Liberation of vessel-adherent myeloperoxidase reflects plaque burden in patients with stable coronary artery disease
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Liberation of vessel-adherent myeloperoxidase reflects plaque burden in patients with stable coronary artery disease. / Rudolph, Tanja K; Schaper, Neele; Klinke, Anna; Demir, Cagri; Goldmann, Britta; Lau, Denise; Köster, Ralf; Hellmich, Martin; Meinertz, Thomas; Baldus, Stephan; Rudolph, Volker.
In: ATHEROSCLEROSIS, Vol. 231, No. 2, 12.2013, p. 354-358.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research
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TY - JOUR
T1 - Liberation of vessel-adherent myeloperoxidase reflects plaque burden in patients with stable coronary artery disease
AU - Rudolph, Tanja K
AU - Schaper, Neele
AU - Klinke, Anna
AU - Demir, Cagri
AU - Goldmann, Britta
AU - Lau, Denise
AU - Köster, Ralf
AU - Hellmich, Martin
AU - Meinertz, Thomas
AU - Baldus, Stephan
AU - Rudolph, Volker
N1 - Copyright © 2013 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.
PY - 2013/12
Y1 - 2013/12
N2 - OBJECTIVE: Myeloperoxidase (MPO) has emerged as an important pathophysiological determinant of inflammatory vascular artery disease. It is appreciated that vessel immobilized, rather than circulating, MPO is critical for the progression of atherosclerotic lesions. The objective of this study was to investigate whether vessel-immobilized MPO is associated with the extent of coronary plaque burden.METHODS: MPO plasma levels were determined by ELISA before and after heparin-release of vessel-bound MPO, to study the relation between vascular MPO deposition and densitometrically assessed coronary plaque burden in 77 patients with stable coronary artery disease.RESULTS: Patients with a low increase in MPO plasma levels upon heparinization had a significantly smaller total plaque area and volume (12.1[IR:6.2-19.4]mm(2) vs. 19.8[IR:11.3-31.5]mm(2), p < 0.01; 27.8[IR:12.3-44.8]mm(3) vs. 55.2[IR:24.2-87.5]mm(3), p < 0.05). Multivariable linear regression revealed that ΔMPO was independently associated with plaque area, and that ΔMPO increased with the number of affected vessels. Selective sampling confirmed the predominant role of coronary MPO deposition.CONCLUSION: Our data demonstrate that heparin-induced mobilization of vessel-bound MPO is closely linked to coronary plaque burden and thus further corroborate the evidence for the intimate involvement of this enzyme in vascular pathophysiology, as well as the importance of inflammation in atherosclerosis.
AB - OBJECTIVE: Myeloperoxidase (MPO) has emerged as an important pathophysiological determinant of inflammatory vascular artery disease. It is appreciated that vessel immobilized, rather than circulating, MPO is critical for the progression of atherosclerotic lesions. The objective of this study was to investigate whether vessel-immobilized MPO is associated with the extent of coronary plaque burden.METHODS: MPO plasma levels were determined by ELISA before and after heparin-release of vessel-bound MPO, to study the relation between vascular MPO deposition and densitometrically assessed coronary plaque burden in 77 patients with stable coronary artery disease.RESULTS: Patients with a low increase in MPO plasma levels upon heparinization had a significantly smaller total plaque area and volume (12.1[IR:6.2-19.4]mm(2) vs. 19.8[IR:11.3-31.5]mm(2), p < 0.01; 27.8[IR:12.3-44.8]mm(3) vs. 55.2[IR:24.2-87.5]mm(3), p < 0.05). Multivariable linear regression revealed that ΔMPO was independently associated with plaque area, and that ΔMPO increased with the number of affected vessels. Selective sampling confirmed the predominant role of coronary MPO deposition.CONCLUSION: Our data demonstrate that heparin-induced mobilization of vessel-bound MPO is closely linked to coronary plaque burden and thus further corroborate the evidence for the intimate involvement of this enzyme in vascular pathophysiology, as well as the importance of inflammation in atherosclerosis.
KW - Aged
KW - Atherosclerosis
KW - Coronary Artery Disease/blood
KW - Coronary Vessels/pathology
KW - Densitometry
KW - Female
KW - Heparin/chemistry
KW - Humans
KW - Inflammation
KW - Male
KW - Middle Aged
KW - Peroxidase/blood
KW - Plaque, Atherosclerotic/blood
KW - Regression Analysis
U2 - 10.1016/j.atherosclerosis.2013.09.016
DO - 10.1016/j.atherosclerosis.2013.09.016
M3 - SCORING: Journal article
C2 - 24267251
VL - 231
SP - 354
EP - 358
JO - ATHEROSCLEROSIS
JF - ATHEROSCLEROSIS
SN - 0021-9150
IS - 2
ER -