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Published on: July 3, 2018
Elevated Circulatory Levels of UL16 Binding Protein 1 Positive Microparticles Are Associated With Acute Myocardial
Songpol Haohan1,2,3, Burabha Pussadhamma1,4, Amonrat Jumnainsong2,3
1Cardiovascular Research Group, Khon Kaen University, Khon Kaen, Thailand.
Insights
Elevated ULBP1+ microparticles (MPs) and ULBP1+ T-lymphocyte MPs are linked to acute myocardial infarction (AMI) and its severity. These biomarkers may indicate vulnerable plaques contributing to AMI.
Area of Science:
- Cardiovascular Biology
- Immunology
- Biomarker Discovery
Background:
- Atherosclerosis is an inflammatory vascular disease leading to coronary artery disease and acute myocardial infarction (AMI).
- UL16-binding proteins (ULBPs), NKG2D ligands, are expressed on stressed cells and can be released as microparticles (MPs).
- ULBP1-positive MPs (ULBP1+ MPs) may indicate cellular stress and inflammation in AMI.
Purpose of the Study:
- To investigate the association between ULBP1+ MPs and the presence of AMI.
- To determine if ULBP1+ MPs correlate with the severity of AMI, specifically ST-segment elevation myocardial infarction (STEMI) versus non-STEMI (NSTEMI).
Main Methods:
- Flow cytometry was used to measure ULBP1+ MPs and ULBP1+ T-lymphocyte MPs (ULBP1+ TMPs) in 58 AMI patients and 45 controls.
- Analysis included assessing the association of MP levels with AMI diagnosis and severity.
Main Results:
- ULBP1+ MP and ULBP1+ TMP levels were significantly higher in AMI patients compared to controls.
- Elevated ULBP1+ MPs (OR=4.3) and ULBP1+ TMPs (OR=5.8) were independent risk factors for AMI.
- ULBP1+ TMP levels were significantly higher in STEMI patients, independently associated with STEMI (OR=3.9).
Conclusions:
- Increased levels of ULBP1+ MPs and ULBP1+ TMPs are associated with AMI and its severity.
- These microparticles may serve as potential biomarkers for vulnerable plaques in patients with AMI.
- ULBP1+ TMPs show promise in differentiating STEMI from NSTEMI.
Background/Aim:
Atherosclerosis is a vascular inflammatory disease characterized by the activation and stress of various inflammatory cells, leading to the development of coronary artery disease and subsequently acute myocardial infarction (AMI). Among AMI cases, ST-segment elevation myocardial infarction (STEMI) is typically more severe than non-STEMI (NSTEMI). UL16-binding proteins (ULBPs), which are NKG2D ligands, can be expressed on the surface of stressed and activated cells, prompting these cells to generate microparticles (MPs). Consequently, MPs carrying ULBPs, particularly ULBP1 (ULBP1+ MPs), may be released into the bloodstream. This study aimed to investigate the association between ULBP1+ MPs and the presence of AMI and its severity.
Materials And Methods:
We recruited 58 AMI patients and 45 age-matched control subjects. Levels of ULBP1+ MPs and ULBP1+ MPs originating from T lymphocytes (ULBP1+ TMPs) were measured using flow cytometry.
Results:
Both ULBP1+ MP and ULBP1+ TMP levels were significantly elevated in AMI patients compared to controls. Elevated levels of these MPs were independent risk factors for AMI with odds ratios (OR) of 4.3 (95%CI=1.5-12.3) for ULBP1+ MPs and 5.8 (95%CI=2.0-17.0) for ULBP1+ TMPs. Additionally, ULBP1+ TMP levels were significantly higher in STEMI patients compared to NSTEMI patients, with an independent association observed between ULBP1+ TMPs and STEMI (OR=3.9; 95%CI=1.2-12.8).
Conclusion:
Elevated levels of ULBP1+ MPs and ULBP1+ TMPs are associated with AMI and its severity. These biomarkers could serve as indicators of vulnerable plaques that lead to AMI.
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