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Plasma EMMPRIN levels in acute myocardial infarction and stable coronary artery disease
Mehmet N Akkus1, Adil Ormam, Sabri Seyis
1. mnecdetakkus@hotmail.com.
Insights
Plasma levels of extracellular matrix metalloproteinase inducer (EMMPRIN) were significantly higher in patients with ST-elevation myocardial infarction (STEMI) and non-STEMI (NSTEMI) compared to stable coronary artery disease (CAD) patients and healthy controls.
Area of Science:
- Cardiovascular Medicine
- Biochemistry
- Molecular Biology
Background:
- Extracellular matrix metalloproteinase inducer (EMMPRIN) is a key regulator of extracellular matrix remodeling.
- Elevated EMMPRIN levels have been implicated in various cardiovascular diseases.
- Understanding EMMPRIN's role in acute myocardial infarction (AMI) is crucial for developing targeted therapies.
Purpose of the Study:
- To investigate plasma EMMPRIN levels in ST-elevation myocardial infarction (STEMI), non-STEMI (NSTEMI), stable coronary artery disease (CAD), and healthy controls.
- To identify factors associated with differential EMMPRIN expression in these patient groups.
Main Methods:
- Plasma EMMPRIN levels were measured in four age- and sex-matched groups: STEMI, NSTEMI, stable CAD, and healthy controls (n=44 per group).
- Logistic regression and correlation analyses were performed on the entire acute myocardial infarction (AMI) patient cohort.
Main Results:
- EMMPRIN levels were significantly elevated in STEMI (39.4±9.2 ng/mL) and NSTEMI (37.1±10.5 ng/mL) groups compared to stable CAD (27.5±4.7 ng/mL) and control (24.5±5.8 ng/mL) groups.
- Statistical significance was observed when comparing acute myocardial infarction groups with stable CAD and control groups (p < 0.05).
Conclusions:
- Plasma EMMPRIN levels are significantly higher in patients experiencing acute myocardial infarction (STEMI and NSTEMI) than in those with stable CAD or in healthy individuals.
- EMMPRIN may serve as a potential biomarker for acute myocardial infarction.
- Further research is warranted to explore the clinical utility of EMMPRIN in cardiovascular disease management.
Purpose:
The purpose of this study was to determine whether the plasma levels of soluble extracellular matrix metalloproteinase inducer (EMMPRIN) differed among the patients with ST-elevation myocardial infarction (STEMI), non-STEMI (NSTEMI) and stable coronary artery disease (CAD) and the healthy controls, and to identify the factors associated with the differences in plasma levels of this this protein among patients in these groups.
Methods:
Plasma EMMPRIN levels were compared among four age- and sex-matched groups of patients with STEMI, NSTEMI and stable CAD and healthy controls (n=44 per group), then logistic regression and correlation analyses were conducted for the whole acute myocardial infarction (AMI) patients group.
Results:
EMMPRIN levels were significantly higher in the STEMI (39.4±9.2ng/mL) and NSTEMI (37.1±10.5ng/mL) groups than in either the stable CAD (27.5±4.7ng/mL) or control (24.5±5.8ng/mL) groups (p.
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