Elevated Concentration of Soluble Vascular Endothelial Cadherin Is Associated With Coronary Atherosclerosis
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概要
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Background Vascular endothelial (VE)-cadherin, a Ca^<2+>-dependent cell adhesion molecule, is expressed in atherosclerotic lesions by endothelial cells and is associated with neovascularization, although the relationship between circulating VE-cadherin and coronary artery disease has not been studied. Methods and Results The plasma concentration of VE-cadherin was measured in peripheral blood (femoral artery) and the coronary sinus of 24 patients with acute myocardial infarction (AMI), 26 with stable angina pectoris (AP), 18 with old myocardial infarction (OMI), and 30 control subjects (Control) who had no coronary artery stenosis on angiography. For the patients with AMI, blood samples were obtained in the acute (day 1) and chronic (day 21) phases. The plasma concentration of VE-cadherin was measured by enzyme-linked immunosorbent assay. The correlation between the plasma VE-cadherin concentration and the Gensini score was also determined as an index of the severity of coronary atherosclerosis. The plasma concentrations of VE-cadherin (ng/ml) in both the peripheral and coronary sinus blood were higher in patients with AMI, AP, and OMI than in the control subjects, and were similar in the 3 groups with coronary artery disease (femoral artery: AMI 5.1±2.5, AP 4.7±2.4, OMI 4.5±3.3, Control 2.6±2.3; coronary sinus: AMI 5.6±2.6, AP 5.0±2.3, OMI 5.0±2.9, Control 2.4±2.1, respectively). Plasma VE-cadherin concentrations were higher in the coronary sinus than peripheral blood samples in patients with AMI (p<0.01), AP (p<0.01), and OMI (p<0.05). The plasma VE-cadherin concentration was the same in the acute and chronic phases in patients with AMI. In the 3 groups of patients with coronary disease, both the peripheral plasma VE-cadherin concentration and the coronary sinus concentration correlated with the Gensini score (r=0.32, p<0.01 and r=0.42, p<0.001 , respectively). Multiple regression analysis revealed that the plasma VE-cadherin concentration predicted the Gensini score independently of sex, age, hypertension, diabetes mellitus, smoking, and the lipid profiles. Conclusion Increased secretion of VE-cadherin from the epicardial arteries is associated with the degree of coronary atherosclerosis, indicating the presence of atherosclerosis rather than disease activity.
- 社団法人日本循環器学会の論文
- 2003-12-20
著者
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FUKUDA Nobuo
Department of Cardiology and Clinical Research, National Hospital Organization Zentsuji Hospital
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SAKABE Koichi
Department of Cardiology and Clinical Research, National Hospital Organization Zentsuji Hospital
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SHINOHARA Hisanori
Department of Cardiology and Clinical Research, National Hospital Organization Zentsuji Hospital
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TAMURA Yoshiyuki
Department of Cardiology and Clinical Research, National Hospital Organization Zentsuji Hospital
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Fnkuda Nobuo
Department Of Cardiology And Clinical Research National Hospital Organization Zentsuji Hospital
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Fukuda N
National Institute Of Radiological Sciences
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Fukuda Nobuo
Tsukuba Research Laboratory Nof Coproration
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Sakabe Koichi
Department Of Cardiology And Clinical Reseach National Hospital Organazation Zentsuji Hospital
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Soeki Takeshi
Department of Biochemistry, National Cardiovascular Center Research Institute
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Onose Yukiko
Department Of Cardiology And Clinical Research National Zentsuji Hospital
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Sakabe Koichi
The Second Department Of Internal Medicine School Of Medicine The University Of Tokushirna
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Shinohara H
Department Of Cardiology And Clinical Research National Hospital Organization Zentsuji Hospital
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Takiuchi Shin
Division Of Hypertension And Nephrology National Cardiovascular Center
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Sugihara Takashi
Division Of Cardiovascular Medicine Tokushima University Hospital
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Tamura Yoshiyuki
Department Of Cardiology And Clinical Research National Hospital Organization Zentsuji Hospital
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Shinohara Hisanori
Department Of Cardiology And Clinical Research National Hospital Organization Zentsuji Hospital
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Shinohara Hisanori
Department Of Internal Medicine And Clinical Research National Zentsuji Hospital
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Fukuda Nobuo
Department Of Internal Medicine And Clinical Research National Zentsuji Hospital
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Sakabe Kouichi
The Second Department Of Internal Medicine School Of Medicine The Univercity Of Tokushima
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Shinohara Hisanori
Department Of Cardiology And Clinical Research
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Sakabe Koichi
Department Of Cardiology And Clinical Research National Hoapital Organization Zentsuji Hospital
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