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Published on: October 12, 2017
[Serum soluble CD40L level and its application in coronary heart disease]
Jiang Li1, Dao-quan Peng, Shui-ping Zhao
1Department of Cardiology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Insights
Serum soluble CD40 ligand (sCD40L) levels are elevated in acute coronary syndrome, indicating a role in disease pathogenesis. Higher sCD40L correlates with lipid abnormalities, suggesting it may mark plaque instability.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Biochemistry
Context:
- Coronary heart disease (CHD) involves complex inflammatory processes.
- Soluble CD40 ligand (sCD40L) is a key mediator in immune and inflammatory responses.
- Understanding sCD40L's role in CHD is crucial for identifying new diagnostic markers.
Purpose:
- To investigate serum levels of soluble CD40 ligand (sCD40L) in patients with coronary heart disease (CHD).
- To explore the relationship between sCD40L and serum lipid profiles in CHD patients.
- To assess sCD40L as a potential biomarker for acute coronary syndrome (ACS).
Summary:
- Serum sCD40L levels were significantly higher in patients with acute myocardial infarction and unstable angina pectoris compared to stable angina and healthy controls.
- sCD40L showed a positive correlation with Apolipoprotein B100 (ApoB100) and a negative correlation with high-density lipoprotein cholesterol (HDL-C).
- Elevated sCD40L in ACS suggests its involvement in the disease's pathogenesis and potential utility as a marker for plaque instability.
Impact:
- This study identifies sCD40L as a potential biomarker for acute coronary syndrome.
- Findings contribute to understanding the inflammatory mechanisms underlying plaque instability in CHD.
- Results may inform the development of novel diagnostic strategies for cardiovascular disease.
Objective:
To investigate the serum level of soluble CD40 ligand (sCD40L) in coronary heart disease and its relationship with serum lipid levels.
Methods:
Enzyme-linked immunosorbent (EIA) was used to measure sCD40L in 129 patients with coronary heart disease (46 with acute myocardial infarction, 37 with unstable angina pectoris and the other 46 with stable angina pectoris) and 30 matched healthy controls.
Results:
sCD40L level was significantly higher in patients with acute coronary syndrome (ACS) [(2. 99 +/- 2.19), (2.23 +/- 0.67) ng/ml in acute myocardial infarction and unstable angina pectoris group, respectively] than that of those with stable coronary heart disease and that of controls [(1.12 +/- 0.42) and (0.89 +/- 0.55) ng/ml, respectively] (P < 0.05). Serum sCD40L level was significantly positively related to ApoB100 (r = 0.159, P = 0.046), and negatively related to HDL-C (r = -0.192, P = 0.015).
Conclusion:
The levels of sCD40L increase in acute coronary syndrome, which may be related to the pathogenesis of ACS, and can be used as a potential marker of plaque instability.
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