Inflammation is associated with the remodeling of calcific aortic valve disease

Nancy Coté1, Ablajan Mahmut, Yohan Bosse

  • 1Laboratoire d'Études Moléculaires des Valvulopathies-LEMV, Groupe de Recherche en Valvulopathies-GRV, Quebec Heart and Lung Institute/Research Center, Department of Surgery, Laval University, Quebec, Canada.

Inflammation
|December 11, 2012
PubMed

Insights

Calcific aortic valve disease (CAVD) involves inflammation. This study found that inflammation in CAVD tissue is linked to aortic stenosis severity and progression.

Area of Science:

  • Cardiovascular Medicine
  • Pathology
  • Inflammation Research

Background:

  • Calcific aortic valve disease (CAVD) is a common heart valve disorder.
  • Mineralization in CAVD may be linked to inflammation, but clinical evidence is limited.

Purpose of the Study:

  • To investigate the relationship between chronic inflammatory infiltrates in CAVD and the clinical evolution of aortic stenosis.

Main Methods:

  • Histological analysis of aortic valves from 285 CAVD patients.
  • Correlation of inflammatory infiltrates with hemodynamic severity.
  • Leukocyte density and TNF-α transcript analysis in a subset of 57 patients.

Main Results:

  • Chronic inflammatory infiltrates were found in 28.4% of CAVD tissues.
  • Inflammation was associated with active remodeling and peak transaortic gradient.
  • Leukocyte density correlated with the progression rate of aortic stenosis.

Conclusions:

  • Dense inflammatory infiltrate in CAVD is associated with active remodeling.
  • Inflammation correlates with aortic stenosis severity and hemodynamic progression.
  • Inflammation plays a role in the clinical course of calcific aortic valve disease.

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