:
Protein S, a nonenzymatic cofactor to activated
protein C, presents in two forms in plasma, free form and in a complex with
C4b-binding protein. The aim of this study was to determine the association of
plasma protein S levels with the variables related to
cardiovascular disease risk. The relationships between
plasma protein S levels with
lipids,
inflammation markers, and adiposity were first examined on middle-aged obese women (nā=ā62), then on young nonobese women (nā=ā160) to verify the findings in the obese women. Total and free
protein S antigen levels in middle-aged obese women, approximately half being in a postmenopausal state and suffered from
dyslipidemia, correlated negatively with
estradiol and positively with
triglycerides, total
cholesterol, LDL cholesterol,
apoA-II,
apoB,
apoC-II,
apoC-III,
apoE,
hemoglobin A1c, and
protein C, whereas there was no correlation with
HDL cholesterol,
apoA-I, BMI, visceral fat area, blood pressure, or
factor VII activity. Multiple linear regression analyses revealed that
protein C,
apoC-II, and
fibrinogen were significant predictors of total
protein S antigen levels, accounting for 51.9% of variance, and
apoC-II as a singular significant predictor for free
protein S antigen levels (12.3% of variance). In young nonobese women, most being normolipidemic,
apoC-II was also selected as a significant predictor of total
protein S antigen levels, but not of free
protein S antigen levels. The positive relationship between
plasma protein S levels and
apoC-II, a key regulator of
triglycerides hydrolysis, may contribute to the pathogenesis of increased concentrations of
plasma protein S.