Plasma levels of P-selectin and future risk of incident venous thromboembolism

• Published in: Journal of Thrombosis and Haemostasis
• Main Authors: Swamy, Samantha, Ueland, Thor, Hansen, John Bjarne, Snir, Omri, Brækkan, Sigrid Kufaas
• Format: Article in Journal/Newspaper
• Language: English
• Published: Elsevier 2023
• Subjects: Tromsø
• Online Access: https://hdl.handle.net/10037/29783; https://doi.org/10.1016/j.jtha.2023.04.038

Background - P-selectin levels are elevated following acute deep vein thrombosis and reported to predict recurrent venous thromboembolism (VTE) and cancer-associated VTE. Yet, it is unknown whether plasma P-selectin levels are associated with incident VTE. Objectives - We aimed to investigate the association between plasma P-selectin levels and risk of future incident VTE. Methods - We performed a nested case-control study in 415 patients with VTE and 843 age- and sex-matched controls derived from the general population (Tromsø IV Study). Plasma P-selectin levels were measured using enzyme-linked immunosorbent assay. Logistic regression models were used to estimate odds ratios (ORs) for VTE across quartiles of plasma P-selectin level. Sex-stratified analysis was also performed. Results - Plasma P-selectin levels were higher in men (41.4 ng/mL) than in women (38.7 ng/mL, p = .0046). We found no association between plasma P-selectin levels and risk of VTE in the overall analyses. However, sex-stratified analyses revealed that women with P-selectin levels in the highest quartile (>44.3 ng/mL) had higher risk of VTE (OR, 1.63; 95% CI, 1.01-2.64) than women with P-selectin levels in the lowest quartile (≤29.9 ng/mL). In contrast, higher levels of P-selectin were apparently associated with lower risk of VTE in men (OR for highest vs lowest quartile of P-selectin, 0.69; 95% CI, 0.42-1.15). The observed associations were stronger when the time between blood sampling and VTE was shorter. Conclusion - Elevated levels of plasma P-selectin were associated with increased risk of VTE in women but not in men, suggesting a differential impact of sex on the association between P-selectin and VTE risk.