Cardio-oncology & other

Vascular Assessment in Adult Survivors of Childhood Cancer: A St. Jude Lifetime Cohort Study Report

JACC AdvPublished cross-sectional cohort study

Authors' conclusion

CCSs have evidence of early vascular dysfunction, suggestive of premature atherogenesis.

Study context

Population
Adult survivors of childhood cancer and sex- and age-matched controls
Participants
200 vs 192
Exposure
Differences between CCSs and sex- and age-matched controls
  • CCSsn = 200
  • Controlsn = 192
Outcome
plasminogen activator inhibitor-1
Methodological detailssex- and age-matched controls, multivariable general linear regression models, adjusted for body mass index, race and ethnicity, smoking, and physical activity
  • Sex- and age-matched controls
  • Multivariable general linear regression models, adjusted for body mass index, race and ethnicity, smoking, and physical activity

Main finding

As reported in the abstract

P = 0.007

Observational data: associations, not effects.

Further findings

Endothelial surface expression of vascular cell adhesion molecule-1 · significantly elevated in CCSs

P < 0.001

Endothelial surface expression of P-selectin · significantly elevated in CCSs

P < 0.001

AIx · significantly elevated in CCSs

P < 0.001

Large artery elasticity · reduced in CCSs

P = 0.013

Small artery elasticity · reduced in CCSs

P < 0.001

Pulse wave velocity · significantly elevated in CCSs

P < 0.001

OutcomeCCSsControls
Participant characteristics
Median time from diagnosis26.3 years [range: 11.2-47.9 years]— not stated in the abstract
Current age33.5 years [range: 19.3-61.6 years]— not stated in the abstract
Age— not stated in the abstract33.3 years [range: 18.3-60.3 years]

— not stated in the abstract

  • Augmentation index (AIx) by chest radiation exposure among survivors (subgroup): survivors exposed to chest radiation 15.4%
  • AIx by chest radiation exposure among survivors (subgroup): survivors not exposed 11.2%

Original publication

Vascular Assessment in Adult Survivors of Childhood Cancer: A St. Jude Lifetime Cohort Study Report. JACC Adv. Published 29 May 2025. doi:10.1016/j.jacadv.2025.101820

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