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Updated: May 4, 2026

Investigating Aortic Valve Calcification via Isolation and Culture of T Lymphocytes using Feeder Cells from Irradiated Buffy Coat
Published on: February 4, 2021
Low circulating monocyte count is associated with severe aortic valve stenosis
Shmuel Schwartzenberg1, Valery Meledin1, Liaz Zilberman1
1Heart Institute, Kaplan Medical Center, Rehovot, affiliated with Hebrew University-Hadassah Medical School, Jerusalem, Israel.
Severe aortic stenosis (AS) is linked to lower monocyte counts, suggesting a role for these cells in AS development. This study explored white blood cell differentials in AS progression.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Pathophysiology
Background:
- Aortic stenosis (AS) pathophysiology involves inflammation, including immune cell infiltration and lipid deposition in the aortic valve (AV).
- Understanding the role of specific immune cells, like monocytes, may elucidate AS pathogenesis.
Purpose of the Study:
- To investigate the relationship between white blood cell (WBC) differential counts and the presence and progression of aortic stenosis (AS).
Main Methods:
- Retrospective analysis of 150 patients with AS who had serial echocardiograms.
- Correlation of average WBC differential counts from the prior 3 years with AS severity indices.
Main Results:
- Monocyte counts progressively decreased with increasing AS severity, notably between mild and severe groups.
- A significant negative correlation was observed between monocyte count and AS severity (AV peak velocity, peak/mean gradients).
- No correlation was found between WBC differentials and the annual rate of AS progression.
Conclusions:
- Severe AS is associated with a reduced total monocyte count.
- These findings suggest monocytes may play a role in the underlying mechanisms of aortic stenosis pathogenesis.
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