Type 2 & other diabetes

Bone proteins are associated with cardiovascular risk according to the SCORE2-Diabetes algorithm

Cardiovasc DiabetolPublished Cross-sectional study

Authors' conclusion

Sclerostin and periostin are associated with vascular risk in the SCORE2-Diabetes algorithm, opening a new line of investigation to identify novel biomarkers of cardiovascular risk in the type 2 diabetes population.

Study context

Population
Patients with T2D (62 ± 6 years, 60% males)
Participants
104 patients
Exposure
Serum bioactive sclerostin and periostin vs cardiovascular disease (CVD) risk scales
Outcome
Association of bioactive sclerostin and periostin with CVD risk scales (FRS, REGICOR, SCORE2-Diabetes), focus on SCORE2-Diabetes 10-year CVD risk

Main finding

As reported in the abstract

Correlation with CVD risk scales
Positive correlation of bioactive sclerostin with SCORE2-Diabetes
p < 0.001
Positive correlation of periostin with SCORE2-Diabetes
p < 0.001
Sclerostin and periostin significantly higher in high-very high risk (score ≥ 10%) than low-moderate risk (score < 10%)
p < 0.001 for both

Observational data: associations, not effects.

Further findings

OutcomeBioactive sclerostinPeriostinCombined model
Identification of high-very high vascular risk (ROC)
AUC0.6960.7490.795
Pp = 0.001p < 0.001p < 0.001
Sensitivity (> 131 pmol/L)51.6%— not stated in the abstract— not stated in the abstract
Specificity (> 131 pmol/L)78.6%— not stated in the abstract— not stated in the abstract
Sensitivity (> 1144 pmol/L)— not stated in the abstract64.5%— not stated in the abstract
Specificity (> 1144 pmol/L)— not stated in the abstract76.2%— not stated in the abstract

— not stated in the abstract

Original publication

Bone proteins are associated with cardiovascular risk according to the SCORE2-Diabetes algorithm. Cardiovasc Diabetol. Published 24 August 2024. doi:10.1186/s12933-024-02406-9

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