Sains Malaysiana 47(10)(2018): 2543–2556
http://dx.doi.org/10.17576/jsm-2018-4710-31
Challenges in Predicting Risks of Premature Coronary Artery Disease
(Pcad)
(Cabaran dalam Meramal Risiko Penyakit Arteri Koronari Pramatang
(Pcad))
MUHAMMAD
FAIZAN
A.
SHUKOR1,2*, NOOR AKMAL
SHAREELA
ISMAIL1
& WAN ZURINAH WAN
NGAH1
1Department of Biochemistry,
Faculty of Medicine, UKM Medical Centre, Universiti Kebangsaan
Malaysia, Jalan Ya’acob Latif, Bandar Tun Razak, 50300 Kuala
Lumpur, Federal Territory, Malaysia
2Centre for Chemical
Defense, Universiti Pertahanan Nasional Malaysia (UPNM), Kem
Sungai Besi, 57000 Kuala Lumpur, Federal Territory, Malaysia
Diserahkan: 21 Mei
2018 /Diterima: 25 Jun 2018
ABSTRACT
Coronary artery disease
(CAD) predominantly manifests in older population above the
age of 60 years old. The incidence of CAD in
younger individuals has been reported and is called premature
CAD (pCAD).
The prevalence for pCAD in individuals below 45 years old
is about 3-10% worldwide. Advances in risk prediction are of
great importance as absolute values of risk factors sometimes
correlate poorly with individuals. The measurement of traditional
risk factors such as cholesterol level and blood pressure might
be inadequate to predict risk for pCAD and
therefore new biomarkers are required. The introduction of omics
technology offers insight into the mechanism and interactions
involved during disease progression and open the possibilities
of discovering new biomarkers. Currently, new potential biomarkers
for pCAD have been explored such as
homocysteine, apolipoproteins, microRNAs and single nucleotide polymorphisms.
In this review, we discussed the associated risk factors for
pCAD,
several reported and newly proposed biomarkers and their potential
to be used clinically.
Keywords: Atherosclerosis;
biomarker; premature coronary artery disease
ABSTRAK
Penyakit
arteri koronari (CAD) sering berlaku dalam populasi yang
berumur 60 tahun ke atas. Walau bagaimanapun, kejadian dalam individu muda yang dipanggil CAD
pramatang (pCAD) telah dilaporkan. Prevalens
pCAD
bagi individu di bawah umur 45 tahun adalah 3-10%
di seluruh dunia. Kemajuan dalam meramal
risiko adalah penting kerana nilai faktor risiko mutlak kadangkala
berkorelasi lemah dengan individu. Pengukuran faktor
risiko tradisi seperti paras kolesterol
dan tekanan darah mungkin tidak mencukupi untuk meramal risiko
pCAD,
oleh itu penanda biologi baru diperlukan. Pengenalan
teknologi omik memberikan lebih kefahaman terhadap mekanisme
dan interaksi yang berlaku sewaktu perkembangan penyakit dan
membuka kemungkinan untuk penemuan penanda biologi baru.
Ketika ini, penanda biologi pCAD
yang baru telah diteroka seperti homosisteina,
apolipoprotein, mikroRNA dan
polimorfisma nukleotida tunggal. Dalam
ulasan ini, kami membincangkan tentang faktor risiko pCAD yang
berkaitan, beberapa penanda biologi yang dilaporkan dan yang
baru dicadangkan dan potensi mereka untuk digunakan secara klinikal.
Kata kunci: Aterosklerosis; penanda biologi; penyakit koronari arteri
pramatang
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*Pengarang
untuk surat-menyurat; email: mfaizanshukor@gmail.com