Role of Endothelial Function in SCI CVD Risk

Description

Individuals with spinal cord injury have heart attacks and strokes more frequently, and much earlier in life. People with spinal cord injuries develop plaque in vessels much faster, and the reasons why are unclear. Doctors generally attributed the increased risk with weight gain and developing diabetes, but many studies have shown that even without these common factors, plaque in vessels is developing more often and faster. Endothelial cells are a single layer of cells that line all vessels in the body and plays an important role in vessel health. Damage to endothelial cells is known to lead to heart attacks and strokes. Past studies on endothelial cells of people with spinal cord injury have been unclear. The investigators have new data that these cells are unhealthy after spinal cord injury a measurement. This includes measuring endothelial health by directly altering its function using a catheter in the arm and measuring small particles in blood called endothelial microvesicles. If the project is successful, the investigators will learn important information on the health of endothelial cells after spinal cord injury. The investigators will also be able to use these markers of endothelial cell function to create treatments to improve vessel health and prevent heart attacks and strokes later in life in people with spinal cord injury.

Conditions

Spinal Cord Injuries, Cardiovascular Diseases, Endothelial Dysfunction

Study Overview

Study Details

Study overview

Individuals with spinal cord injury have heart attacks and strokes more frequently, and much earlier in life. People with spinal cord injuries develop plaque in vessels much faster, and the reasons why are unclear. Doctors generally attributed the increased risk with weight gain and developing diabetes, but many studies have shown that even without these common factors, plaque in vessels is developing more often and faster. Endothelial cells are a single layer of cells that line all vessels in the body and plays an important role in vessel health. Damage to endothelial cells is known to lead to heart attacks and strokes. Past studies on endothelial cells of people with spinal cord injury have been unclear. The investigators have new data that these cells are unhealthy after spinal cord injury a measurement. This includes measuring endothelial health by directly altering its function using a catheter in the arm and measuring small particles in blood called endothelial microvesicles. If the project is successful, the investigators will learn important information on the health of endothelial cells after spinal cord injury. The investigators will also be able to use these markers of endothelial cell function to create treatments to improve vessel health and prevent heart attacks and strokes later in life in people with spinal cord injury.

Role of Vascular Endothelial Function After Spinal Cord Injury Related Cardiovascular Disease Risk

Role of Endothelial Function in SCI CVD Risk

Condition
Spinal Cord Injuries
Intervention / Treatment

-

Contacts and Locations

Englewood

Craig Hospital, Englewood, Colorado, United States, 80113

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Men and women of all races, ethnic backgrounds\>18 years of age
  • * Traumatic spinal cord injury (Sports, Assault, Transport, Fall, Other Traumatic Causes)
  • * Time since injury (\> 12 months)
  • * Paraplegia Motor Complete Injury (neurological level of injury at T2 or below, ASIA Impairment Scale A or B
  • * History of high blood pressure
  • * History cardiovascular disease (coronary artery disease, congestive heart failure, myocardial infarction, cerebrovascular accident).
  • * History high cholesterol
  • * History of Diabetes Type I or Type II
  • * History of Obstructive Pulmonary Disease
  • * History of Chronic Kidney or Liver Disease
  • * History of Cancer
  • * History of Autoimmune Disease (Thyroid Disease, Lupus, Rheumatoid Arthritis, etc).
  • * History of smoking tobacco in the last 12 months
  • * History of alcohol use

Ages Eligible for Study

18 Years to 89 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

Craig Hospital,

Andrew Park, MD, PRINCIPAL_INVESTIGATOR, Craig Hospital

Study Record Dates

2027-03-30