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Why This Matters

People with UC face higher cardiovascular risk; this study links a specific ITGA4 genetic variant (rs1143674 CC) with subclinical atherosclerosis in UC patients over 40, which could help identify higher-risk individuals for earlier screening.

Who Should Pay Attention

Patients with ulcerative colitis (particularly age >40), gastroenterologists, cardiologists involved in IBD care, and researchers in IBD genetics and cardiovascular complications.

Study Snapshot

Story typeResearch paper
Evidence typeResearch paper
Source depthJournal abstract

What To Know

This study examined whether the ITGA4 rs1143674 genetic variant is linked with subclinical atherosclerosis in people with ulcerative colitis (UC). It used ultrasound of carotid and femoral arteries and genotyping in a cross-sectional cohort of UC patients and healthy controls.

The authors report that in UC patients aged >40, the homozygous CC genotype was more common among those with subclinical atherosclerosis and that age ≥40, CC genotype, and continuous UC course were independent predictors in multivariable analysis.

The paper proposes a prognostic model combining age, UC disease course, and ITGA4 genotype that showed acceptable discrimination (AUC reported). The study is single-center and cross-sectional, so it identifies associations rather than proving causation.

If you have UC and are interested in cardiovascular risk, this research suggests genetic factors (ITGA4 rs1143674 CC) might help identify higher-risk subgroups over age 40, but the work needs replication and prospective validation before changing clinical practice.

Keep In Mind

Cross-sectional design shows association only; single-center cohort and the prognostic model need external replication and prospective validation. The article reports ultrasound and genotyping methods but does not establish clinical benefit of genotype-guided screening.

Source Details

Review the original publication for the complete reporting, methods, and context.

Read Original Source
Research paper Evidence type derived from source or registry metadata.
PublicationAlmanac of Clinical Medicine
PublisherMoscow Regional Research and Clinical Institute (MONIKI)
AuthorsZinaida M. Zhigula, Albina A. Zhilina, Natalia V. Lareva +1 more
Study typeJournal Article
Indexed viaCrossref
Source typeResearch paper
PublishedAug 21, 2026, 12:00 AM
Content availableJournal abstract

This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.

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