Clinical significance of the antibody against oxidized low-density lipoprotein in acute myocardial infarction

被引:14
作者
Inoue, T [1 ]
Yaguchi, I [1 ]
Uchida, T [1 ]
Kamishirado, H [1 ]
Nakahara, S [1 ]
Hayashi, T [1 ]
Morooka, S [1 ]
机构
[1] Dokkyo Univ, Sch Med, Koshigaya Hosp, Dept Cardiol, Koshigaya, Saitama 3438555, Japan
关键词
acute myocardial infarction; antibody; oxidized low-density lipoprotein; plaque instability;
D O I
10.1159/000064672
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To establish the clinical significance of the antibody against oxidized low-density lipoprotein (anti-Ox-LDL) titer in patients with acute myocardial infarction (AMI), we measured the anti-Ox-LDL titer in 39 patients with AMI and 25 controls. in all AMI patients, the anti-Ox-LDL titer on admission was higher (p < 0.05) than the value in the controls. One month after admission, the titer decreased significantly (p < 0.001) reaching control levels. In patients who underwent thrombolytic therapy, the anti-Ox-LDL titer on admission was identical in patients with occluded infarct-related arteries (IRA) and patients with patent IRA during emergency coronary angiography, In patients who did not undergo thrombolytic therapy, the anti-Ox-LDL titer on admission was higher in patients with occluded IRA than in patients with patent IRA. An increased anti-Ox-LDL titer may be a risk factor for the onset of AMI. Spontaneous recanalization of the IRA may be associated with increased anti-Ox-LDL titers, while thrombolysis-induced recanalization may be independent of it. Copyright (C) 2002 S. Karger AG, Basel.
引用
收藏
页码:13 / 17
页数:5
相关论文
共 15 条
[1]   PATIENTS WITH EARLY-ONSET PERIPHERAL VASCULAR-DISEASE HAVE INCREASED LEVELS OF AUTOANTIBODIES AGAINST OXIDIZED LDL [J].
BERGMARK, C ;
WU, R ;
DEFAIRE, U ;
LEFVERT, AK ;
SWEDENBORG, J .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 1995, 15 (04) :441-445
[2]   MALONDIALDEHYDE ALTERATION OF LOW-DENSITY LIPOPROTEINS LEADS TO CHOLESTERYL ESTER ACCUMULATION IN HUMAN MONOCYTE-MACROPHAGES [J].
FOGELMAN, AM ;
SHECHTER, I ;
SEAGER, J ;
HOKOM, M ;
CHILD, JS ;
EDWARDS, PA .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA-BIOLOGICAL SCIENCES, 1980, 77 (04) :2214-2218
[3]   Clinical significance of antibody against oxidized low density lipoprotein in patients with atherosclerotic coronary artery disease [J].
Inoue, T ;
Uchida, T ;
Kamishirado, H ;
Takayanagi, K ;
Hayashi, T ;
Morooka, S .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 37 (03) :775-779
[4]   Autoantibodies against oxidized low density lipoprotein in patients with angiographically verified coronary artery disease [J].
Lehtimäki, T ;
Lehtinen, S ;
Solakivi, T ;
Nikkilä, M ;
Jaakkola, O ;
Jokela, H ;
Ylä-Herttuala, S ;
Luoma, JS ;
Koivula, T ;
Nikkari, T .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 1999, 19 (01) :23-27
[5]   SPECIFICITY OF AUTOANTIBODIES AGAINST OXIDIZED LDL AS AN ADDITIONAL MARKER FOR ATHEROSCLEROTIC RISK [J].
MAGGI, E ;
FINARDI, G ;
POLI, M ;
BOLLATI, P ;
FILIPPONI, M ;
STEFANO, PL ;
PAOLINI, G ;
GROSSI, A ;
CLOT, P ;
ALBANO, E ;
BELLOMO, G .
CORONARY ARTERY DISEASE, 1993, 4 (12) :1119-1122
[6]  
MOREL DW, 1984, ARTERIOSCLEROSIS, V4, P356
[7]   ANTISERA AND MONOCLONAL-ANTIBODIES SPECIFIC FOR EPITOPES GENERATED DURING OXIDATIVE MODIFICATION OF LOW-DENSITY-LIPOPROTEIN [J].
PALINSKI, W ;
YLAHERTTUALA, S ;
ROSENFELD, ME ;
BUTLER, SW ;
SOCHER, SA ;
PARTHASARATHY, S ;
CURTISS, LK ;
WITZTUM, JL .
ARTERIOSCLEROSIS, 1990, 10 (03) :325-335
[8]  
PARUMS DV, 1990, ARCH PATHOL LAB MED, V114, P383
[9]   ANTIBODY AGAINST OXIDIZED LOW-DENSITY-LIPOPROTEIN PREDICTING MYOCARDIAL-INFARCTION [J].
PUURUNEN, M ;
MANTTARI, M ;
MANNINEN, V ;
TENKANEN, L ;
ALFTHAN, G ;
EHNHOLM, C ;
VAARALA, O ;
AHO, K ;
PALOSUO, T .
ARCHIVES OF INTERNAL MEDICINE, 1994, 154 (22) :2605-2609
[10]   ENDOTHELIAL CELL-DERIVED CHEMOTACTIC ACTIVITY FOR MOUSE PERITONEAL-MACROPHAGES AND THE EFFECTS OF MODIFIED FORMS OF LOW-DENSITY LIPOPROTEIN [J].
QUINN, MT ;
PARTHASARATHY, S ;
STEINBERG, D .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1985, 82 (17) :5949-5953