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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
[Related inflammation markers among different types of coronary heart disease]
Ying Luo1, Xiu-Mei Xie, Hui-Xia Liu
1Department of Gerontology, Xiangya Hospital, Central South University, Changsha, China. XLYL@medmail.com
Insights
Activity of NF-kappaB p65, soluble intercellular adhesion molecule-1 (sICAM-1), and C-reactive protein are elevated in acute coronary syndromes, indicating plaque instability. These markers are not affected by the acute event itself.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Biochemistry
Context:
- Coronary heart disease (CHD) involves plaque instability.
- Understanding the molecular markers associated with CHD is crucial for risk stratification.
Purpose:
- To investigate the relationship between NF-kappaB p65 activity, plasma sICAM-1, C-reactive protein, plaque stability, and different types of CHD.
- To assess the dynamic changes of these markers in relation to acute cardiac events.
Summary:
- Baseline levels of NF-kappaB p65 activity, sICAM-1, and C-reactive protein were significantly higher in patients with acute myocardial infarction and unstable angina compared to stable angina and controls.
- While C-reactive protein levels decreased significantly after 3 months in all groups, NF-kappaB p65 activity and sICAM-1 levels remained unchanged.
- These findings suggest that NF-kappaB p65 and sICAM-1 are not acutely affected by the cardiac event but are linked to plaque stability in CHD.
Impact:
- Identifies NF-kappaB p65, sICAM-1, and C-reactive protein as potential biomarkers for assessing plaque stability in various forms of coronary heart disease.
- Suggests that NF-kappaB p65 and sICAM-1 may serve as important risk factors for the development of acute coronary syndromes.
- Provides insights into the inflammatory pathways involved in the pathogenesis of coronary artery disease.
Objective:
To study the relationship between levels of activity of NF-kappaB p65, plasma soluble inter-cellular adhesion molecule-1, C-reactive protein on plaque stability, and different types of coronary heart disease.
Methods:
We measured the levels of plasma soluble inter-cellular adhesion molecule-1 and C-reactive protein by enzyme-linked immunosorbant assay and the activity of NF-kappaB p65 in peripheral blood lymocytes immunohistochemically.
Results:
Compared with the stable angina and the control group, the baseline activity of NF-kappaB p65, sICAM-1 and C-reactive protein was significantly elevated in the acute myocardial infarction and the unstable angina (P <0.01). After 3 month follow-up, the levels of activity of NF-kappaB p65 and sICAM-1 were unchanged (P > 0.05). In all groups, C-reactive proteins were lowered at the review (P <0.01).
Conclusion:
The levels of activity of NF-kappaB p65, sICAM-1 and C-reactive protein are related to the plaque stability among different types of coronary heart disease. NF-kappaB p65, and sICAM-1 are not affected by the acute event. These plasma markers may be important risk factors for the development of the acute coronary syndrome.
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