TY - JOUR
T1 - Hepatocyte growth factor and the risk of ischemic stroke developing among postmenopausal women
T2 - Results from the women's health initiative
AU - Rajpathak, Swapnil N.
AU - Wang, Tao
AU - Wassertheil-Smoller, Sylvia
AU - Strickler, Howard D.
AU - Kaplan, Robert C.
AU - McGinn, Aileen P.
AU - Wildman, Rachel P.
AU - Rosenbaum, Daniel
AU - Rohan, Thomas E.
AU - Scherer, Philipp E.
AU - Cushman, Mary
AU - Ho, Gloria Y.F.
PY - 2010/5
Y1 - 2010/5
N2 - BACKGROUND AND PURPOSE-: Hepatocyte growth factor (HGF) is a potent angiogenic factor and may play a role in the development and progression of atherosclerotic lesions, the underlying mechanism of cardiovascular disease. However, there have been no prospective studies examining the relationship between HGF levels and risk of stroke. METHODS-: We conducted a nested case-control study (972 incident stroke cases and 1:1 age-matched and race-matched controls) to prospectively evaluate the association between plasma HGF and risk of ischemic stroke within the WomenÊ's Health Initiative Observational Study, a cohort of postmenopausal women aged 50 to 79 years. RESULTS-: Baseline HGF levels were correlated positively with body mass index, systolic blood pressure, low-density lipoprotein cholesterol, insulin resistance, and inflammatory markers, such as C-reactive protein, and inversely with high-density lipoprotein cholesterol (all P<0.05). Baseline HGF levels were higher among cases than controls (geometric means, 601.8 vs 523.2 pg/mL; P=0.003). Furthermore, the risk of incident ischemic stroke was significantly greater among women in the highest vs lowest quartile of plasma HGF levels (OR, 1.46; 95% CI, 1.12-1.91; Ptrend=0.003) in a conditional logistic regression model that adjusted for body mass index. These results were only slightly attenuated after further adjustment for additional stroke risk factors (OR, 1.39; 95% CI, 1.04-1.85; Ptrend=0.023). CONCLUSIONS-: Circulating levels of HGF are associated with an increased risk of incident ischemic stroke, independent of obesity and other risk factors for cardiovascular disease, among postmenopausal women aged 50 to 79 years.
AB - BACKGROUND AND PURPOSE-: Hepatocyte growth factor (HGF) is a potent angiogenic factor and may play a role in the development and progression of atherosclerotic lesions, the underlying mechanism of cardiovascular disease. However, there have been no prospective studies examining the relationship between HGF levels and risk of stroke. METHODS-: We conducted a nested case-control study (972 incident stroke cases and 1:1 age-matched and race-matched controls) to prospectively evaluate the association between plasma HGF and risk of ischemic stroke within the WomenÊ's Health Initiative Observational Study, a cohort of postmenopausal women aged 50 to 79 years. RESULTS-: Baseline HGF levels were correlated positively with body mass index, systolic blood pressure, low-density lipoprotein cholesterol, insulin resistance, and inflammatory markers, such as C-reactive protein, and inversely with high-density lipoprotein cholesterol (all P<0.05). Baseline HGF levels were higher among cases than controls (geometric means, 601.8 vs 523.2 pg/mL; P=0.003). Furthermore, the risk of incident ischemic stroke was significantly greater among women in the highest vs lowest quartile of plasma HGF levels (OR, 1.46; 95% CI, 1.12-1.91; Ptrend=0.003) in a conditional logistic regression model that adjusted for body mass index. These results were only slightly attenuated after further adjustment for additional stroke risk factors (OR, 1.39; 95% CI, 1.04-1.85; Ptrend=0.023). CONCLUSIONS-: Circulating levels of HGF are associated with an increased risk of incident ischemic stroke, independent of obesity and other risk factors for cardiovascular disease, among postmenopausal women aged 50 to 79 years.
KW - Hepatocyte growth factor
KW - Ischemic stroke
KW - Women
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U2 - 10.1161/STROKEAHA.109.567719
DO - 10.1161/STROKEAHA.109.567719
M3 - Article
C2 - 20203323
AN - SCOPUS:77951768843
SN - 0039-2499
VL - 41
SP - 857
EP - 862
JO - Stroke
JF - Stroke
IS - 5
ER -