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Published on: January 28, 2020
Higher plasma level of STIM1, OPG are correlated with stent restenosis after PCI
Haibin Li1, Zhian Jiang1, Xiangdong Liu2
1Department of Cardiology, Third Affiliated Hospital of Hebei Medical University Hebei, China.
Insights
Elevated plasma levels of Stromal Interaction Molecular 1 (STIM1) and Osteoprotegerin (OPG) are independent risk factors for in-stent restenosis after Percutaneous Coronary Intervention (PCI). This finding may help in controlling restenosis post-PCI.
Area of Science:
- Cardiovascular Medicine
- Biomarkers
- Interventional Cardiology
Background:
- Percutaneous Coronary Intervention (PCI) is a primary treatment for Coronary Heart Disease (CHD).
- In-stent restenosis (ISR) remains a significant clinical challenge following PCI procedures.
- Identifying reliable biomarkers for ISR is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate the correlation between plasma levels of Stromal Interaction Molecular 1 (STIM1) and Osteoprotegerin (OPG) and the occurrence of ISR after PCI.
- To determine if STIM1 and OPG are independent risk factors for ISR.
Main Methods:
- A cohort of 100 patients with CHD undergoing PCI were enrolled.
- Plasma levels of STIM1 and OPG were measured before and after PCI.
- Coronary angiography was performed 8 months post-PCI to assess for stenosis; patients were grouped based on restenosis presence.
- Pearson correlation and multiple linear regression analyses were employed.
Main Results:
- Plasma STIM1 and OPG levels showed no significant difference before PCI.
- Patients with ISR (observation group) exhibited significantly higher plasma STIM1 and OPG levels post-PCI compared to those without ISR (control group).
- High-sensitivity C-reactive protein (Hs-CRP) was also elevated in the ISR group.
- Regression analysis identified Hs-CRP, STIM1, and OPG as independent risk factors for ISR.
Conclusions:
- Elevated plasma STIM1 and OPG levels are independently associated with an increased risk of ISR in patients who have undergone PCI.
- These findings suggest that STIM1 and OPG could serve as valuable biomarkers for predicting and managing restenosis after PCI.
Object:
Percutaneous Coronary Intervention (PCI) is one of the most effective treatments for Coronary Heart Disease (CHD), but the high rate of In Stent Restenosis (ISR) has plagued clinicians after PCI. We aim to investigate the correlation of plasma Stromal Interaction Molecular 1 (STIM1) and Osteoprotegerin (OPG) level with stent restenosis after PCI.
Methods:
A total of 100 consecutive patients with Coronary Heart Disease (CHD) received PCI procedure were recruited. Coronary angiography was performed 8 months after their PCI. Then patients were divided into 2 groups: observation group was composed by patients who existing postoperative stenosis after intervention; Control group was composed by patients with no postoperative stenosis. The plasma levels of STIM, OPG in all patients were tested before and after intervention. Pearson correlation and multiple linear regression analysis were performed to analysis the correlation between STIM, OPG level and postoperative stenosis.
Results:
35 cases were divided into observation group and other 65 were divided into control group. The plasma levels of STIM, OPG have no statistical difference before their PCI procedure, but we observed higher level of High-sensitivity C-reactive protein (Hs-CRP) existed in observation group. We observed higher level of plasma STIM, OPG in observation group when compared with control group after PCI procedure (P < 0.05). Regression analysis demonstrated that Hs-CRP, STIM1, OPG are independent risk factors for ISR.
Conclusion:
Elevated levels of plasma STIM1, OPG are independent risk factors for ISR in patients received PCI, which could provide useful information for the restenosis control after PCI.
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