AUTHOR=Zhang Yucong , Yan Jinhua , Yang Ni , Qian Zonghao , Nie Hao , Yang Zhen , Yan Dan , Wei Xiuxian , Ruan Lei , Huang Yi , Zhang Cuntai , Zhang Le 

TITLE=High-Level Serum Fibroblast Growth Factor 21 Concentration Is Closely Associated With an Increased Risk of Cardiovascular Diseases: A Systematic Review and Meta-Analysis

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=8

YEAR=2021

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2021.705273

DOI=10.3389/fcvm.2021.705273

ISSN=2297-055X

ABSTRACT=<p><bold>Background:</bold> The association between fibroblast growth factor 21 (FGF21) and cardiovascular disease (CVD) risk remains unclear. We conducted this systematic review and meta-analysis to evaluate the association between FGF21 and CVDs, and relevant vascular parameters.</p><p><bold>Methods:</bold> PubMed and Web of Science databases were systematically searched to identify relevant studies published before March 2021. The FGF21 concentration was compared between individuals with and without CVDs. The effect of FGF21 on CVD risk was assessed by using hazard ratio (HR) and odds ratio (OR). The association between FGF21 and vascular parameters was assessed by Pearson's <italic>r</italic>. Study quality was assessed using Newcastle–Ottawa Scale and Joanna Briggs Institution Checklist.</p><p><bold>Results:</bold> A total of 29,156 individuals from 30 studies were included. Overall, the serum FGF21 concentration was significantly higher in CVD patients (<italic>p</italic> &lt; 0.001), especially for coronary artery disease (CAD) (<italic>p</italic> &lt; 0.001) and hypertension (<italic>p</italic> &lt; 0.001). The pooled OR (<italic>p</italic> = 0.009) and HR (<italic>p</italic> &lt; 0.001) showed that the risk of CVDs increased with FGF21. The linear association between FGF21 and vascular parameters, including pulse wave velocity (<italic>r</italic> = 0.32), carotid intima-media thickness (<italic>r</italic> = 0.21), ankle-brachial index (<italic>r</italic> = 0.33), systolic blood pressure (<italic>r</italic> = 0.13), and diastolic blood pressure (<italic>r</italic> = 0.05), was insignificant. The incidence of overall CVDs (<italic>p</italic> = 0.03) was significantly higher in individuals with higher FGF21 levels.</p><p><bold>Conclusion:</bold> High-level serum FGF21 concentration is closely associated with an increased risk of CVDs, which may be independent of vascular parameters. A standard FGF21 classification threshold needs to be established before clinical use for CVD risk assessment.</p><p><bold>Systematic Review Registration:</bold><ext-link ext-link-type="uri" xlink:href="https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=241968" xmlns:xlink="http://www.w3.org/1999/xlink">https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=241968</ext-link>, identifier: CRD42021241968.</p>