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Updated: Aug 3, 2026

Quantitation of Endothelial Cell Adhesiveness In Vitro
Published on: June 18, 2015
Elevated soluble CD40 ligand is related to the endothelial adhesion molecules in patients with acute coronary
Dao-Quan Peng1, Shui-Ping Zhao, Yi-Fu Li
1Department of Cardiology, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China. pengdq@hotmail.com
Insights
Soluble CD40 ligand (sCD40L) levels are elevated in acute coronary syndrome, correlating with adhesion molecules and negatively with HDL-C. This suggests CD40L’s role in atherosclerosis pathogenesis.
Area of Science:
- Cardiovascular Biology
- Immunology
- Biochemistry
Background:
- The CD40-CD40L pathway is implicated in atherosclerosis inflammation.
- Vascular adhesion molecules are key markers and contributors to atherosclerotic plaque vulnerability.
- Inflammation-driven plaque instability can lead to acute coronary events like myocardial infarction.
Purpose of the Study:
- To investigate soluble CD40 ligand (sCD40L) levels in different coronary heart disease subtypes.
- To examine the relationship between sCD40L and vascular adhesion molecules (sICAM-1, sVCAM-1).
Main Methods:
- Enzyme-linked Immunosorbent Assay (EIA) was employed.
- Serum concentrations of sCD40L, sICAM-1, and sVCAM-1 were measured.
- Comparisons were made between patients with acute coronary syndrome, stable coronary heart disease, and controls.
Main Results:
- sCD40L levels were significantly higher in acute coronary syndrome patients compared to controls and stable coronary heart disease patients.
- sCD40L showed a positive correlation with sICAM-1, triglycerides, and apoB.
- sCD40L demonstrated a negative correlation with HDL-cholesterol.
Conclusions:
- Elevated sCD40L in acute coronary syndrome suggests its involvement in the disease's pathogenesis.
- Serum CD40L concentration is positively associated with adhesion molecules.
- CD40L levels are inversely related to serum high-density lipoprotein cholesterol (HDL-C).
Background:
Increasing evidence indicates that the CD40-CD40L interaction plays a pivotal role in the inflammatory regulation of atherosclerosis. Adhesion molecules especially the vascular adhesion molecules also play an important role in the pathogenesis of atherosclerosis which act as markers of inflammation. These inflammatory factors render vulnerability to the atherosclerotic plaque by triggering the fissure, rupture, and subsequent thrombosis, leading to the clinical scenario of unstable angina and acute myocardial infarction.
Methods:
The difference of sCD40L concentration in different subtype of coronary heart disease and its relationship with vascular adhesion molecules was investigated. Enzyme-linked Immunosorbent Assay (EIA) was used to measure the serum sCD40L, soluble intercellular adhesion molecule-1 (sICAM-1), and soluble vascular cell adhesion molecule-1 (sVCAM-1).
Results:
The sCD40L concentration was significantly higher in patients with acute coronary syndrome (ACS) (3.17+/-2.84 ng/ml) than in controls (1.19+/-1.05 ng/ml, p<0.01) and in patients with stable coronary heart disease (1.61+/-1.46 ng/ml, p<0.05). The sCD40L concentration was positively correlated with sICAM-1 (r=0.413, p<0.01), triglycerides (TG) (r=0.23, p<0.05), apoB (r=0.248, p<0.05), and HDL-cholesterol (r=-0.253, p<0.05).
Conclusions:
The sCD40L concentration was increased in acute coronary syndrome, suggesting the possible relation of CD40L to the pathogenesis. The serum CD40L concentration was positively correlated with adhesion molecule and was negatively associated with serum high-density lipoprotein cholesterol (HDL-C).
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