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[Ceramides and adhesive molecules in stable ischaemic heart disease]
Wojciech Modrzejewski1, Malgorzata Knapp, Agnieszka Dobrzyn
1Klinika Kardiologii, Akademii Medycznej Białystok. wojmod@wp.pl
Insights
Plasma ceramides and adhesive molecules differ in stable ischemic heart disease (IHD). Patients with IHD showed lower ceramides and higher soluble E-selectin and intercellular adhesion molecule-1 (sICAM-1) levels compared to controls.
Area of Science:
- Cardiovascular Research
- Biochemistry
- Clinical Medicine
Background:
- Ischemic heart disease (IHD) is a leading cause of mortality worldwide.
- Ceramides and adhesive molecules play roles in atherosclerosis and cardiovascular disease.
- Understanding biomarkers in stable IHD is crucial for risk stratification.
Purpose of the Study:
- To assess plasma levels of ceramides and adhesive molecules in patients with stable IHD.
- To compare these levels between IHD patients and healthy controls.
- To investigate correlations between ceramides, adhesive molecules, and disease severity (vessel disease).
Main Methods:
- Plasma samples from 35 stable IHD patients and 16 healthy controls were analyzed.
- Levels of ceramides, soluble E-selectin (sE-selectin), and intercellular adhesion molecule-1 (sICAM-1) were measured.
- Lipid profiles (cholesterol, triglycerides) were also assessed.
Main Results:
- Patients with stable IHD had decreased ceramides with mono- and polyunsaturated fatty acids.
- Plasma concentrations of sE-selectin and sICAM-1 were elevated in IHD patients versus controls.
- Higher total ceramides were found in 3-vessel disease compared to 1-vessel disease.
Conclusions:
- Plasma ceramides and adhesive molecules are altered in stable IHD.
- Elevated sE-selectin and sICAM-1 suggest inflammatory processes in IHD.
- Ceramide levels and their fatty acid composition may correlate with IHD severity and inflammation.
Abstract:
The aim of the study was assessment of plasma level of ceramides and adhesive molecules in patients with stable ischaemic heart disease (IHD). Ischaemic heart disease was verified by coronary angiography as a 1.2 or 3 vessels disease. The study based on 35 patients (11F, 24 M,aged 40-74 yrs). The control group consisted of 16 healthy persons (5F, 11M, aged 43-66 yrs). Fasting plasma was drown to asses levels of ceramides, the soluble forms of E-selectin and intercellular adhesive molecule-1 (ICAM-1) and total cholesterol, chol-HDL, chol-LDL and triglicerides. Decreased concentrations of ceramides with mono- and polyunsaturated fatty acids were observed in patients with stable IHD. In 3 vessels disease the total level of ceramides was higher than in 1 vessel disease (p < 0.05). The plasma concentration of sE-selectin, ssICAM-1 were elevated in patients compared to control group (p < 0.02 and p < 0.05, respectively). The plasma levels of sICAM-1 were significantly higher in 3 vessels disease than in 1 vessel disease (p < 0.01). Ceramides concentration with saturated fatty acids correlated with adhesive molecules (p < 0.05). A negative correlation was observed between sICAM-1 concentration and ceramides with palmitoleic acid or docosahexaenoic acid (p < 0.05).
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