title: Soluble receptor for advanced glycation end products independently predicts cardiometabolic syndrome in Latino youth.
abstract: OBJECTIVE
  The soluble receptor for advanced glycation end products (sRAGE) has anti-atherogenic properties in adults, however, little is known about the relationship between sRAGE and cardiometabolic disease risk in pediatric populations. Therefore, the purpose of this investigation is to examine the relationship between sRAGE and cardiometabolic risk factors in Latino youth.
  
  
  METHODS
  Data from 133 Latino youth (58% female; age 16.3 ± 2.8 yr) enrolled in the Arizona Insulin Resistance Registry were analyzed. Cardiometabolic syndrome was determined using a continuous risk score normalized to the population. Components included waist circumference, high-density lipoprotein cholesterol (HDL-c), triglycerides, mean arterial pressure (MAP), and homeostatic assessment of insulin resistance (HOMA-IR). sRAGE levels were determined from fasting serum using an enzyme-linked immunosorbent assay.
  
  
  RESULTS
  In univariate analysis, sRAGE was inversely associated with waist circumference (r = -0.22, p = 0.01), MAP (r = -0.15, p = 0.09), and HOMA-IR (r = -0.29, p < 0.01) and positively associated with HDL-c (r = 0.19, p < 0.05). In multiple regression analysis with age, sex, and BMI, sRAGE remained an independent predictor of cardiometabolic syndrome risk score (R(2) = 0.55, p < 0.001).
  
  
  CONCLUSIONS
  These data suggest that sRAGE may be an early independent biomarker of cardiometabolic disease risk in youth. Prospective studies are needed to establish the predictive utility of sRAGE for long-term disease outcomes.
authors: Division of Endocrinology and Diabetes, Phoenix Children's Hospital, Phoenix, AZ, USA.
authors: Sarah R
authors: SR
authors: Brickey
authors: Justin R
authors: JR
authors: Ryder
authors: Donald R
authors: DR
authors: McClellan
authors: Gabriel Q
authors: GQ
authors: Shaibi
mesh_terms: D000293:Adolescent; D000328:Adult; D001130:Arizona / Q000453:epidemiology; D002318:Cardiovascular Diseases / Q000097:blood / Q000175:diagnosis* / Q000208:ethnology; D008076:Cholesterol, HDL / Q000097:blood; D005260:Female; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D007333:Insulin Resistance; D008297:Male; D024821:Metabolic Syndrome / Q000097:blood / Q000175:diagnosis* / Q000208:ethnology; D011379:Prognosis; D000067759:Receptor for Advanced Glycation End Products; D011971:Receptors, Immunologic / Q000097:blood*; D055815:Young Adult
chemical_list: D008076:Cholesterol, HDL; D000067759:Receptor for Advanced Glycation End Products; D011971:Receptors, Immunologic
keywords: metabolic syndrome; sRAGE; youth