Cited by 75Hormonal and reproductive studiesAtherosclerosis and Cardiovascular DiseasesLipoproteins and Cardiovascular Health

Dehydroepiandrosterone and coronary atherosclerosis

HERRINGTON, DAVID M.·1995·Annals of the New York Academy of Sciences

Abstract

Tissue culture, animal model, and epidemiologic studies suggest that dehydroepiandrosterone (DEHA) may inhibit atherosclerosis through its potent antiproliferative effects. To examine the relation between DHEA and a direct measure of coronary atherosclerosis, plasma DHEA, and DHEA sulfate (DHEAS) levels were determined in 206 middle-aged patients undergoing coronary angiography. Plasma DHEAS levels were lower in subjects with at least one > or = 50% stenosis than in those with no stenosis > 50% (p = 0.05) and was inversely associated with the number of diseased coronary vessels and the extent of coronary atherosclerosis (p = 0.05 and 0.01, respectively). Cardiac allograft vasculopathy is dominated by abnormal cellular proliferation and, therefore, may be uniquely influenced by DHEA. To study this, 61 cardiac allograft recipients with at least one annual follow-up cardiac catheterization were studied. Plasma levels of total and free DHEA were inversely related to the development of accelerated coronary allograft vasculopathy (p = 0.005 and 0.003, respectively). Furthermore, the time to development of accelerated allograft vasculopathy was shorter in subjects with low levels of total and free DHEA (p = 0.062 and 0.046, respectively). These data suggest that low plasma levels of DHEA may facilitate, and high levels may retard, the development of coronary atherosclerosis and coronary allograft vasculopathy.

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Crossref · 10.1111/j.1749-6632.1995.tb17387.x-i1

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Authors
HERRINGTON, D. M.
Affiliations
Atrium Health Wake Forest Baptist (US)
Corresponding author
HERRINGTON, DAVID M.
Venue
Annals of the New York Academy of Sciences
Publisher
Wiley
Published
1995-12
Volume
774
Issue
1
Pages
271-280
ISSN
  • 0077-8923 (ISSN-L)
  • 1749-6632
OpenAlex
W2158015610
Cited by
75
References
45
Citations by year
2024: 2 · 2021: 1 · 2020: 1 · 2019: 1 · 2015: 2 · 2014: 2 · 2013: 1 · 2012: 4
FWCI
3.90
Type
journal article
Language
en
Open access
closed
Locations
  • Annals of the New York Academy of Sciences (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
  • Life Sciences › Immunology and Microbiology › Immunology › Atherosclerosis and Cardiovascular Diseases
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
Keywords
dehydroepiandrosterone, DHEA sulfate, coronary artery disease, cardiac allograft vasculopathy, coronary artery stenosis, antiproliferative activity, cell proliferation, cardiac allograft recipients, middle-aged patients
MeSH terms
Adult, Coronary Artery Disease, Coronary Circulation, Coronary Vessels, Dehydroepiandrosterone, Female, Humans, Male, Middle Aged, Heart Transplantation, Coronary Angiography, Dehydroepiandrosterone Sulfate

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