Markers of proteolysis, fibrinolysis, and coagulation in relation to size and growth rate of abdominal aortic aneurysms

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Markers of proteolysis, fibrinolysis, and coagulation in relation to size and growth rate of abdominal aortic aneurysms. / Flondell-Sité, Despina; Lindblad, Bengt; Kölbel, Tilo; Gottsäter, Anders.

in: VASC ENDOVASC SURG, Jahrgang 44, Nr. 4, 05.2010, S. 262-268.

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@article{c8c0a7af6ed744cc85e7b1beba57d977,
title = "Markers of proteolysis, fibrinolysis, and coagulation in relation to size and growth rate of abdominal aortic aneurysms",
abstract = "UNLABELLED: We evaluated whether matrix metalloproteinases (MMPs) 2 and 9, their inhibitors, markers for fibrinolysis, and thrombin activation are associated with diameter and growth of abdominal aortic aneurysms (AAAs).MATERIAL AND METHODS: Matrix metalloproteinases 2 and 9, tissue inhibitor of MMPs (TIMP-1), serpine-1, tPa-serpine-1, and activated protein C- protein C inhibitor (APC-PCI) complex were analyzed in 353 patients with AAA grouped according to AAA size, and 219 gender- and age-matched healthy individuals. Follow-up of AAA growth for up to 7 years was possible in 178 of 353 patients.RESULTS: At baseline, all groups of patients with AAA showed lower levels of MMP-2 and -9, and higher levels of TIMP-1, serpine-1, and t-Pa-serpine-1 than controls. Matrix metalloproteinase 2 correlated inversely and APC-PCI complex correlated directly with AAA diameter. We found no correlations between markers for proteolysis, fibrinolysis, coagulation, and yearly AAA growth.CONCLUSION: Matrix metalloproteinase 2 is lower and APC-PCI higher in patients with larger AAA, but the relevance of the markers for AAA growth is far from clarified.",
keywords = "Aged, Aged, 80 and over, Aortic Aneurysm, Abdominal/blood, Biomarkers/blood, Blood Coagulation, Case-Control Studies, Disease Progression, Female, Fibrinolysis, Follow-Up Studies, Humans, Male, Matrix Metalloproteinase 2/blood, Matrix Metalloproteinase 9/blood, Middle Aged, Peptide Hydrolases/blood, Plasminogen Activator Inhibitor 1/blood, Prospective Studies, Protein C/metabolism, Protein C Inhibitor/blood, Sweden, Time Factors, Tissue Inhibitor of Metalloproteinase-1/blood, Tissue Plasminogen Activator/blood",
author = "Despina Flondell-Sit{\'e} and Bengt Lindblad and Tilo K{\"o}lbel and Anders Gotts{\"a}ter",
year = "2010",
month = may,
doi = "10.1177/1538574410361971",
language = "English",
volume = "44",
pages = "262--268",
journal = "VASC ENDOVASC SURG",
issn = "1538-5744",
publisher = "SAGE Publications",
number = "4",

}

RIS

TY - JOUR

T1 - Markers of proteolysis, fibrinolysis, and coagulation in relation to size and growth rate of abdominal aortic aneurysms

AU - Flondell-Sité, Despina

AU - Lindblad, Bengt

AU - Kölbel, Tilo

AU - Gottsäter, Anders

PY - 2010/5

Y1 - 2010/5

N2 - UNLABELLED: We evaluated whether matrix metalloproteinases (MMPs) 2 and 9, their inhibitors, markers for fibrinolysis, and thrombin activation are associated with diameter and growth of abdominal aortic aneurysms (AAAs).MATERIAL AND METHODS: Matrix metalloproteinases 2 and 9, tissue inhibitor of MMPs (TIMP-1), serpine-1, tPa-serpine-1, and activated protein C- protein C inhibitor (APC-PCI) complex were analyzed in 353 patients with AAA grouped according to AAA size, and 219 gender- and age-matched healthy individuals. Follow-up of AAA growth for up to 7 years was possible in 178 of 353 patients.RESULTS: At baseline, all groups of patients with AAA showed lower levels of MMP-2 and -9, and higher levels of TIMP-1, serpine-1, and t-Pa-serpine-1 than controls. Matrix metalloproteinase 2 correlated inversely and APC-PCI complex correlated directly with AAA diameter. We found no correlations between markers for proteolysis, fibrinolysis, coagulation, and yearly AAA growth.CONCLUSION: Matrix metalloproteinase 2 is lower and APC-PCI higher in patients with larger AAA, but the relevance of the markers for AAA growth is far from clarified.

AB - UNLABELLED: We evaluated whether matrix metalloproteinases (MMPs) 2 and 9, their inhibitors, markers for fibrinolysis, and thrombin activation are associated with diameter and growth of abdominal aortic aneurysms (AAAs).MATERIAL AND METHODS: Matrix metalloproteinases 2 and 9, tissue inhibitor of MMPs (TIMP-1), serpine-1, tPa-serpine-1, and activated protein C- protein C inhibitor (APC-PCI) complex were analyzed in 353 patients with AAA grouped according to AAA size, and 219 gender- and age-matched healthy individuals. Follow-up of AAA growth for up to 7 years was possible in 178 of 353 patients.RESULTS: At baseline, all groups of patients with AAA showed lower levels of MMP-2 and -9, and higher levels of TIMP-1, serpine-1, and t-Pa-serpine-1 than controls. Matrix metalloproteinase 2 correlated inversely and APC-PCI complex correlated directly with AAA diameter. We found no correlations between markers for proteolysis, fibrinolysis, coagulation, and yearly AAA growth.CONCLUSION: Matrix metalloproteinase 2 is lower and APC-PCI higher in patients with larger AAA, but the relevance of the markers for AAA growth is far from clarified.

KW - Aged

KW - Aged, 80 and over

KW - Aortic Aneurysm, Abdominal/blood

KW - Biomarkers/blood

KW - Blood Coagulation

KW - Case-Control Studies

KW - Disease Progression

KW - Female

KW - Fibrinolysis

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Matrix Metalloproteinase 2/blood

KW - Matrix Metalloproteinase 9/blood

KW - Middle Aged

KW - Peptide Hydrolases/blood

KW - Plasminogen Activator Inhibitor 1/blood

KW - Prospective Studies

KW - Protein C/metabolism

KW - Protein C Inhibitor/blood

KW - Sweden

KW - Time Factors

KW - Tissue Inhibitor of Metalloproteinase-1/blood

KW - Tissue Plasminogen Activator/blood

U2 - 10.1177/1538574410361971

DO - 10.1177/1538574410361971

M3 - SCORING: Journal article

C2 - 20356864

VL - 44

SP - 262

EP - 268

JO - VASC ENDOVASC SURG

JF - VASC ENDOVASC SURG

SN - 1538-5744

IS - 4

ER -