Coronary circulating mononuclear progenitor cells and soluble biomarkers in the cardiovascular prognosis after coronary angioplasty

冠状动脉循环单核祖细胞和可溶性生物标志物在冠状动脉成形术后心血管预后中的作用

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作者:Juan Antonio Suárez-Cuenca, Rogelio Robledo-Nolasco, Marco Antonio Alcántara-Meléndez, Luis Javier Díaz Hernández, Eduardo Vera-Gómez, Alejandro Hernández-Patricio, Karla Susana Sánchez-Díaz, Juan Ariel Buendía-Gutiérrez, Alejandra Contreras-Ramos, Atzin Suá Ruíz-Hernández, Rebeca Pérez-Cabeza de Va

Conclusion

Coronary concentration of biomarkers related with vascular repair, such as MPCs subpopulations and adhesion molecules, may predict MACEs and impact prognosis in patients with CAD undergoing angioplasty; whereas peripheral pro-oxidative condition may be also associated.

Methods

The number of MPCs and soluble mediators such as IL-1β, sICAM-1, MMP-9, malondialdehyde, superoxide dismutase and nitric oxide were determined in coronary and peripheral circulation. Prognostic ability for MACEs occurring at 6 months follow up was assessed by time-to-event and event free survival estimations.

Results

Lower coronary circulating MPCs subpopulations CD45+ CD34+ , CD45+ CD34+ CD133+ CD184+ , lower MMP-9 and higher sICAM-1 significantly associated with MACEs presentation and showed prognostic ability; while peripheral blood increase in malondialdehyde and decreased superoxide dismutase were observed in patients with MACEs.

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