Linking soluble vascular adhesion molecule-1 level to calcific aortic stenosis in patients with coronary artery

Katerina Linhartova1, Gabriela Sterbakova, Jaroslav Racek

  • 1Department of Cardiology, Cardiovascular Center, Motol University Hospital;

Insights

Elevated soluble vascular adhesion molecule-1 (s-VCAM-1) levels are linked to calcific aortic stenosis (AS) in patients with coronary artery disease (CAD). Lower soluble intercellular adhesion molecule-1 (s-ICAM-1) was also associated with AS.

Area of Science:

  • Cardiovascular Medicine
  • Immunology
  • Atherosclerosis Research

Background:

  • Calcific aortic stenosis (AS) is a prevalent valve disease linked to atherosclerosis, often necessitating surgical intervention.
  • Understanding the role of inflammation in AS pathogenesis is crucial for developing targeted therapies.

Purpose of the Study:

  • To investigate the association between specific inflammatory markers and the presence of AS in patients with advanced coronary artery disease (CAD).
  • To identify potential biomarkers for calcific AS in the context of atherosclerosis.

Main Methods:

  • Prospective study enrolling patients with CAD and AS (gradient ≥30 mmHg) and controls with aortic sclerosis (gradient ≤10 mmHg).
  • Clinical evaluation, echocardiography, and coronary angiography were performed on all participants.
  • Levels of soluble adhesion molecules (s-VCAM-1, s-ICAM-1, s-E-selectin) and C-reactive protein were measured.

Main Results:

  • Patients with AS were older and exhibited significantly higher levels of s-VCAM-1 compared to controls.
  • AS patients showed lower levels of s-ICAM-1 and s-E-selectin.
  • C-reactive protein levels did not differ significantly between the groups.
  • Elevated s-VCAM-1 and reduced s-ICAM-1 were independently associated with AS after adjusting for age.

Conclusions:

  • Increased s-VCAM-1 levels are significantly associated with calcific aortic stenosis in patients with substantial coronary artery disease.
  • Adhesion molecule profiles may serve as indicators for AS in atherosclerotic populations.
Abstract

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