Abstract-An elevated plasma concentration of the soluble intercellular adhesion molecule-1 (sICAM-1) is associated with increased risk for future coronary events. However, data exploring the interrelations of sICAM-1 with known cardiovascular risk factors are sparse. We determined sICAM-1 levels in 948 middle-aged men with no prior history of cardiovascular disease. sICAM-1 levels increased with age (PϽ0.001) and were significantly associated with smoking (PϽ0. Key Words: adhesion molecules Ⅲ inflammation Ⅲ risk factors Ⅲ atherosclerosis C ellular adhesion molecules mediate the attachment and transmigration of leukocytes across the endothelial surface, and are hypothesized to play an important role in the initiation of atherosclerosis. 1 Focal expression of adhesion molecules has been demonstrated in atherosclerotic lesions, 2-4 precedes leukocyte infiltration, 5,6 and seems to be mediated in part by modified lipoproteins or their constituents. 7 Several small studies have demonstrated that plasma concentrations of soluble intercellular adhesion molecule-1 (sICAM-1) are elevated in atherosclerotic syndromes, 8 -12 and 2 recent prospective studies indicate that elevated baseline levels of sICAM-1 are associated with increased risk for future coronary events. 11,13 However, despite these provocative data, little is known about potential relations between circulating adhesion molecules and established cardiovascular risk factors.We explored potential associations between the soluble adhesion molecule sICAM-1 and a series of lipid and nonlipid cardiovascular risk factors among 948 apparently healthy men participating in the Physicians' Health Study. Specifically, we evaluated for evidence of association between sICAM-1 levels and age, smoking status, blood pressure, alcohol use, exercise frequency, body mass index, total cholesterol, HDL cholesterol (HDL-C), triglycerides, Lp(a), fibrinogen, tissue-type plasminogen activator antigen, and total homocysteine levels.
MethodsWe evaluated sICAM-1 levels in a cross-section of apparently healthy middle-aged men participating in the Physician's Health Study. In brief, the Physician's Health Study was a randomized, double-blind, placebocontrolled 2ϫ2 factorial design trial of aspirin and -carotene among US male physicians aged 40 to 84 years. 14 Exclusion criteria included a history of myocardial infarction, stroke, or transient ischemic attack; cancer; current renal or liver disease; peptic ulcer or gout; contraindication to aspirin consumption; current use of aspirin, other plateletactive drugs, or nonsteroidal anti-inflammatory agents; and current use of vitamin A or -carotene supplement.As described elsewhere, 13 eligible participants were asked to provide baseline blood plasma samples. Kits including edetic acid tubes and plastic collection vials were sent to each doctor along with instructions for blood drawing. Participants were asked to have their blood drawn and centrifuged, and have the plasma returned (accompanied by a cold pack) by overnight courier. Participa...