Objective-Vascular adhesion protein-1 is an endothelial enzyme that regulates leukocyte traffic and contributes to vascular damage in animal models. The relations of soluble vascular adhesion protein-1 (sVAP-1) with cardiovascular risk factors and markers of subclinical atherosclerosis at a population level have not been studied. Key Words: adhesion molecules Ⅲ atherosclerosis Ⅲ epidemiology Ⅲ risk factors M igration of leukocytes from the blood into the vascular wall is important for the pathogenesis of atherosclerosis. 1,2 Adhesion molecules on the endothelial surface guide immigration of blood-borne leukocytes to various tissues, including vascular wall. Expression of many of these endothelial adhesion molecules is induced in inflammation. Most endothelial adhesion molecules are also found in plasma as soluble forms. 3 They are normally formed by shedding of the surface-bound molecules or by expression of alternatively spliced variants. Therefore, considerable interest has risen in the possibility of using soluble adhesion molecules as biomarkers for various inflammatory diseases, including atherosclerosis. 4 Vascular adhesion protein-1 (VAP-1) is an endothelial adhesion molecule involved in leukocyte migration from the blood into sites of inflammation. 5 In contrast to many other adhesion molecules, it is a cell-surface expressed enzyme. It belongs to semicarbazide-sensitive amine oxidases (also known as primary amine oxidases) that harbor oxidase activity in their extracellular domains. 6 VAP-1 oxidatively deaminates primary amines into aldehydes in a reaction that also produces hydrogen peroxide and ammonium. The enzymatic activity of VAP-1 is important for its adhesive function, 7,8 and it also modulates the inflammatory microenvironment through regulation of transcription factors, chemokines, and other adhesion molecules. 9 -11 Nevertheless, the biological end-products of VAP-1 catalyzed reaction are potentially cytotoxic at higher concentrations, and they are implied in the development of different vasculopathies. For instance, the involvement of VAP-1 in the production of endogenous aldehydes, reactive oxygen species, and advanced glycation end products and in the regulation of arterial structure have been proposed to lead to vascular damage in cellular and animal models. [12][13][14][15] A soluble form of VAP-1 (sVAP-1) is normally present in plasma. 16 The level of sVAP-1 is increased in certain inflam- Analyses of animal models and specific diseases thus suggest that VAP-1 may be involved in cardiovascular damage, but this has never been addressed at a population level. Here we developed a new high-throughput method for determining sVAP-1 activity in serum samples and correlated it to different cardiovascular risk factors and markers of subclinical atherosclerosis in a thoroughly characterized cohort of 2183 young Finns.
Methods
Study Subjects and Serum SamplesThe study cohort was from the Cardiovascular Risk in Young Finns Study. 25 It includes 3596 persons recruited in 1980 who have been exte...