International Journal of General Medicine (Dec 2023)
Correlation Between Lipoprotein-Related Phospholipase A2 and Metabolic Syndrome
Abstract
Kai-Yu Wang,1 Yi-Chuan Chen,1,2 Jau-Yuan Chen,1,2 Song-Seng Loke,3 Wei-Chung Yeh,4 Wen-Cheng Li1,2,5 1Department of Family Medicine, Chang-Gung Memorial Hospital at Linkou, Taoyuan, Taiwan; 2College of Medicine, Chang Gung University, Taoyuan, Taiwan; 3Department of Family Medicine, Chang-Gung Memorial Hospital at Kaohsiung, Kaohsiung, Taiwan; 4Department of Family Medicine, Chang-Gung Memorial Hospital at Keelung, Keelung, Taiwan; 5Department of Health Management, Xiamen Chang-Gung Hospital, Xiamen, People’s Republic of ChinaCorrespondence: Wen-Cheng Li, Email [email protected]: Lipoprotein-associated phospholipase A2 (Lp-PLA2) has been recognized as a valuable biomarker for identifying the risk of cardiovascular diseases and inflammation. Furthermore, there is strong evidence to suggest that metabolic syndrome is closely associated with chronic inflammation. Accordingly, the present study endeavors to examine the potential correlation between metabolic syndrome and the levels of Lp-PLA2.Methods: To explore the relationship between Lp-PLA2 levels and metabolic syndrome, and to establish the predictive cut-off value of Lp-PLA2, a retrospective analysis was conducted using medical data from a sample of 3549 Chinese adults (comprising 2182 men and 1367 women) aged between 18 and 50 years, who had undergone health check-ups. In addition, the study also sought to investigate any potential differences in Lp-PLA2 levels based on sex and age.Results: The analysis of the data indicated that participants had a mean age of 44.2 years, a mean Lp-PLA2 level of 589 IU/L, and a metabolic syndrome prevalence of 22%. Lp-PLA2 levels were significantly different between males and females, and a significant correlation was observed between Lp-PLA2 levels and clinical and metabolic characteristics, including BMI, cholesterol, and triglycerides. Interestingly, Lp-PLA2 demonstrated potential as an indicator of metabolic syndrome, particularly in females, despite other biomarkers, such as TG/HDL-C and WHR, exhibiting better area under the curve.Conclusion: Our findings suggest that Lp-PLA2 may serve as a useful biomarker for identifying individuals at risk of developing metabolic syndrome, particularly in females. Further research is needed to explore the potential of Lp-PLA2 as a diagnostic and therapeutic target for metabolic syndrome.Keywords: Lp-PLA2, lipoprotein, metabolic syndrome, cardiovascular risk, and lipid profile
