Association Between Soluble CD40 Ligand and Hypercholesterolemia in Children and Adolescents

Aim: Coronary heart disease is one of the most common causes of death around the world. The pathological process of coronary heart disease like atherosclerosis starts in childhood. During this period thrombosis constitutes a high-risk factor. In this study, we investigated the effect of soluble CD40...

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Main Authors: Aynur Küçükçongar Yavaş, Tuba Fatma Eminoğlu, İlyas Okur, Arzu Aral, Alev Hasanoğlu, Leyla Tümer
Format: Article
Language:English
Published: Galenos Publishing House 2017-03-01
Series:Journal of Pediatric Research
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Online Access:http://jpedres.org/article_14785/Association-Between-Soluble-Cd40-Ligand-And-Hypercholesterolemia-In-Children-And-Adolescents
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author Aynur Küçükçongar Yavaş
Tuba Fatma Eminoğlu
İlyas Okur
Arzu Aral
Alev Hasanoğlu
Leyla Tümer
author_facet Aynur Küçükçongar Yavaş
Tuba Fatma Eminoğlu
İlyas Okur
Arzu Aral
Alev Hasanoğlu
Leyla Tümer
author_sort Aynur Küçükçongar Yavaş
collection DOAJ
description Aim: Coronary heart disease is one of the most common causes of death around the world. The pathological process of coronary heart disease like atherosclerosis starts in childhood. During this period thrombosis constitutes a high-risk factor. In this study, we investigated the effect of soluble CD40 ligand (sCD40L) and clotting activation on children and adolescents with hypercholesterolemia. Materials and Methods: Plasma levels of sCD40L, P-selectin, 8-hydroxy-2-deoxyguanosine (8-OHdG), and prothrombin fragment 1+2 [(F) 1+2] were determined in thirty-five hypercholesterolemic patients (20 girls and 15 boys; age, median: 13 years) and forty healthy normocholesterolemic subjects (28 girls and 12 boys; age, median: 13 years). Results: No significant differences were observed between the patient group and controls in terms of age, high-density lipoprotein (HDL) cholesterol, 8-OHdG, F1+2 (p>0.05). However, there were significant differences between the two groups with respect to total cholesterol, low-density lipoprotein (LDL) cholesterol, very LDL cholesterol, triglycerides, sCD40L and P-selectin (p<0.05), which were higher in the patient group than the controls. A positive correlation was observed between sCD40L and P-selectin (p<0.05) in accordance with the Spearman correlation analysis. The correlation coefficients were 0.735 in the patient group and 0.647 in the control group. But there was no significant correlation between sCD40L and total cholesterol, LDL-cholesterol, HDL-cholesterol, very LDL-cholesterol, triglycerides, 8-OHdG, F1+2 (p>0.05). Conclusion: We believe that future prospective studies to determine the increase in the level of sCD40L with a larger sample size of a pediatric population with dyslipidemias may be more helpful in predicting the risk of cardiovascular disease.
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issn 2147-9445
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publishDate 2017-03-01
publisher Galenos Publishing House
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series Journal of Pediatric Research
spelling doaj-art-a0e189ef4f5f4b50acef6118bde6abd22025-08-20T03:38:34ZengGalenos Publishing HouseJournal of Pediatric Research2147-94452017-03-01411510.4274/jpr.24654Association Between Soluble CD40 Ligand and Hypercholesterolemia in Children and AdolescentsAynur Küçükçongar Yavaş0Tuba Fatma Eminoğlu1İlyas Okur2Arzu Aral3Alev Hasanoğlu4Leyla Tümer5Health Ministery Pediatric Hematology and Oncology Training and Research Hospital, Clinic of Pediatric Metabolism, Ankara, TurkeyAnkara University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Metabolism, Ankara, TurkeyGazi University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Metabolism, Ankara, TurkeyGazi University Faculty of Medicine, Division of Immunology, Ankara, TurkeyGazi University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Metabolism, Ankara, TurkeyGazi University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Metabolism, Ankara, TurkeyAim: Coronary heart disease is one of the most common causes of death around the world. The pathological process of coronary heart disease like atherosclerosis starts in childhood. During this period thrombosis constitutes a high-risk factor. In this study, we investigated the effect of soluble CD40 ligand (sCD40L) and clotting activation on children and adolescents with hypercholesterolemia. Materials and Methods: Plasma levels of sCD40L, P-selectin, 8-hydroxy-2-deoxyguanosine (8-OHdG), and prothrombin fragment 1+2 [(F) 1+2] were determined in thirty-five hypercholesterolemic patients (20 girls and 15 boys; age, median: 13 years) and forty healthy normocholesterolemic subjects (28 girls and 12 boys; age, median: 13 years). Results: No significant differences were observed between the patient group and controls in terms of age, high-density lipoprotein (HDL) cholesterol, 8-OHdG, F1+2 (p>0.05). However, there were significant differences between the two groups with respect to total cholesterol, low-density lipoprotein (LDL) cholesterol, very LDL cholesterol, triglycerides, sCD40L and P-selectin (p<0.05), which were higher in the patient group than the controls. A positive correlation was observed between sCD40L and P-selectin (p<0.05) in accordance with the Spearman correlation analysis. The correlation coefficients were 0.735 in the patient group and 0.647 in the control group. But there was no significant correlation between sCD40L and total cholesterol, LDL-cholesterol, HDL-cholesterol, very LDL-cholesterol, triglycerides, 8-OHdG, F1+2 (p>0.05). Conclusion: We believe that future prospective studies to determine the increase in the level of sCD40L with a larger sample size of a pediatric population with dyslipidemias may be more helpful in predicting the risk of cardiovascular disease.http://jpedres.org/article_14785/Association-Between-Soluble-Cd40-Ligand-And-Hypercholesterolemia-In-Children-And-AdolescentsHypercholesterolemiaatherosclerosisCD40 ligand
spellingShingle Aynur Küçükçongar Yavaş
Tuba Fatma Eminoğlu
İlyas Okur
Arzu Aral
Alev Hasanoğlu
Leyla Tümer
Association Between Soluble CD40 Ligand and Hypercholesterolemia in Children and Adolescents
Journal of Pediatric Research
Hypercholesterolemia
atherosclerosis
CD40 ligand
title Association Between Soluble CD40 Ligand and Hypercholesterolemia in Children and Adolescents
title_full Association Between Soluble CD40 Ligand and Hypercholesterolemia in Children and Adolescents
title_fullStr Association Between Soluble CD40 Ligand and Hypercholesterolemia in Children and Adolescents
title_full_unstemmed Association Between Soluble CD40 Ligand and Hypercholesterolemia in Children and Adolescents
title_short Association Between Soluble CD40 Ligand and Hypercholesterolemia in Children and Adolescents
title_sort association between soluble cd40 ligand and hypercholesterolemia in children and adolescents
topic Hypercholesterolemia
atherosclerosis
CD40 ligand
url http://jpedres.org/article_14785/Association-Between-Soluble-Cd40-Ligand-And-Hypercholesterolemia-In-Children-And-Adolescents
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