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09-Mar-2009
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Arch Hellen Med, 25(6), November-December 2008, 758-761 BRIEF REVIEW Serum gamma-glutamyltransferase (ã-GT) and cardiovascular disease N. VALLIANOU, P. KOUTALAS |
Following the introduction of serum ã-GT in clinical practice as a reliable, routinely employed laboratory test, epidemiological and prospective studies have repeatedly shown that this activity has prognostic value for morbidity and mortality. Notably, a significant independent correlation of serum ã-GT is observed with cardiovascular disease (myocardial infarction, stroke, diabetes mellitus, and metabolic syndrome) and this association is independent of concomitant liver disease. Experimental studies have documented the presence of active ã-GT in atherosclerotic plaques in the coronary and cerebral arteries. These findings and the recently recognized functions of ã-GT in the generation of reactive oxygen species indicate that serum ã-GT represents a true marker of cardiovascular disease and underlying atherosclerosis.
Key words: Atherosclerosis, Atherosclerotic plaque, Cardiovascular disease, Gamma-glutamyltransferase.