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Monocyte Chemoattractant Protein-1 Is an Independent Predictor of Coronary Artery Ectasia in Patients with Acute Coronary Syndrome

Our purpose was to assess a possible association of inflammatory, lipid and mineral metabolism biomarkers with coronary artery ectasia (CAE) and to determine a possible association of this with acute atherotrombotic events (AAT). We studied 270 patients who underwent coronary angiography during an a...

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Autores principales: Franco-Peláez, Juan Antonio, Martín-Reyes, Roberto, Pello-Lázaro, Ana María, Aceña, Álvaro, Lorenzo, Óscar, Martín-Ventura, José Luis, Blanco-Colio, Luis, González-Casaus, María Luisa, Hernández-González, Ignacio, Carda, Rocío, Martín-Mariscal, María Luisa, Egido, Jesús, Tuñón, José
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7563376/
https://www.ncbi.nlm.nih.gov/pubmed/32967202
http://dx.doi.org/10.3390/jcm9093037
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author Franco-Peláez, Juan Antonio
Martín-Reyes, Roberto
Pello-Lázaro, Ana María
Aceña, Álvaro
Lorenzo, Óscar
Martín-Ventura, José Luis
Blanco-Colio, Luis
González-Casaus, María Luisa
Hernández-González, Ignacio
Carda, Rocío
Martín-Mariscal, María Luisa
Egido, Jesús
Tuñón, José
author_facet Franco-Peláez, Juan Antonio
Martín-Reyes, Roberto
Pello-Lázaro, Ana María
Aceña, Álvaro
Lorenzo, Óscar
Martín-Ventura, José Luis
Blanco-Colio, Luis
González-Casaus, María Luisa
Hernández-González, Ignacio
Carda, Rocío
Martín-Mariscal, María Luisa
Egido, Jesús
Tuñón, José
author_sort Franco-Peláez, Juan Antonio
collection PubMed
description Our purpose was to assess a possible association of inflammatory, lipid and mineral metabolism biomarkers with coronary artery ectasia (CAE) and to determine a possible association of this with acute atherotrombotic events (AAT). We studied 270 patients who underwent coronary angiography during an acute coronary syndrome 6 months before. Plasma levels of several biomarkers were assessed, and patients were followed during a median of 5.35 (3.88–6.65) years. Two interventional cardiologists reviewed the coronary angiograms, diagnosing CAE according to previously published criteria in 23 patients (8.5%). Multivariate binary logistic regression analysis was used to search for independent predictors of CAE. Multivariate analysis revealed that, aside from gender and a diagnosis of dyslipidemia, only monocyte chemoattractant protein-1 (MCP-1) (OR = 2.25, 95%CI = (1.35–3.76) for each increase of 100 pg/mL, p = 0.001) was independent predictor of CAE, whereas mineral metabolism markers or proprotein convertase subtilisin/kexin type 9 were not. Moreover, CAE was a strong predictor of AAT during follow-up after adjustment for other clinically relevant variables (HR = 2.67, 95%CI = (1.22–5.82), p = 0.013). This is the first report showing that MCP-1 is an independent predictor of CAE, suggesting that CAE and coronary artery disease may share pathogenic mechanisms. Furthermore, CAE was associated with an increased incidence of AAT.
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spelling pubmed-75633762020-10-27 Monocyte Chemoattractant Protein-1 Is an Independent Predictor of Coronary Artery Ectasia in Patients with Acute Coronary Syndrome Franco-Peláez, Juan Antonio Martín-Reyes, Roberto Pello-Lázaro, Ana María Aceña, Álvaro Lorenzo, Óscar Martín-Ventura, José Luis Blanco-Colio, Luis González-Casaus, María Luisa Hernández-González, Ignacio Carda, Rocío Martín-Mariscal, María Luisa Egido, Jesús Tuñón, José J Clin Med Article Our purpose was to assess a possible association of inflammatory, lipid and mineral metabolism biomarkers with coronary artery ectasia (CAE) and to determine a possible association of this with acute atherotrombotic events (AAT). We studied 270 patients who underwent coronary angiography during an acute coronary syndrome 6 months before. Plasma levels of several biomarkers were assessed, and patients were followed during a median of 5.35 (3.88–6.65) years. Two interventional cardiologists reviewed the coronary angiograms, diagnosing CAE according to previously published criteria in 23 patients (8.5%). Multivariate binary logistic regression analysis was used to search for independent predictors of CAE. Multivariate analysis revealed that, aside from gender and a diagnosis of dyslipidemia, only monocyte chemoattractant protein-1 (MCP-1) (OR = 2.25, 95%CI = (1.35–3.76) for each increase of 100 pg/mL, p = 0.001) was independent predictor of CAE, whereas mineral metabolism markers or proprotein convertase subtilisin/kexin type 9 were not. Moreover, CAE was a strong predictor of AAT during follow-up after adjustment for other clinically relevant variables (HR = 2.67, 95%CI = (1.22–5.82), p = 0.013). This is the first report showing that MCP-1 is an independent predictor of CAE, suggesting that CAE and coronary artery disease may share pathogenic mechanisms. Furthermore, CAE was associated with an increased incidence of AAT. MDPI 2020-09-21 /pmc/articles/PMC7563376/ /pubmed/32967202 http://dx.doi.org/10.3390/jcm9093037 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Franco-Peláez, Juan Antonio
Martín-Reyes, Roberto
Pello-Lázaro, Ana María
Aceña, Álvaro
Lorenzo, Óscar
Martín-Ventura, José Luis
Blanco-Colio, Luis
González-Casaus, María Luisa
Hernández-González, Ignacio
Carda, Rocío
Martín-Mariscal, María Luisa
Egido, Jesús
Tuñón, José
Monocyte Chemoattractant Protein-1 Is an Independent Predictor of Coronary Artery Ectasia in Patients with Acute Coronary Syndrome
title Monocyte Chemoattractant Protein-1 Is an Independent Predictor of Coronary Artery Ectasia in Patients with Acute Coronary Syndrome
title_full Monocyte Chemoattractant Protein-1 Is an Independent Predictor of Coronary Artery Ectasia in Patients with Acute Coronary Syndrome
title_fullStr Monocyte Chemoattractant Protein-1 Is an Independent Predictor of Coronary Artery Ectasia in Patients with Acute Coronary Syndrome
title_full_unstemmed Monocyte Chemoattractant Protein-1 Is an Independent Predictor of Coronary Artery Ectasia in Patients with Acute Coronary Syndrome
title_short Monocyte Chemoattractant Protein-1 Is an Independent Predictor of Coronary Artery Ectasia in Patients with Acute Coronary Syndrome
title_sort monocyte chemoattractant protein-1 is an independent predictor of coronary artery ectasia in patients with acute coronary syndrome
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7563376/
https://www.ncbi.nlm.nih.gov/pubmed/32967202
http://dx.doi.org/10.3390/jcm9093037
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