[Ceramides and adhesive molecules in stable ischaemic heart disease]

Wojciech Modrzejewski1, Malgorzata Knapp, Agnieszka Dobrzyn

  • 1Klinika Kardiologii, Akademii Medycznej Białystok. wojmod@wp.pl

Przeglad Lekarski
|July 16, 2008
PubMed

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.

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