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Association of serum γ-glutamyltransferase with C-reactive protein levels and white blood cell count in Korean adults

  • Yong-Jae Lee , Jong-Koo Kim , Jung-Hyun Lee , Hye-Ree Lee , Dae-Ryong Kang and Jae-Yong Shim
Published/Copyright: October 1, 2008

Abstract

Background: Elevated γ-glutamyltransferase (GGT) has emerged as an independent predictor of cardiovascular disease (CVD) which is increasingly viewed as an inflammatory disease. Thus, the mechanism underlying the link between elevated GGT and CVD may be inflammation.

Methods: We examined the relationship between GGT and C-reactive protein (CRP) levels and white blood cell (WBC) count in 4562 Korean adults (2104 men, 2458 women). The odds ratio (OR) and 95% confidence interval (CI) for high CRP and WBC count (≥75th percentile) for both men and women were calculated across each quartile of serum GGT.

Results: Results for the OR (95% CI) for high CRP levels by GGT quartiles were 1.00, 1.67 (1.21–2.29), 2.10 (1.51–2.93) and 2.51 (1.81–3.60) in men, and 1.00, 1.05 (0.65–1.68), 1.45 (0.79–2.02) and 2.16 (1.37–3.41) in women after adjustment for age, smoking status, alcohol intake, exercise, body mass index, blood pressure, fasting plasma glucose, triglyceride, high-density lipoprotein-cholesterol, and uric acid. Similarly, positive associations between serum GGT and WBC count were also observed.

Conclusions: The present study demonstrates a positive correlation between GGT and two markers of inflammation, serum CRP and WBC count. Our findings suggest that serum GGT may be a surrogate inflammatory marker and a useful additional measure in assessing cardiovascular risk.

Clin Chem Lab Med 2008;46:1410–5.


Corresponding author: Jae-Yong Shim, MD, PhD, Associate Professor, Department of Family Medicine, Yonsei University College of Medicine, 146-92 Dogok-dong, Gangnam-gu, Seoul, Korea Phone: +82-2-20193482, Fax: +82-2-34633287,

Received: 2008-3-4
Accepted: 2008-6-3
Published Online: 2008-10-01
Published in Print: 2008-10-01

©2008 by Walter de Gruyter Berlin New York

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