Evidence map›Paper›PMID 41063186›Full record

ArticleCardiovascular diabetology2025

Plasma ALKAL2 levels are associated with coronary atherosclerosis in patients with type 2 diabetes mellitus.

Yipaerguli Maimaiti, Minhui Wang, Shuai Chen, Feifei Li, Jingmeng Liu, Xinrui Wu, Jianjun Chen, Qiujing Chen, Weifeng Shen, Fenghua Ding and 2 more

Abstract read
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Article in Cardiovascular diabetology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Yipaerguli Maimaiti *Department of Cardiovascular Medicine, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Road II, Shanghai, 200025, People's Republic of China.
Minhui Wang *Department of Cardiovascular Medicine, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Road II, Shanghai, 200025, People's Republic of China.
Shuai Chen *Department of Cardiovascular Medicine, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Road II, Shanghai, 200025, People's Republic of China.
Feifei LiDepartment of Cardiovascular Medicine, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Road II, Shanghai, 200025, People's Republic of China.
Jingmeng LiuDepartment of Cardiovascular Medicine, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Road II, Shanghai, 200025, People's Republic of China.
Xinrui WuDepartment of Cardiovascular Medicine, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Road II, Shanghai, 200025, People's Republic of China.
Jianjun ChenDepartment of Cardiovascular Medicine, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Road II, Shanghai, 200025, People's Republic of China.
Qiujing ChenInstitute of Cardiovascular Diseases, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, People's Republic of China.
Weifeng ShenDepartment of Cardiovascular Medicine, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Road II, Shanghai, 200025, People's Republic of China.
Fenghua DingDepartment of Cardiovascular Medicine, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Road II, Shanghai, 200025, People's Republic of China.
Yang DaiDepartment of Cardiovascular Medicine, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Road II, Shanghai, 200025, People's Republic of China. yutongwushe@163.com.
Lin LuDepartment of Cardiovascular Medicine, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, 197 Rui Jin Road II, Shanghai, 200025, People's Republic of China. rjlulin1965@163.com.

Funding

National Natural Science Foundation of China 82070358National Natural Science Foundation of China 82470433Ruijin Hospital Nursing Specialized Fund RJKH(Y)-2025-018
6 · The paper itself

Abstract

backgroundCancer-associated signaling pathways, particularly the ALK/LTK receptor tyrosine kinases and their ligand ALKAL2, have recently been implicated in chronic inflammation and myocardial remodeling. However, the relationship between ALKAL2 and coronary artery disease (CAD) pathogenesis in type 2 diabetes mellitus (T2DM) remains undefined.

methodsFrom January 2019 to December 2020, patients with type 2 diabetes mellitus (T2DM) undergoing coronary angiography were consecutively enrolled at Ruijin Hospital. Plasma ALKAL2 levels were measured using an ELISA assay. The association between ALKAL2 and CAD severity was assessed by Spearman correlation analysis. Logistic regression models were used to measure the association between ALKAL2 and CAD risk.

results275 T2DM patients with CAD and 275 age- and sex-matched T2DM patients without CAD were included in the final analysis. Plasma ALKAL2 levels were increased in T2DM patients with CAD (0.25 [0.21, 0.37] ng/mL, median [IQR] vs. 0.18 [0.14, 0.24]ng/mL) (p < 0.001) and were positively associated with CAD severity (Spearman rho = 0.53, p < 0.001). Multivariate analysis revealed that plasma ALKAL2 levels were independently associated with the incidence of CAD after adjusting for LDL-C, hsCRP, and other traditional risk factors (OR, 2.24 [95% CI, 1.79-2.85]; p < 0.001).

conclusionsElevated plasma ALKAL2 levels are an independent risk factor for T2DM CAD and are associated with the severity of CAD.

Indexed as

Coronary Artery DiseaseDiabetes Mellitus, Type 2AgedBiomarkersCase-Control StudiesChinaCoronary AngiographyCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk AssessmentRisk FactorsSeverity of Illness IndexUp-RegulationBiomarkersALKAL2Coronary artery diseaseType 2 diabetes

Identifiers

PMID41063186
PMCPMC12506297

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.