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Published in: Cardiovascular Diabetology 1/2017

Open Access 01-12-2017 | Original investigation

Prognostic value of plasma DPP4 activity in ST-elevation myocardial infarction

Authors: Jing-Wei Li, Yun-Dai Chen, Wei-Ren Chen, Qi You, Bo Li, Hao Zhou, Ying Zhang, Tian-Wen Han

Published in: Cardiovascular Diabetology | Issue 1/2017

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Abstract

Background

Dipeptidyl peptidase-4 (DPP4) regulates blood glucose levels and inflammation, and it is also implicated in the pathophysiological process of myocardial infarction (MI). Plasma DPP4 activity (DPP4a) may provide prognostic information regarding outcomes for ST-segment elevation MI (STEMI) patients.

Methods

Blood samples were obtained from 625 consecutively admitted, percutaneous coronary intervention-treated STEMI patients with a mean age of 57 years old. DPP4a was quantified using enzymatic assays.

Results

The median follow-up period was 30 months. Multivariate Cox-regression analyses (adjusted for confounding variables) showed that a 1 U/L increase of DPP4a did not associate with risks of major adverse cardiac or cerebrovascular events (MACCE), cardiovascular mortality, MI, heart failure readmission, stroke, non-cardiovascular mortality and repeated revascularization. However, in a subset of 149 diabetic STEMI patients, DPP4a associated with an increased risk of MACCE (HR 1.16; 95% CI 1.04–1.30; p = 0.01).

Conclusions

DPP4a did not associate with cardiovascular events and non-cardiovascular mortality in non-diabetic STEMI patients. However, DPP4a may be associated with future MACCE in diabetic STEMI patients.
Trial registration NCT03046576, registered on 5 February, 2017, retrospectively registered
Appendix
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Metadata
Title
Prognostic value of plasma DPP4 activity in ST-elevation myocardial infarction
Authors
Jing-Wei Li
Yun-Dai Chen
Wei-Ren Chen
Qi You
Bo Li
Hao Zhou
Ying Zhang
Tian-Wen Han
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Cardiovascular Diabetology / Issue 1/2017
Electronic ISSN: 1475-2840
DOI
https://doi.org/10.1186/s12933-017-0553-3

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