Résumé :
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[BDSP. Notice produite par INIST-CNRS R0xlFCor. Diffusion soumise à autorisation]. Fibrosis has been implicated in diverse diseases of the liver, kidney, lungs, and heart, but its importance as a risk factor for mortality remains unconfirmed. We determined the prospective associations of 2 complementary biomarkers of fibrosis, transforming growth factor-bêta (TGF-bêta) and procollagen type III N-terminal propeptide (PIIINP), with total and cause-specific mortality risks among community-living older adults in the Cardiovascular Health Study (1996-2010). We measured circulating TGF-bêta and PIIINP levels in plasma samples collected in 1996 and ascertained the number of deaths through 2010. Both TGF-bêta and PIIINP were associated with elevated risks of total and pulmonary mortality after adjustment for sociodemographic, clinical, and biochemical risk factors. For total mortality, the hazard ratios per doubling of TGF-bêta and PIIINP were 1.09 (95% confidence interval (CI) : 1.01,1.17 ; P=0.02) and 1.14 (CI : 1.03,1.27 ; P=0.01), respectively. The corresponding hazard ratios for pulmonary mortality were 1.27 (CI : 1.01,1.60 ; P=0.04) for TGF-bêta and 1.52 (CI : 1.11,2.10 ; P=0.01) for PIIINP. Associations of TGF-bêta and PIIINP with total and pulmonary mortality were strongest among individuals with higher C-reactive protein concentrations (P for interaction
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