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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Predictive and prognostic value of v-set and transmembrane domain-containing 1 expression in monocytes for coronary
Xiao-Fei Wang1, Meng-Cheng Xu1, Cheng-Yu Mao1
1Departments of Cardiology, Shanghai Ninth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine, 200011 Shanghai, China.
Insights
Low expression of V-set and transmembrane domain-containing 1 (VSTM1) in monocytes is linked to a higher risk of major adverse cardiac events (MACE) and acute coronary syndrome (ACS) in coronary heart disease (CHD) patients.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Biomarker Discovery
Background:
- Coronary heart disease (CHD) poses a significant global health burden.
- Identifying reliable biomarkers for predicting adverse cardiac events is crucial for patient management.
- V-set and transmembrane domain-containing 1 (VSTM1) is a protein with potential roles in immune regulation and cardiovascular health.
Purpose of the Study:
- To investigate the correlation between monocytic VSTM1 expression and the incidence of major adverse cardiac events (MACE) in patients with CHD.
- To assess the predictive value of VSTM1 expression for acute coronary syndrome (ACS) and MACE.
- To explore the prognostic significance of VSTM1 in CHD patient follow-up.
Main Methods:
- A cohort of 310 CHD patients was stratified into non-acute coronary syndrome (non-ACS) and ACS groups.
- Monocytic VSTM1 expression levels were quantified using antibody-based fluorescence intensity.
- Statistical analysis was performed to determine the association between VSTM1 levels and clinical outcomes, including MACE and ACS incidence.
Main Results:
- Monocytic VSTM1 expression was significantly lower in the ACS group compared to the non-ACS group.
- Patients with high VSTM1 expression exhibited a substantially lower incidence of MACE at the 1-year follow-up.
- VSTM1 expression demonstrated an independent inverse association with the incidence of MACE and ACS.
Conclusions:
- Monocytic VSTM1 expression serves as a potential predictive biomarker for ACS in CHD patients.
- VSTM1 levels may offer a valuable tool for evaluating MACE prognosis during the follow-up of CHD patients.
- Targeting or modulating VSTM1 could represent a future therapeutic strategy for improving cardiovascular outcomes.
Abstract:
The aim of this study was to investigate the correlation between v-set and transmembrane domain-containing 1 (VSTM1) expression and incidence of major adverse cardiac events (MACE) in patients with coronary heart disease (CHD). A total of 310 patients were divided into a non-acute coronary syndrome (non-ACS) group (containing the stable angina group, and the asymptomatic coronary artery diseaseand other patients group) and an ACS group (containing unstable angina and acute myocardial infarction patients). Monocytic VSTM1 expression levels (assessed via average fluorescence intensity derived from antibody binding to VSTM1) in each group were detected and analyzed. The cut-off value of monocytic VSTM1 expression to predict the onset of ACS and MACE was confirmed. VSTM1 expression in monocytes from the ACS group was lower than that of the non-ACS group. The incidence of MACEs in the high VSTM1-expression group was much less than that of those in the low VSTM1 expression group at the 1 year follow-up stage. VSTM1 expression had an independent-inversed association with increased incidence of MACE and ACS. VSTM1 expression in monocytes may help to predict the occurrence of ACS in patients with CHD, and moreover it may provide the means to evaluate MACE prognosis during CHD patient follow-up.
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