Linking myeloperoxidase with subclinical atherosclerosis in adults with metabolic syndrome.

Abstract

Myeloperoxidase (MPO) is aleukocyte-derived enzyme that has been associated with cardiovascular diseases in many studies. Together with hydrogen peroxide and ahalogen, MPO forms avery strong antimicrobial system and there is evidence of links between MPO and inflammation in cardiovascular diseases. Brachial flow-mediated dilation (FMD) refers to aphysiologic measure, and carotid intima-media thickness (IMT) is an anatomic structural measure of subclinical atherosclerosis. This research aimed to assess the correlation of MPO serum levels with subclinical atherosclerosis in patients with metabolic syndrome (MS) using the parameters FMD and IMT. Atotal of 88patients with metabolic syndrome defined according to the International Diabetes Criteria (IDF) criteria were recruited in the study. Doppler ultrasound was used to determine the left and right common carotid artery thickness (left and right CCA IMT) and FMD of brachial artery. The MPO concentrations were measured using the Immundiagnostik MPO ELISA kit. Asignificant inverse correlation between MPO and brachial FMD (r = -0.354, p < 0.001), asignificant positive correlation between MPO and right CCA IMT (r = 0.327, p < 0.001), and asignificant positive correlation between MPO and left CCA IMT (r = 0.301, p < 0.001) in patients with MS were obtained in this research study. Serum MPO concentration is correlated with subclinical atherosclerosis in patients with MS. The MPO may be apotential therapeutic goal in patients with MS. This finding suggests that new biological markers for MS and subclinical atherosclerosis are helpful for understanding the mechanisms of the risk factors and their role as a considerable burden on the population.