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Relationship Between Plasma Levels of Soluble CD40 Ligand and the Presence and Severity of Isolated Coronary Artery Ectasia.
Ozde, Cem; Korkmaz, Ahmet; Kundi, Harun; Oflar, Ersan; Ungan, Ismail; Xankisi, Vusal; Nurlu, Nilhan.
Afiliación
  • Ozde C; 1 Department of Cardiology, Cankiri State Hospital, Cankiri, Turkey.
  • Korkmaz A; 2 Department of Cardiology, Ankara Numune Education and Research Hospital, Ankara, Turkey.
  • Kundi H; 2 Department of Cardiology, Ankara Numune Education and Research Hospital, Ankara, Turkey.
  • Oflar E; 3 Department of Cardiology, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
  • Ungan I; 3 Department of Cardiology, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
  • Xankisi V; 3 Department of Cardiology, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
  • Nurlu N; 4 Department of Clinical Biochemistry, Istanbul Gaziosmanpasa Taksim Training and Research Hospital, Istanbul, Turkey.
Clin Appl Thromb Hemost ; 24(2): 379-386, 2018 Mar.
Article en En | MEDLINE | ID: mdl-27879468
OBJECTIVE: We aimed to investigate whether soluble CD40 ligand (CD40L) levels are higher in patients with isolated coronary artery ectasia (CAE) compared to patients with angiographically normal coronary arteries and those with stable coronary artery disease (CAD). MATERIALS AND METHODS: In all, 55 patients with isolated CAE without stenosis, 55 with stable CAD, and 55 control participants with angiographically normal coronary arteries were included. The CAE severity was determined according to the Markis classification. Plasma levels of soluble CD40 ligand were measured by enzyme-linked immunosorbent assay. RESULTS: The baseline characteristics of the 3 groups were similar. Plasma levels of soluble CD40 ligand were significantly higher in patients with CAE and CAD than in controls (2.6 ± 3.1 ng/mL and 2.0 ± 3.1 ng/mL vs 1.8 ± 2.1 ng/mL, P = .004). No difference was found between the CAE and CAD groups. Soluble CD40 ligand level was significantly higher in the type 1 Markis subgroup than that in the type 3 or type 4 subgroups ( P = .01). A receiver operating characteristic curve analysis revealed that soluble CD40 ligand level >1.2 ng/mL identified patients with isolated CAE. CONCLUSION: Significantly higher levels of soluble CD40 ligand were detected in patients with CAE than that in control participants with normal coronary arteries, suggesting that soluble CD40 ligand may be involved in the pathogenesis of CAE. The CD40-CD40 ligand system likely plays a role in the pathogenesis of CAE.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de la Arteria Coronaria / Ligando de CD40 / Dilatación Patológica Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Appl Thromb Hemost Asunto de la revista: ANGIOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Enfermedad de la Arteria Coronaria / Ligando de CD40 / Dilatación Patológica Tipo de estudio: Etiology_studies / Observational_studies / Prognostic_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Appl Thromb Hemost Asunto de la revista: ANGIOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos