Prevalence of elevated serum fatty acid synthase in chronic limb-threatening ischemia

Abstract There are currently no serum-based evaluations that can corroborate the severity of peripheral artery disease (PAD). In this cross-sectional study, we assessed the prevalence of elevated serum fatty acid synthase (cFAS) in patients with chronic limb-threatening ischemia (CLTI) and evaluated...

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Autores principales: Shirli Tay, Gayan S. De Silva, Connor M. Engel, Nikolai Harroun, Amanda S. Penrose, Kshitij A. Desai, Yan Yan, Clay F. Semenkovich, Mohamed A. Zayed
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:9a974cab434647dba598d689435915832021-12-02T17:37:28ZPrevalence of elevated serum fatty acid synthase in chronic limb-threatening ischemia10.1038/s41598-021-98479-72045-2322https://doaj.org/article/9a974cab434647dba598d689435915832021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-98479-7https://doaj.org/toc/2045-2322Abstract There are currently no serum-based evaluations that can corroborate the severity of peripheral artery disease (PAD). In this cross-sectional study, we assessed the prevalence of elevated serum fatty acid synthase (cFAS) in patients with chronic limb-threatening ischemia (CLTI) and evaluated the accuracy of its use in detecting this condition. Preoperative fasting serum samples from 87 patients undergoing vascular intervention were collected between October 2014 and September 2016. Median age was 62 years, with 56 (64%) men, and 32 (37%) with CLTI. We found that elevated cFAS content (OR 1.17; 95% CI 1.04–1.31), type 2 diabetes (T2D; OR 5.22; 95% CI 1.77–15.4), and smoking (OR 3.53; 95% CI 1.19–10.5) were independently associated with CLTI and could detect the presence of CLTI with 83% accuracy (95% CI 0.74–0.92). Furthermore, serum FAS content was positively correlated with FAS content in femoral artery plaque in patients with severe PAD ( $${R}^{2}$$ R 2 = 0.22; P =  0.023). Finally, significantly higher co-localization of FAS and ApoB were observed within lower extremity arterial media (P < .001). Our findings indicate that serum FAS content is a marker for disease severity in patients with PAD, independent of concomitant T2D and smoking, and may play a key role in FAS and ApoB peripheral plaque progression.Shirli TayGayan S. De SilvaConnor M. EngelNikolai HarrounAmanda S. PenroseKshitij A. DesaiYan YanClay F. SemenkovichMohamed A. ZayedNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Shirli Tay
Gayan S. De Silva
Connor M. Engel
Nikolai Harroun
Amanda S. Penrose
Kshitij A. Desai
Yan Yan
Clay F. Semenkovich
Mohamed A. Zayed
Prevalence of elevated serum fatty acid synthase in chronic limb-threatening ischemia
description Abstract There are currently no serum-based evaluations that can corroborate the severity of peripheral artery disease (PAD). In this cross-sectional study, we assessed the prevalence of elevated serum fatty acid synthase (cFAS) in patients with chronic limb-threatening ischemia (CLTI) and evaluated the accuracy of its use in detecting this condition. Preoperative fasting serum samples from 87 patients undergoing vascular intervention were collected between October 2014 and September 2016. Median age was 62 years, with 56 (64%) men, and 32 (37%) with CLTI. We found that elevated cFAS content (OR 1.17; 95% CI 1.04–1.31), type 2 diabetes (T2D; OR 5.22; 95% CI 1.77–15.4), and smoking (OR 3.53; 95% CI 1.19–10.5) were independently associated with CLTI and could detect the presence of CLTI with 83% accuracy (95% CI 0.74–0.92). Furthermore, serum FAS content was positively correlated with FAS content in femoral artery plaque in patients with severe PAD ( $${R}^{2}$$ R 2 = 0.22; P =  0.023). Finally, significantly higher co-localization of FAS and ApoB were observed within lower extremity arterial media (P < .001). Our findings indicate that serum FAS content is a marker for disease severity in patients with PAD, independent of concomitant T2D and smoking, and may play a key role in FAS and ApoB peripheral plaque progression.
format article
author Shirli Tay
Gayan S. De Silva
Connor M. Engel
Nikolai Harroun
Amanda S. Penrose
Kshitij A. Desai
Yan Yan
Clay F. Semenkovich
Mohamed A. Zayed
author_facet Shirli Tay
Gayan S. De Silva
Connor M. Engel
Nikolai Harroun
Amanda S. Penrose
Kshitij A. Desai
Yan Yan
Clay F. Semenkovich
Mohamed A. Zayed
author_sort Shirli Tay
title Prevalence of elevated serum fatty acid synthase in chronic limb-threatening ischemia
title_short Prevalence of elevated serum fatty acid synthase in chronic limb-threatening ischemia
title_full Prevalence of elevated serum fatty acid synthase in chronic limb-threatening ischemia
title_fullStr Prevalence of elevated serum fatty acid synthase in chronic limb-threatening ischemia
title_full_unstemmed Prevalence of elevated serum fatty acid synthase in chronic limb-threatening ischemia
title_sort prevalence of elevated serum fatty acid synthase in chronic limb-threatening ischemia
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/9a974cab434647dba598d68943591583
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