Antibodies Against Phosphorylcholine in Prediction of Cardiovascular Disease Among Women: A Population-Based Prospective Cohort Study
2024

Antibodies Against Phosphorylcholine and Cardiovascular Disease in Women

Sample size: 932 publication 10 minutes Evidence: moderate

Author Information

Author(s): Frostegård Johan, Åkesson Agneta, Helte Emilie, Söderlund Fredrik, Su Jun, Hua Xiang, Rautiainen Susanne, Wolk Alicja

Primary Institution: Karolinska Institutet, Stockholm, Sweden

Hypothesis

High levels of IgM anti-PC are associated with lower risk of cardiovascular disease, particularly myocardial infarction, among women.

Conclusion

IgM anti-PC may inhibit the development of cardiovascular disease in women, especially myocardial infarction.

Supporting Evidence

  • IgM anti-PC was inversely associated with risk of cardiovascular disease, ischemic heart disease, and myocardial infarction.
  • Over 16 years, 113 cases of composite cardiovascular disease were identified.
  • Participants in the highest tertile of IgM anti-PC had a multivariable-adjusted HR of 0.27 for myocardial infarction.

Takeaway

Women with higher levels of a specific antibody may have a lower chance of heart problems.

Methodology

The study measured IgM anti-PC levels in serum and assessed associations with cardiovascular disease using Cox proportional hazard regression.

Potential Biases

Observational design may introduce residual confounding.

Limitations

The study had a limited sample size and potential for unmeasured confounding.

Participant Demographics

Participants were women from the Swedish Mammography Cohort, average age 66 years.

Statistical Information

P-Value

<0.01

Confidence Interval

95% CI: 0.11-0.68

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1016/j.jacadv.2024.101298

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