[Oxidized fibrinogen and its relationship with hemostasis disturbances and endothelial dysfunction during coronary

Kardiologiia
|September 24, 2009
PubMed

Insights

Oxidized fibrinogen is significantly higher in men with acute myocardial infarction (MI). This finding links fibrinogen oxidation to cardiovascular disease risk and thrombosis.

Area of Science:

  • Biochemistry
  • Cardiovascular Medicine
  • Hematology

Background:

  • Oxidative stress plays a role in cardiovascular diseases.
  • Fibrinogen is a key protein in blood coagulation.
  • Understanding fibrinogen modification in myocardial infarction (MI) is crucial.

Purpose of the Study:

  • To investigate the levels of oxidized fibrinogen in men with acute myocardial infarction (MI).
  • To explore the association between oxidized fibrinogen and markers of thrombosis and endothelial dysfunction.

Main Methods:

  • Quantification of oxidized fibrinogen levels.
  • Measurement of plasma lipid peroxidation products.
  • Assessment of Willebrand factor and fibrin degradation products.
  • Evaluation of leukocyte-platelet aggregation and nitric oxide (NO) metabolites.

Main Results:

  • Oxidized fibrinogen was highest in men with acute MI compared to controls.
  • Increased oxidized fibrinogen correlated with markers of lipid peroxidation, coagulation, and platelet aggregation.
  • A decrease in plasma NO metabolites was observed with higher oxidized fibrinogen levels.

Conclusions:

  • Elevated oxidized fibrinogen is associated with acute myocardial infarction.
  • Oxidized fibrinogen is linked to pro-thrombotic states and endothelial dysfunction.
  • Fibrinogen oxidation may serve as a biomarker for cardiovascular risk.

Related Concept Videos

Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
Anticoagulant Drugs: Low-Molecular-Weight Heparins01:30

Anticoagulant Drugs: Low-Molecular-Weight Heparins

Hemostasis is a crucial process that prevents excessive blood loss from damaged blood vessels. It involves various mechanisms such as vasoconstriction, platelet adhesion and activation, and fibrin formation. The importance of each mechanism depends on the type of vessel injury. In contrast, thrombosis is the abnormal formation of a blood clot within the blood vessels, leading to potential complications if the clot obstructs blood flow. Thrombosis can be caused by increased coagulability of the...
Extrinsic and Intrinsic Pathways of Hemostasis01:20

Extrinsic and Intrinsic Pathways of Hemostasis

Blood clotting or coagulation involves extrinsic and intrinsic pathways, which ultimately merge into the common pathway, forming a fibrin clot.
The Extrinsic Pathway
The extrinsic pathway of coagulation is typically initiated by tissue damage that exposes blood to tissue factor (TF), a protein released by the damaged tissue cells outside the blood vessels—this interaction with TF triggers biochemical reactions involving specific clotting factors. The key player here is Factor VII, which forms a...
Disorders of Hemostasis01:24

Disorders of Hemostasis

Hemostasis, the process that stops bleeding after a blood vessel injury, is crucial for maintaining the integrity of the circulatory system. However, disorders of hemostasis can disrupt this delicate balance, leading to either excessive clotting or bleeding. These disorders can be broadly classified into thromboembolic disorders and bleeding disorders.
Thromboembolic Disorders
Two factors primarily cause thromboembolic conditions.
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...