SNRK & Vascular Endothelial Aging

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorTianjin Medical University

About this trial

Cardiovascular diseases pose a serious threat to public health, and their prevalence is on the rise year by year. Vascular aging is an independent risk factor for cardiovascular diseases, and endothelial cell senescence is an early event in vascular aging. Its occurrence can lead to endothelium-dependent vasodilation dysfunction, reduced vascular permeability, and the release of the senescence-associated secretory phenotype (SASP). These vascular pathological changes further damage the vascular media, leading to vascular remodeling and reduced compliance, accelerating the progression of atherosclerosis, and ultimately resulting in cardiovascular diseases such as coronary heart disease and hypertension. Recent research of the investigators has revealed that SNRK, a new member of the AMPK family of cellular energy sensors, plays a key regulatory role in vascular development. Based on this finding, the investigators propose the scientific hypothesis that SNRK responds to both physiological and pathological aging stimuli through differential mechanisms and regulates the process of endothelial cell senescence. In this study, the investigators will explore the correlation between SNRKAS and carotid vascular structure and endothelial function by measuring the levels of the SNRK upstream lncRNA (SNRKAS) in participants' peripheral blood, in conjunction with carotid ultrasound examinations. The findings will provide a solid scientific basis for elucidating new mechanisms underlying the onset and progression of vascular aging and for identifying novel therapeutic targets.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Aged 18-80 years, with the capacity to make decisions independently or represented by an authorized legal guardian;

Able to provide complete personal information, medical history, and lifestyle history (e.g., smoking and alcohol consumption history);

No history of severe cardiovascular disease, and deemed eligible for inclusion by a physician.

Disqualifiers

Women who are pregnant or may become pregnant;

Patients with a history of neurological disorders, tumors, severe cardiovascular or pulmonary disease, liver failure, kidney failure, or blood disorders;

Patients who have undergone carotid stenting, carotid endarterectomy, or other similar procedures, or who have unilateral carotid artery occlusion due to any cause;

Patients who have participated in another clinical trial within the past 4 weeks;

Trial population

Estimated by statistical analysis, a total of 180 subjects were included from individuals who come for physical examinations or medical visits to the leading and collaborating administrations of this project, and meet the inclusion criteria between April 2026 and March 2029.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • serum tests and carotid ultrasound test

    Diagnostic test

    1. 10 mL of venous blood was drawn from each participant to measure blood lipids and serum levels of SNRKAS (using RT-qPCR), and to perform transcriptomic analysis. 2. Carotid ultrasound was used to measure circumferential strain and pulse wave velocity in both carotid arteries to assess the degree of arterial stiffness.

Treatment groups

180 Participants
are divided into 3 treatment groups
Group A: < 40 years old1 intervention
Group B: 40-60 years old1 intervention
Group C: > 60 years old1 intervention

Trial outcomes

Primary outcomes

1

Serum levels of SNRKAS detected by RT-PCR

serum levels of SNRKAS (fold change)

Time frame
At enrollment
2

Degree of bilateral carotid artery stenosis detected by Doppler ultrasound

Intima-media thickness (mm) and lumen diameter (mm) of bilateral common carotid artery and internal carotid artery

Time frame
At enrollment
3

Pulse wave velocity in both carotid arteries detected by Doppler ultrasound

Peak systolic velocity (cm/s) of bilateral common carotid artery and internal carotid artery

Time frame
At enrollment

Secondary outcomes

1

Blood lipids levels detected by automated biochemical analyzer (LABOSPECT 008, Hitachi)

Total Cholesterol (mmol/L), Triglycerides (mmol/L), High-Density Lipoprotein (mmol/L), Low-Density Lipoprotein (mmol/L)

Time frame
At enrollment

Other outcomes

Sponsors and contacts

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