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Published on: January 28, 2020
[State of cellular and humoral immunity in patients with stable angina]
Insights
Patients with stable angina show altered immune cell counts, including lower CD3+ T-lymphocytes and a reduced helper/suppressor ratio. These immune changes correlate with cholesterol and white blood cell levels, suggesting a new classification approach.
Area of Science:
- Immunology
- Cardiology
Background:
- Stable angina (stenocardia) affects numerous patients, with its underlying immunological mechanisms requiring further elucidation.
- Understanding immune system alterations in stable angina is crucial for developing novel diagnostic and prognostic tools.
Purpose of the Study:
- To analyze immunogenetic markers in patients with stable angina.
- To investigate the relationship between immunological indicators and clinical parameters like cholesterol and leukocytosis.
Main Methods:
- Analysis of immunogenetic test indicators in 104 patients with stable angina (Functional Classes I-III).
- Measurement of CD3+ T-lymphocytes, CD4+/CD8+ ratio, and circulating immune complexes.
- Correlation analysis with cholesterol and leukocyte levels.
Main Results:
- Patients exhibited lower CD3+ T-lymphocyte counts and a decreased T-helper/T-suppressor (CD4+/CD8+) cell ratio.
- Elevated concentrations of circulating immune complexes were observed.
- These immunological changes were independent of angina functional class and history of myocardial infarction.
- A significant correlation was found between immunological markers and levels of cholesterol and leukocytosis.
Conclusions:
- Stable angina is associated with specific immunogenetic alterations, including reduced T-lymphocyte levels and increased immune complexes.
- The strong correlation between immune markers, cholesterol, and leukocytes suggests a potential for a new classification system for angina patients.
- This approach may offer a more comprehensive understanding of the disease pathophysiology.
Abstract:
The article presents results of the analysis of indicators immunogenotypic tests of 104 patients with stable stenocardia I-III functional classes. It was established that patients with stable stenocardia have lower level of CD3+ T- lymphocytes, decreased rate of T- lymphocytes helpers/ suppressors (CD4+/CD8+) and increased concentration of circulating immune complexes. These changes did not depend from Functional class of stenocardia and old myocardial infarction. It was established a close interrelation between immunological indicators on the one hand and cholesterol and leukocytosis from another. This correlation has allowed to offer the new classification approach for patients with stenocardia, which considers level of cholesterol and leukocytes.
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