Activation of inflammation and coagulation after infusion of C-reactive protein in humans

被引:209
作者
Bisoendial, RJ
Kastelein, JJP
Levels, JHM
Zwaginga, JJ
van den Bogaard, B
Reitsma, PH
Meijers, JCM
Hartman, D
Levi, M
Stroes, ESG
机构
[1] Univ Amsterdam, Acad Med Ctr, Dept Vasc Med, NL-1105 AZ Amsterdam, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Dept Hematol, NL-1105 AZ Amsterdam, Netherlands
[3] Univ Amsterdam, Acad Med Ctr, Dept Expt Med, NL-1105 AZ Amsterdam, Netherlands
[4] Pfizer Global Res & Dev, Ann Arbor, MI USA
关键词
Atherosclerosis; Endothelium; Inflammation; Thrombosis;
D O I
10.1161/01.RES.0000163015.67711.AB
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
C-reactive protein (CRP) has been postulated to play a causal part in atherosclerosis and its acute complications. We assessed the effects of CRP-infusion on coagulation and inflammatory pathways to determine its role in atherothrombotic disease. Seven male volunteers received an infusion on two occasions, containing 1.25 mg/kg recombinant human CRP (rhCRP) or diluent, respectively. CRP-concentrations rose after rhCRP-infusion from 1.9 (0.3 to 8.5) to 23.9 (20.5 to 28.1) mg/L, and subsequently both inflammation and coagulation were activated. This sequence of events suggests that CRP is not only a well known marker of cardiovascular disease, but is also probably a mediator of atherothrombotic disease.
引用
收藏
页码:714 / 716
页数:3
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