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Table 3 Salient serological and functional biomarkers of CHD, and prospective ones

From: The mechanism by which moderate alcohol consumption influences coronary heart disease

Biomarker (class and salient examples)

Prediction of CHD

Size of studies

Ref.

Relative risk (95% CI)

(N = number of trials, n = number of patients)

Lipid-related markers:

HDL

0.78 (0.74-0.82)

(N = 68, n = 302 430)

[154]

Triglycerides

0.99 (0.94-1.05)

(N = 68, n = 302 430)

[154]

Leptin

1.04 (0.92-1.17)

(n = 1 832)

[155]

LDL

1.25 (1.18-1.33)

(N = 15, n = 233 455)

[156]

Non-HDL

1.34 (1.24-1.44)

(N = 15, n = 233 455)

[156]

ApoB

1.43 (1.35-1.51)

(N = 15, n = 233 455)

[156]

Inflammation markers:

TNF-α

1.17 (1.09-1.25)

(N = 7, n = 6 107)

[157]

hsCRP

1.20 (1.18-1.22)

(N = 38, n = 166 596)

[158]

IL-6

1.25 (1.19-1.32)

(N = 25, n = 42 123)

[157]

GDF-15

1.40 (1.10-1.80)

(n = 1 740)

[159]

OPG

1.41 (1.33-1.57)

(n = 5 863)

[160]

Marker of oxidative stress:

MPO

1.17 (1.06-1.30)

(n = 2 861)

[161]

Marker of vascular function and neurohormonal activity:

Homocysteine

1.15 (1.09-1.22)

(N = 20, n = 22 652)

[162,163]

BNP

1.42 (1.24-1.63)

(N = 40, n = 87 474)

[164]

Coagulation marker:

Fibrinogen

1.15 (1.13-1.17)

(N = 40, n = 185 892)

[158]

Necrosis marker:

Troponins

1.15 (1.04-1.27)

(n = 3 265)

[20]

Renal function marker:

Urinary ACR

1.57 (1.26-1.95)

(n = 626)

[165]

Metabolic markers:

IGF-1

0.76 (0.56-1.04)

(n = 3 967)

[166]

Adiponectin

0.97 (0.86-1.09)

(N = 14, n =21 272)

[167]

Cortisol

1.10 (0.97-1.25)

(n = 2 512)

[168,169]

BDNF

?

N/A

[99,101,102]

HbA1c

1.42 (1.16-1.74)

(N = 2, n = 2 442)

[170]

Insulin resistance (HOMA)

1.46 (1.26-1.69)

(N = 17, n = 51 161)

[171]

  1. From “How do high glycemic load diets influence coronary heart disease?” by Mathews MJ, Liebenberg L, Mathews EH. Nutr Metab. 2015:12:6 [14]. n denotes number of participants; N, number of trials; ?, currently unknown RR for CHD; HDL, high-density lipoprotein; BNP, B-type natriuretic peptide; ACR, albumin–to-creatinine ratio; GDF-15, growth-differentiation factor-15; LDL, low-density lipoprotein; HbA1c, glycated haemoglobin A1c; hsCRP, high-sensitivity C-reactive protein; IL-6, interleukin-6; TNF-α, tumour necrosis factor-α; ApoB, apolipoprotein-B; IGF-1, insulin-like growth factor-1; MPO, myeloperoxidase; RANKL or OPG, osteoprotegerin; BDNF, brain-derived neurotrophic factor; HOMA, homeostatic model assessment.