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[Association between hemoglobin scavenger receptor CD163 expression and coronary atherosclerotic severity in patients
Li-yuan Zou1, Chao-quan Peng, Cui-zhi Li
1Department of Cardiology, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China.
Insights
Hemoglobin scavenger receptor (CD163) expression on monocytes is elevated in coronary heart disease (CHD) patients. Higher CD163 levels correlate with increased coronary atherosclerosis severity and inflammatory markers like CRP and LDL-C.
Area of Science:
- Cardiovascular Research
- Immunology
- Biomarkers
Context:
- Coronary heart disease (CHD) is a leading cause of mortality worldwide.
- Atherosclerosis, the underlying pathology of CHD, involves chronic inflammation.
- Monocytes play a crucial role in the inflammatory processes of atherosclerosis.
Purpose:
- To investigate the association between CD163 expression on monocytes and coronary atherosclerotic severity in CHD patients.
- To explore the role of CD163 in inflammation and lipid peroxidation within the context of CHD.
Summary:
- Monocyte surface CD163 expression levels were significantly higher in CHD patients compared to controls.
- Expression levels increased progressively from stable angina to unstable angina and acute myocardial infarction groups.
- CD163 expression positively correlated with coronary artery disease severity (Jenkins score), C-reactive protein (CRP), and low-density lipoprotein cholesterol (LDL-C).
Impact:
- CD163 may serve as a potential biomarker for assessing coronary atherosclerotic severity.
- Understanding CD163's role could offer new therapeutic targets for managing CHD.
- This study highlights the link between monocyte-associated CD163 and key indicators of cardiovascular risk.
Objective:
To investigate the association between hemoglobin scavenger receptor (CD163) expression levels on monocytic surfaces and coronary atherosclerotic severity in patients with coronary heart disease (CHD) as well as the roles of CD163 in inflammation and lipidperoxidation.
Methods:
Eighty-four patients were diagnosed as CHD according to the results of coronary angiography and ACC/AHA diagnostic criteria. The patients were divided into 3 groups: acute myocardial infarction (AMI) group (n = 30), unstable angina (UA) group (n = 30), stable angina (SA) group (n = 24). Another 20 patients with normal coronary artery served as control. Expression levels of CD163 on monocytes were detected by means of flow cytometry, and the results were shown as mean fluorescence intensity (mfi). All patients underwent coronary angiography and the results were further evaluated by Jenkins score. Serum CRP and LDL-C were also measured.
Results:
The expression levels of CD163 on monocytes in peripheral blood were significantly higher in CHD patients compared to controls (P < 0.01) in the order of AMI group [(84.4 +/- 6.9) mfi] > UA group [(64.1 +/- 5.5) mfi, P < 0.01 vs. AMI] > SA group [(46.7 +/- 6.5) mfi, P < 0.01 vs. AMI and UA] > control group [(22.0 +/- 6.1) mfi, P < 0.01 vs. AMI, UA and SA]. The expression levels of CD163 on monocytes in patients with CHD were positively correlated with Jenkins score (r = 0.9107, P < 0.01), CRP (r = 0.766, P < 0.01) and LDL-C (r = 0.749, P < 0.01).
Conclusions:
Expression levels of CD163 was significantly increased in patients with CHD and positively correlated with coronary heart disease severity and serum CRP and LDL-C.
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