There were also striking differences in serum ICAM-1, VCAM-1, E-selectin, and P-selectin in MetS patients (ICAM-1: p = 0.002; VCAM-1: p < 0.001; E-selectin: p = 0.020; P-selectin: p = 0.004). Here, VCAM1 is linked to metabolic syndrome.