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Serum endocan and endothelial dysfunction in childhood acute lymphoblastic leukemia survivors: a tertiary center experience
Faculty
Medicine
Year:
2021
Type of Publication:
ZU Hosted
Pages:
Authors:
Marwa Zakaria Mohammed Mustafa
Staff Zu Site
Abstract In Staff Site
Journal:
Therapeutic Advances in Chronic Disease sage journal
Volume:
25
Keywords :
Serum endocan , endothelial dysfunction , childhood acute
Abstract:
Background: An increased risk of cardiovascular complications is reported in survivors of childhood acute lymphoblastic leukemia (ALL). Early identification of impaired vascular health may allow for early interventions to improve outcomes. Aim: The study was conducted to assess the endothelial dysfunction in ALL survivors using a new marker, serum endocan, and measurement of the mean common carotid arteries intima media thickness (cIMT). Methods: A case-control study was conducted on 100 childhood ALL survivors (aged 6–18years), with 80 healthy age and sex-matched children as a control group. Lipid profile, hepatitis markers, and serum ferritin where measured, in addition to the measurement of serum endocan. and cIMT by B-mode high-resolution ultrasonography for all study participants. Results: Triglycerides, total cholesterol, post prandial glucose, and serum ferritin were significantly higher in ALL survivors than controls (p < 0.05). Dyslipidemia was detected in 6% of ALL survivors. ALL survivors showed statistically higher serum endocan levels (470.41 ± 556.1 ng/l, versus, 225.94 ± 185.2 ng/l, respectively) and increased cIMT levels compared with the control group (0.650 ± 0.129 mm versus 0.320 ± 0.095 mm, respectively) p < 0.05. Serum endocan was positively correlated with cIMT and blood cholesterol. Conclusions: The survivors of childhood ALL demonstrated an elevated level of serum endocan and increased cIMT. These can be used as predictors of endothelial dysfunction, and, as a consequence, the risk of developing premature atherosclerosis.
Author Related Publications
Marwa Zakaria Mohammed Mustafa, "Evaluation of the Immune Response to Interferon Gamma Release Assay and Tuberculin Skin Test Among BCG Vaccinated Children in East of Egypt A Cross-Sectional Study", Wolters Kluwer Health, Inc, 2016
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Marwa Zakaria Mohammed Mustafa, "Status of serum magnesium in Egyptian children with type 1 diabetes and its correlation to glycemic control and lipid profile", Wolters Kluwer Health, Inc, 2016
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Marwa Zakaria Mohammed Mustafa, "First Report of Acute Lymphoblastic Leukemia in an Egyptian Child with b-Thalassemia Major", Hemoglobin, 2015
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Marwa Zakaria Mohammed Mustafa, "Renal Presentation in Pediatric Acute Leukemia Report of 2 Cases", Medicine®, 2015
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Marwa Zakaria Mohammed Mustafa, "Target Therapy in Neuroblastoma", INTECH, 2017
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