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Published on: September 15, 2017
Expression of monocyte and lymphocyte adhesion molecules is increased in isolated coronary artery ectasia
Nesligul Yildirim1, Ishak O Tekin, Sait M Dogan
1Departments of Cardiology, Faculty of Medicine, Zonguldak Karaelmas University, Kozlu/Zonguldak, Turkey. nesligul2004@hotmail.com
Insights
Increased levels of CD11b and CD45 adhesion molecules on monocytes and lymphocytes indicate inflammation in coronary artery ectasia patients. These markers may signal endothelial activation, potentially contributing to the condition.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Inflammation Research
Background:
- Coronary artery ectasia (CAE) involves abnormal coronary artery dilation.
- The role of inflammation in CAE pathogenesis is not well understood.
- Adhesion molecules like CD11b and CD45 are potential markers of inflammation.
Purpose of the Study:
- To investigate the expression of CD11b and CD45 adhesion molecules in patients with CAE.
- To assess if these molecules serve as indicators of inflammation in CAE.
Main Methods:
- Studied 14 patients with CAE and 13 healthy controls.
- Analyzed cell surface adhesion molecule expression on granulocytes, monocytes, and lymphocytes using flow cytometry.
- Blood samples were collected post-coronary angiography.
Main Results:
- Patients with CAE showed significantly higher expression of CD45 and CD11b on monocytes compared to controls.
- Elevated levels of CD11b and CD45 were also observed on lymphocytes in CAE patients.
- P-values indicated statistically significant differences for all comparisons.
Conclusions:
- Elevated cellular adhesion molecules (CD11b, CD45) in CAE patients suggest endothelial activation and inflammation.
- These adhesion molecules may play a role in the causal pathway of coronary artery ectasia.
Background:
Coronary artery ectasia is defined as localized or diffuse dilation of the coronary arteries exceeding the 1.5-fold of normal adjacent segment. Scarce data are available about the role of inflammation in coronary artery ectasia. In the present study, we aimed to evaluate the expression of CD11b and CD45 adhesion molecules in peripheral blood granulocytes, monocytes and lymphocytes from the patients with coronary artery ectasia as possible indicators of inflammation.
Method:
The study consisted of 14 patients who had angiographically normal coronary arteries with coronary artery ectasia and 13 age and sex-matched controls without coronary artery ectasia. Cell surface adhesion molecules were detected by direct immunofluorescence evaluated by flow cytometry using monoclonal antibodies tagged with fluorescent markers. Venous blood samples were taken after coronary angiography.
Results:
Mean fluorescence intensity of CD45 (33.8+/-3.1 vs. 13.0+/-0.7, P<0.001) and CD11b (39.1+/-13.5 vs. 19.5+/-1.32, P<0.001) on the monocyte surface of patients with coronary artery ectasia were higher than those of controls. Similarly in patients with coronary artery ectasia, the expression of CD11b (7.5+/-0.61 vs. 5.6+/-0.2, P=0.009) and CD45 (47.5+/-3.6 vs. 36.2+/-2.5, P=0.02) on lymphocytes was also significantly higher than those of controls.
Conclusion:
Increased levels of cellular adhesion molecules in patients with coronary artery ectasia may be an indicator of endothelial activation and inflammation and are likely to be in the causal pathway leading to coronary artery ectasia.
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