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Published on: July 3, 2016
Relationship between interleukin-17A and isolated coronary ectasia
Turgut Uygun1, Bülent Demir2, Veysel Tosun1
1Department of Cardiology, Şanlıurfa Training and Research Hospital, Şanlıurfa, Turkey.
Insights
Serum interleukin (IL)-17A levels are significantly elevated in patients with coronary artery ectasia (CAE). This study found higher IL-17A in CAE patients compared to controls, suggesting a link between IL-17A and ectasia formation.
Area of Science:
- Cardiology
- Immunology
- Biochemistry
Background:
- Coronary artery ectasia (CAE) is a coronary artery disease characterized by abnormal dilation.
- The role of inflammation, particularly interleukin-17A (IL-17A), in CAE pathogenesis is not fully understood.
Purpose of the Study:
- To evaluate serum IL-17A levels in patients with CAE.
- To investigate the relationship between IL-17A and CAE.
- To determine if IL-17A levels correlate with the severity of coronary ectasia.
Main Methods:
- Serum IL-17A levels were measured using enzyme-linked immunosorbent assay (ELISA).
- Patients with CAE (n=41) and a control group with normal coronary arteries (n=45) were included.
- Echocardiographic assessments were performed.
Main Results:
- IL-17A levels were significantly higher in patients with isolated CAE compared to the control group (4.86 ± 3.24 ng/ml vs. 1.37 ± 1.56 ng/ml, p < 0.001).
- CAE patients exhibited increased levels of IL-17A, fibrinogen, and red blood cell distribution width (RDW) compared to controls.
- No correlation was found between IL-17A levels and the extent of CAE, although levels remained high in both groups.
Conclusions:
- Elevated serum IL-17A levels are associated with the presence of coronary artery ectasia.
- Increased IL-17A may play a role in the development of ectasia in CAE patients.
Abstract:
The aim of this study was to evaluate serum interleukin (IL)-17A levels in patients with coronary artery ectasia (CAE), the relationship between IL and 17A and CAE, and to determine the relationship between the severity of coronary ectasia and the level of IL-17A. In total, 41 patients (19 female and 22 male) with ischemic symptoms whose non-invasive cardiac tests were positive for myocardial ischemia, and in whom coronary artery ectasia were detected after coronary angiography, and 45 patients (32 female and 13 male) with normal coronary arteries were included in this study. Echocardiographic assessments were performed. Serum IL-17A levels of all patients were evaluated using an enzyme-linked immunosorbent assay. IL-17A levels of the group with isolated coronary artery ectasia were significantly higher compared with the control group (4.86 ± 3.24 and 1.37 ± 1.56 ng/ml, respectively; p < 0.001). There was no correlation between the levels of IL-17A and the extension of the CAE, but IL-17A levels were high in both groups. CAE patients have significantly increased levels of IL-17A, fibrinogen, and RDW compared to patients with normal coronary arteries. It was demonstrated that increased levels of IL-17A were associated with ectasia formation in CAE patients.
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