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Association between soluble lectin-like oxidized low-density lipoprotein receptor 1 levels and coronary slow flow
Ilker Murat Caglar1, Cem Ozde1, Ismail Biyik2
1Department of Cardiology, Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey.
Insights
Serum levels of soluble lectin-like oxidized low-density lipoprotein receptor-1 (sLOX-1) were significantly higher in patients with coronary slow flow phenomenon (CSFP). High sLOX-1 may play a role in CSFP development.
Area of Science:
- Cardiology
- Biochemistry
Background:
- Coronary slow flow phenomenon (CSFP) is linked to adverse cardiovascular outcomes, similar to coronary artery disease (CAD).
- Potential mechanisms include endothelial dysfunction, inflammation, microvascular dysfunction, and atherosclerosis.
- Soluble lectin-like oxidized low-density lipoprotein receptor-1 (sLOX-1) is implicated in atherosclerosis pathogenesis.
Purpose of the Study:
- To investigate the association between serum sLOX-1 levels and CSFP.
- To determine if sLOX-1 is a potential biomarker for CSFP.
Main Methods:
- Included 40 patients with CSFP and 43 with normal coronary flow pattern (NCFP).
- Measured coronary blood flow using the Thrombolysis In Myocardial Infarction (TIMI) frame count method.
- Quantified serum sLOX-1 levels in all participants.
Main Results:
- Serum sLOX-1 levels were significantly elevated in the CSFP group compared to the NCFP group (1061.80 ±422.20 ng/ml vs. 500.043 ±282.97 ng/ml, p < 0.001).
- Multivariate logistic regression confirmed a significant association between higher sLOX-1 levels and CSFP (OR: 1.006, 95% CI: 1.002-1.010, p = 0.001).
Conclusions:
- Serum sLOX-1 levels are significantly higher in patients with CSFP.
- Elevated sLOX-1 is strongly associated with the presence of CSFP.
- High sLOX-1 may contribute to the development of CSFP, warranting further investigation.
Introduction:
The coronary slow flow phenomenon (CSFP) has been associated with myocardial ischemia, myocardial infarction, life-threatening arrhythmias, sudden cardiac death and increased cardiovascular mortality similar to coronary artery disease (CAD). Possible underlying mechanisms of CSFP are endothelial dysfunction, chronic inflammation, microvascular dysfunction and diffuse atherosclerosis. Soluble lectin-like oxidized low-density lipoprotein receptor-1 (sLOX-1) seems to play an important role in the pathogenesis of atherosclerosis. We hypothesized that sLOX-1 might be associated with CSFP, and aimed to research the relationship between sLOX-1 and CSFP.
Material And Methods:
Forty patients with angiographically proven CSFP and 43 patients with a normal coronary flow pattern (NCFP) were included in this study. Coronary blood flow was measured according to the Thrombolysis In Myocardial Infarction (TIMI) frame count method. sLOX-1 levels were measured in all study subjects.
Results:
Serum levels of sLOX-1 were significantly higher in the CSFP group than the NCFP group (1061.80 ±422.20 ng/ml vs. 500.043 ±282.97 ng/ml, p < 0.001, respectively). Multivariate logistic regression analysis including sLOX-1, MPV, GGT and uric acid levels revealed a significant association between sLOX-1 levels and CSFP (Exp (B)/OR: 1.006, 95% CI: 1.002-1.010, p = 0.001).
Conclusions:
The present study demonstrated that serum sLOX-1 levels were significantly higher in patients with CSFP and there was a strong association between high sLOX-1 levels and CSFP. High serum sLOX-1 levels may have an important role in the pathogenesis of CSFP. Future studies are needed to confirm these results.
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