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Cited by 310

The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.

Plasma Fetuin-A Levels and the Risk of Myocardial Infarction and Ischemic Stroke

Open access
Weikert, Cornelia, Stefan, Norbert, Schulze, Matthias B., Pischon, Tobias, Berger, Klaus, Joost, Hans-Georg, Häring, Hans-Ulrich, Boeing, Heiner, Fritsche, Andreas·2008·Circulation

Abstract

Background— Fetuin-A, a protein almost exclusively secreted by the liver, induces insulin resistance and subclinical inflammation in rodents. Circulating fetuin-A levels are elevated in humans with metabolic syndrome and insulin resistance, conditions that are associated with increased risk of cardiovascular disease. Methods and Results— We investigated the association between fetuin-A levels and the risk of future myocardial infarction (MI) and ischemic stroke (IS) in a case-cohort study based on the European Prospective Investigation into Cancer and Nutrition (EPIC)–Potsdam Study comprising 27 548 middle-aged subjects of the general population. Fetuin-A levels were measured in plasma of 227 individuals who developed MI, in 168 who developed IS, and in 2198 individuals who remained free of cardiovascular events during a mean follow-up of 8.2±2.2 years. Individuals in the highest compared with the lowest quintile of plasma fetuin-A had significantly increased risks of MI (relative risk, 3.80; 95% confidence interval, 2.37 to 6.10; P for trend <0.0001) and IS (relative risk, 3.93; 95% confidence interval, 2.17 to 7.12; P for trend <0.0001) after adjustment for sex and age. Additional adjustment for smoking status, body mass index, waist circumference, alcohol consumption, educational attainment, physical activity, hypertension, diabetes mellitus, total and high-density lipoprotein cholesterol, and C-reactive protein only moderately attenuated these risks (MI: relative risk, 3.25; 95% confidence interval, 2.01 to 5.28; P for trend <0.0001; IS: relative risk, 3.78; 95% confidence interval, 2.06 to 6.94; P for trend <0.0001). Conclusions— Our data provide evidence for a link between high plasma fetuin-A levels and an increased risk of MI and IS. Therefore, more research is warranted to determine the role of fetuin-A in the pathophysiology of cardiovascular disease.

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Crossref · 10.1161/circulationaha.108.814418

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Metadata

Authors
Weikert, C., Stefan, N., Schulze, M. B., Pischon, T., Berger, K., Joost, H.-G., Häring, H.-U., Boeing, H., & Fritsche, A.
Venue
Circulation
Published
2008-12-09
Volume
118
Issue
24
Pages
2555-2562
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W1969316714
Cited by
310
References
37
FWCI
14.02
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Plasma Fetuin-A Levels and the Risk of Myocardial Infarction and Ischemic Stroke. https://app.cochat.ai/papers/10.1161/circulationaha.108.814418
The paper
Weikert, C., Stefan, N., Schulze, M. B., Pischon, T., Berger, K., Joost, H.-G., Häring, H.-U., Boeing, H., & Fritsche, A. (2008). Plasma Fetuin-A Levels and the Risk of Myocardial Infarction and Ischemic Stroke. Circulation. https://doi.org/10.1161/circulationaha.108.814418

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