Desphospho-Uncarboxylated Matrix-Gla Protein Is Increased Postoperatively in Cardiovascular Risk Patients Article Swipe
Sofia Dahlberg
,
Jacob Ede
,
Leon J. Schurgers
,
Cees Vermeer
,
Thomas Kander
,
Bengt Klarin
,
Ulf Schött
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.3390/nu10010046
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.3390/nu10010046
Background: Matrix Gla protein (MGP) is an extrahepatic protein that is dependent on glutamate carboxylation, a vitamin K-dependent process. Its dysfunctional form, desphospho-uncarboxylated-MGP, has been associated with increased arterial calcification and stiffness. The aim of this study was to measure the degree of postoperative carboxylation of MGP and two other Gla proteins in patients scheduled for abdominal or orthopaedic surgery. Methods: Forty patients undergoing abdominal or orthopaedic surgery were included. Blood samples were collected preoperatively and four days after the surgery. Desphospho-carboxylated MGP (dp-cMGP), desphospho-uncarboxylated MGP (dp-ucMGP), carboxylated osteocalcin (OC) (cOC), uncarboxylated OC (ucOC), and uncarboxylated prothrombin (PIVKA-II) were analysed. Results: Preoperatively, 29 patients had dp-ucMGP levels above the reference values. Patients with pre-existing cardiovascular comorbidities had higher dp-ucMGP preoperatively compared with patients with no record of cardiovascular disease. Postoperatively, this number increased to 36 patients, and median dp-ucMGP levels increased (p < 0.0001) and correlated to a PIVKA-II increase (r = 0.44). On the other hand, dp-cMGP levels did not significantly alter. Decreased levels of ucOC and cOC were seen after surgery (p = 0.017 and p = 0.0033, respectively). Comorbidities, possible nutritional defects, and complications affecting Gla protein activity and function were identified. Conclusions. Dp-ucMGP was high preoperatively, and had further increased postoperatively. This pattern was linked to several comorbidities, possible nutritional defects, and postoperative complications, which motivates further research about potential interactions between perioperative corrective treatments with vitamin K supplements, cardiovascular biomarkers, and incidents of stroke and myocardial infarction events.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/nu10010046
- https://www.mdpi.com/2072-6643/10/1/46/pdf?version=1515143354
- OA Status
- gold
- Cited By
- 12
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2783034242
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2783034242Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/nu10010046Digital Object Identifier
- Title
-
Desphospho-Uncarboxylated Matrix-Gla Protein Is Increased Postoperatively in Cardiovascular Risk PatientsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2018Year of publication
- Publication date
-
2018-01-05Full publication date if available
- Authors
-
Sofia Dahlberg, Jacob Ede, Leon J. Schurgers, Cees Vermeer, Thomas Kander, Bengt Klarin, Ulf SchöttList of authors in order
- Landing page
-
https://doi.org/10.3390/nu10010046Publisher landing page
- PDF URL
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https://www.mdpi.com/2072-6643/10/1/46/pdf?version=1515143354Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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-
goldOpen access status per OpenAlex
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https://www.mdpi.com/2072-6643/10/1/46/pdf?version=1515143354Direct OA link when available
- Concepts
-
Matrix gla protein, Internal medicine, Medicine, Cardiology, Calcium, HyperphosphatemiaTop concepts (fields/topics) attached by OpenAlex
- Cited by
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12Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2024: 3, 2023: 2, 2021: 3, 2020: 1Per-year citation counts (last 5 years)
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36Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.degree | 41 |
| abstract_inverted_index.higher | 117 |
| abstract_inverted_index.levels | 106, 139, 158, 164 |
| abstract_inverted_index.linked | 208 |
| abstract_inverted_index.median | 137 |
| abstract_inverted_index.number | 131 |
| abstract_inverted_index.record | 125 |
| abstract_inverted_index.stroke | 238 |
| abstract_inverted_index.(ucOC), | 93 |
| abstract_inverted_index.0.0001) | 143 |
| abstract_inverted_index.0.0033, | 179 |
| abstract_inverted_index.between | 225 |
| abstract_inverted_index.dp-cMGP | 157 |
| abstract_inverted_index.events. | 242 |
| abstract_inverted_index.further | 202, 220 |
| abstract_inverted_index.measure | 39 |
| abstract_inverted_index.pattern | 206 |
| abstract_inverted_index.protein | 3, 8, 189 |
| abstract_inverted_index.samples | 71 |
| abstract_inverted_index.several | 210 |
| abstract_inverted_index.surgery | 67, 172 |
| abstract_inverted_index.values. | 110 |
| abstract_inverted_index.vitamin | 16, 230 |
| abstract_inverted_index.Dp-ucMGP | 196 |
| abstract_inverted_index.Methods: | 60 |
| abstract_inverted_index.PIVKA-II | 148 |
| abstract_inverted_index.Patients | 111 |
| abstract_inverted_index.Results: | 100 |
| abstract_inverted_index.activity | 190 |
| abstract_inverted_index.arterial | 28 |
| abstract_inverted_index.compared | 120 |
| abstract_inverted_index.defects, | 184, 214 |
| abstract_inverted_index.disease. | 128 |
| abstract_inverted_index.dp-ucMGP | 105, 118, 138 |
| abstract_inverted_index.function | 192 |
| abstract_inverted_index.increase | 149 |
| abstract_inverted_index.patients | 53, 62, 103, 122 |
| abstract_inverted_index.possible | 182, 212 |
| abstract_inverted_index.process. | 18 |
| abstract_inverted_index.proteins | 51 |
| abstract_inverted_index.research | 221 |
| abstract_inverted_index.surgery. | 59, 80 |
| abstract_inverted_index.Decreased | 163 |
| abstract_inverted_index.abdominal | 56, 64 |
| abstract_inverted_index.affecting | 187 |
| abstract_inverted_index.analysed. | 99 |
| abstract_inverted_index.collected | 73 |
| abstract_inverted_index.dependent | 11 |
| abstract_inverted_index.glutamate | 13 |
| abstract_inverted_index.incidents | 236 |
| abstract_inverted_index.included. | 69 |
| abstract_inverted_index.increased | 27, 132, 140, 203 |
| abstract_inverted_index.motivates | 219 |
| abstract_inverted_index.patients, | 135 |
| abstract_inverted_index.potential | 223 |
| abstract_inverted_index.reference | 109 |
| abstract_inverted_index.scheduled | 54 |
| abstract_inverted_index.(PIVKA-II) | 97 |
| abstract_inverted_index.(dp-cMGP), | 83 |
| abstract_inverted_index.associated | 25 |
| abstract_inverted_index.corrective | 227 |
| abstract_inverted_index.correlated | 145 |
| abstract_inverted_index.infarction | 241 |
| abstract_inverted_index.myocardial | 240 |
| abstract_inverted_index.stiffness. | 31 |
| abstract_inverted_index.treatments | 228 |
| abstract_inverted_index.undergoing | 63 |
| abstract_inverted_index.(dp-ucMGP), | 86 |
| abstract_inverted_index.Background: | 0 |
| abstract_inverted_index.K-dependent | 17 |
| abstract_inverted_index.biomarkers, | 234 |
| abstract_inverted_index.identified. | 194 |
| abstract_inverted_index.nutritional | 183, 213 |
| abstract_inverted_index.orthopaedic | 58, 66 |
| abstract_inverted_index.osteocalcin | 88 |
| abstract_inverted_index.prothrombin | 96 |
| abstract_inverted_index.Conclusions. | 195 |
| abstract_inverted_index.carboxylated | 87 |
| abstract_inverted_index.extrahepatic | 7 |
| abstract_inverted_index.interactions | 224 |
| abstract_inverted_index.pre-existing | 113 |
| abstract_inverted_index.supplements, | 232 |
| abstract_inverted_index.calcification | 29 |
| abstract_inverted_index.carboxylation | 44 |
| abstract_inverted_index.comorbidities | 115 |
| abstract_inverted_index.complications | 186 |
| abstract_inverted_index.dysfunctional | 20 |
| abstract_inverted_index.perioperative | 226 |
| abstract_inverted_index.postoperative | 43, 216 |
| abstract_inverted_index.significantly | 161 |
| abstract_inverted_index.Comorbidities, | 181 |
| abstract_inverted_index.carboxylation, | 14 |
| abstract_inverted_index.cardiovascular | 114, 127, 233 |
| abstract_inverted_index.comorbidities, | 211 |
| abstract_inverted_index.complications, | 217 |
| abstract_inverted_index.preoperatively | 74, 119 |
| abstract_inverted_index.respectively). | 180 |
| abstract_inverted_index.uncarboxylated | 91, 95 |
| abstract_inverted_index.Preoperatively, | 101 |
| abstract_inverted_index.preoperatively, | 199 |
| abstract_inverted_index.Postoperatively, | 129 |
| abstract_inverted_index.postoperatively. | 204 |
| abstract_inverted_index.Desphospho-carboxylated | 81 |
| abstract_inverted_index.desphospho-uncarboxylated | 84 |
| abstract_inverted_index.desphospho-uncarboxylated-MGP, | 22 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5002658686 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 7 |
| corresponding_institution_ids | https://openalex.org/I187531555, https://openalex.org/I4210137844 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/2 |
| sustainable_development_goals[0].score | 0.7400000095367432 |
| sustainable_development_goals[0].display_name | Zero hunger |
| citation_normalized_percentile.value | 0.71530811 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |