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Imbalance of Endogenous Hydrogen Sulfide and Homocysteine in Chronic Obstructive Pulmonary Disease Combined with Cardiovascular Disease

Background: Considerable studies showed associations between chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD), we evaluated the role of endogenous hydrogen sulfide (H(2)S)/homocysteine (Hcy) in patients with COPD combined with CVD. Methods: Fifty one stable patients with...

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Detalles Bibliográficos
Autores principales: He, Yanjing, Liu, Shaoyu, Zhang, Zhe, Liao, Chengcheng, Lin, Fan, Yao, Wanzhen, Chen, Yahong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5600942/
https://www.ncbi.nlm.nih.gov/pubmed/28955229
http://dx.doi.org/10.3389/fphar.2017.00624
Descripción
Sumario:Background: Considerable studies showed associations between chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD), we evaluated the role of endogenous hydrogen sulfide (H(2)S)/homocysteine (Hcy) in patients with COPD combined with CVD. Methods: Fifty one stable patients with COPD were enrolled (25 COPD, 26 COPD + CVD). Lung function, sputum, peripheral blood samples, serum H(2)S, Hcy, high-sensitivity C-reactive protein (hs-CRP) and tumor necrosis factor-α (TNF-α) levels were measured. Dyspnea, symptoms and quality of life were quantified by modified Medical Research Council dyspnea scale (mMRC), COPD assessment test (CAT) and St. George’s Respiratory Questionnaire (SGRQ). Results: Compared with COPD group, waist circumference and body mass index (BMI) were higher in COPD + CVD group, mMRC, CAT and activity scores were also higher, high density lipoprotein cholesterol (HDL-C) was lower, total cells, neutrophils (%) in sputum and serum hs-CRP level were higher, whereas macrophages (% ) in sputum was lower. H(2)S and Hcy levels from COPD + CVD group were higher than those from COPD group, but H(2)S/Hcy ratio was lower. With increasing COPD severity, H(2)S level was decreased, however, Hcy level was increased. H(2)S level was positively correlated with FEV(1)/FVC, FEV(1)% predicted, lymphocytes (%) and macrophages (%) in sputum, but negatively correlated with smoking pack-years and neutrophils (%) in sputum. Hcy level was positively correlated with BMI and total cells in sputum. The ratio of H(2)S/Hcy was also positively correlated with FEV(1)/FVC, but negatively correlated with total cells in sputum. Conclusion: The imbalance of H(2)S/Hcy may be involved in the pathogenesis of COPD combined with CVD and provide novel targets for therapy.