6. C. Iribarren S. Sidney B. Sternfeld W.S. Browner 2000 Calcification of the aortic arch: risk factors and association with coronary heart disease, stroke, and peripheral vascular disease JAMA 283 2810 2815.

    • Search Google Scholar
    • Export Citation
  • 7. T. Schinke C. Amendt A. Trindl O. Poschke W. Muller-Esterl W. Jahnen-Dechent 1996 The serum protein alpha2-HS glycoprotein/fetuin inhibits apatite formation in vitro and in mineralizing calvaria cells. A possible role in mineralization and calcium homeostasis J Biol Chem 271 20789 20796.

    • Search Google Scholar
    • Export Citation
  • 8. C. Schafer A. Heiss A. Schwarz R. Westenfeld M. Ketteler J. Floege et al.2003 The serum protein alpha 2-Heremans-Schmid glycoprotein/fetuin-A is a systemically acting inhibitor of ectopic calcification J Clin Invest 112 357 366.

    • Search Google Scholar
    • Export Citation
  • 9. M. Ketteler P. Bongartz R. Westenfeld J.E. Wildberger A.H. Mahnken R. Bohm et al.2003 Association of low fetuin-A (AHSG) concentrations in serum with cardiovascular mortality in patients on dialysis: a cross-sectional study Lancet 361 827 833.

    • Search Google Scholar
    • Export Citation
  • 10. N.X. Chen K.D. O'Neill D. Duan S.M. Moe 2002 Phosphorus and uremic serum up-regulate osteopontin expression in vascular smooth muscle cells Kidney Int 62 1724 1731.

    • Search Google Scholar
    • Export Citation
  • 11. R.T. Franceschi G. Xiao 2003 Regulation of the osteoblast-specific transcription factor, Runx2: responsiveness to multiple signal transduction pathways J Cell Biochem 88 446 454.

    • Search Google Scholar
    • Export Citation
  • 12. G.A. Block D.M. Spiegel J. Ehrlich R. Mehta J. Lindbergh A. Dreisbach et al.2005 Effects of sevelamer and calcium on coronary artery calcification in patients new to hemodialysis Kidney Int 68 1815 1824.

    • Search Google Scholar
    • Export Citation
  • 13. Y. Yao A.D. Watson S. Ji K.I. Bostrom 2009 Heat shock protein 70 enhances vascular bone morphogenetic protein-4 signaling by binding matrix Gla protein Circ Res 105 575 584.

    • Search Google Scholar
    • Export Citation
  • 14. G. Luo P. Ducy M.D. McKee G.J. Pinero E. Loyer R.R. Behringer et al.1997 Spontaneous calcification of arteries and cartilage in mice lacking matrix GLA protein Nature 386 78 81.

    • Search Google Scholar
    • Export Citation
  • 15. M. Scatena L. Liaw C.M. Giachelli 2007 Osteopontin: a multifunctional molecule regulating chronic inflammation and vascular disease Arterioscler Thromb Vasc Biol 27 2302 2309.

    • Search Google Scholar
    • Export Citation
  • 16. L. Kalabay L. Jakab Z. Prohaszka G. Fust Z. Benko L. Telegdy et al.2002 Human fetuin/alpha2HS-glycoprotein level as a novel indicator of liver cell function and short-term mortality in patients with liver cirrhosis and liver cancer Eur J Gastroenterol Hepatol 14 389 394.

    • Search Google Scholar
    • Export Citation
  • 17. S.T. Mathews G.P. Singh M. Ranalletta V.J. Cintron X. Qiang A.S. Goustin et al.2002 Improved insulin sensitivity and resistance to weight gain in mice null for the Ahsg gene Diabetes 51 2450 2458.

    • Search Google Scholar
    • Export Citation
  • 18. N. Stefan A.M. Hennige H. Staiger J. Machann F. Schick S.M. Krober et al.2006 Alpha2-Heremans-Schmid glycoprotein/fetuin-A is associated with insulin resistance and fat accumulation in the liver in humans Diabetes Care 29 853 857.

    • Search Google Scholar
    • Export Citation
  • 19. J.H. Ix M.G. Shlipak V.M. Brandenburg S. Ali M. Ketteler M.A. Whooley 2006 Association between human fetuin-A and the metabolic syndrome: data from the Heart and Soul Study Circulation 113 1760 1767.

    • Search Google Scholar
    • Export Citation
  • 20. R. Mehrotra 2007 Emerging role for fetuin-A as contributor to morbidity and mortality in chronic kidney disease Kidney Int 72 137 140.

    • Search Google Scholar
    • Export Citation
  • 21. Z. Prohaszka G. Fust 2004 Immunological aspects of heat-shock proteins-the optimum stress of life Mol Immunol 41 29 44.

  • 22. B.H. Wright J.M. Corton A.M. El-Nahas R.F. Wood A.G. Pockley 2000 Elevated levels of circulating heat shock protein 70 (Hsp70) in peripheral and renal vascular disease Heart Vessels 15 18 22.

    • Search Google Scholar
    • Export Citation
  • 23. M. Satoh Y. Shimoda T. Akatsu Y. Ishikawa Y. Minami M. Nakamura 2006 Elevated circulating levels of heat shock protein 70 are related to systemic inflammatory reaction through monocyte Toll signal in patients with heart failure after acute myocardial infarction Eur J Heart Fail 8 810 815.

    • Search Google Scholar
    • Export Citation
  • 24. B. Dybdahl S.A. Slordahl A. Waage P. Kierulf T. Espevik A. Sundan 2005 Myocardial ischaemia and the inflammatory response: release of heat shock protein 70 after myocardial infarction Heart 91 299 304.

    • Search Google Scholar
    • Export Citation
  • 25. M. Tavaria T. Gabriele I. Kola R.L. Anderson 1996 A hitchhiker's guide to the human Hsp70 family Cell Stress Chaperones 1 23 28.

  • 26. C.L. Higgins S.A. Marvel J.D. Morrisett 2005 Quantification of calcification in atherosclerotic lesions Arterioscler Thromb Vasc Biol 25 1567 1576.

    • Search Google Scholar
    • Export Citation
  • 27. A. Bollinger K. Breddin H. Hess F.M. Heystraten J. Kollath A. Konttila et al.1981 Semiquantitative assessment of lower limb atherosclerosis from routine angiographic images Atherosclerosis 38 339 346.

    • Search Google Scholar
    • Export Citation
  • 28. Z. Szeberin M. Fehervari M. Krepuska A. Apor E. Rimely H. Sarkadi et al.2011 Fetuin-A serum levels in patients with aortic aneurysms of Marfan syndrome and atherosclerosis Eur J Clin Invest 41 176 182.

    • Search Google Scholar
    • Export Citation
  • 29. M. Krepuska Z. Szeberin P. Sotonyi H. Sarkadi M. Fehervari A. Apor et al.2011 Serum level of soluble Hsp70 is associated with vascular calcification Cell Stress Chaperones 16 257 265.

    • Search Google Scholar
    • Export Citation
  • Collapse
  • Expand

2019  
Scimago
H-index
11
Scimago
Journal Rank
0,220
Scimago
Quartile Score
Medicine (miscellaneous) Q3
Scopus
Cite Score
155/133=1,2
Scopus
Cite Score Rank
General Medicine 199/529 (Q2)
Scopus
SNIP
0,343
Scopus
Cites
206
Scopus
Documents
23

 

Interventional Medicine and Applied Science
Language English
Size  
Year of
Foundation
2009
Publication
Programme
changed title
Volumes
per Year
 
Issues
per Year
 
Founder Akadémiai Kiadó
Founder's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 2061-1617 (Print)
ISSN 2061-5094 (Online)

Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Jun 2023 1 0 0
Jul 2023 3 0 0
Aug 2023 7 0 0
Sep 2023 4 0 0
Oct 2023 0 3 0
Nov 2023 5 1 0
Dec 2023 0 0 0