Expression of the von Willebrand Factor in Atrial Endocardium is Increased in Atrial Fibrillation Depending on the Extent of Structural Remodeling

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• Background The incidence of stroke in patients suffering atrial fibrillation (AF) is increased when left atrial enlargement occurs. Recently, the platelet adhesive molecule, von Willebrand factor (vWF), located in the atrial endocardium, has been shown to be increased in patients with a variety of heart diseases compared with patients who have no cardiac problems. Methods and Results We investigated the expression of vWF mRNA and protein in the endocardium as a possible prothrombotic alteration of AF in association with atrial structural remodeling. Atrial appendage specimens were obtained during either heart surgery or at an autopsy from AF patients with and without underlying heart disease. The immunohistochemical and in situ hybridization signals for vWF in the endocardium were well correlated and varied widely among the individual atrial appendages examined. The increased expression of vWF in the endocardium was associated with enlarged left atrial dimensions in mitral valvular disease or increased myocyte diameters in the underlying myocardium. Platelet adhesion/aggregation on the endocardium was always found under the fresh thrombi and was colocalized with strong vWF staining, but not necessarily with fibrinogen and/or fibrin staining. Conclusions Endocardial overexpression of vWF may occur during the process of atrial structural remodeling contributing to the thrombotic predilection of AF in association with underlying heart disease.

• 社団法人日本循環器学会の論文
• 2004-03-20

著者

• Kumagai Koji

  Department of Cardiology, Gunma prefacture cardiovascukar center

• KAGAYA Yutaka

  Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine

• Kagaya Yutaka

  Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine

• WATANABE Jun

  Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine

• SHIRATO Kunio

  Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine

• TABAYASHI Koichi

  Department of Cardiovascular Surgery, Tohoku University Graduate School of Medicine

• Kumagai K

  The Cardiovascular Center Yokosuka Kyousai Hospital

• Otomo Jun

  Department Of Cardiology Tohoku Kosai Hospital

• Baba Shigeo

  Department of Cardiovascular Medicine, Graduate School of Medicine Tohoku University

• Shirato Kunio

  Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine

• ODA Katsuhiko

  Department of Cardiovascular Surgery, Tohoku University Graduate School of Medicine

• Baba Shigeo

  Department Of Cardiovascular Medicine Graduate School Of Medicine Tohoku University

• Oda Katsuhiko

  Department Of Cardiovascular Surgery Tohoku University Hospital

• Otomo Jyun

  Department of Cardiology, Sendai City Hospital

• Ohta Jun

  Department of Cardiovascular Medicine, Tohoku University

• Fukuchi Mitsumasa

  Department of Cardiovascular Medicine, Tohoku University

• Ohta Jun

  Department Of Cardiovascular Medicine Tohoku University

• Ohta Jun

  Department Of Applied Physics Faculty Of Engineering University Of Tokyo

• Kitaura Keisuke

  Department Of Toxicology Drug Safety Research Center Tokushima Research Institute Otsuka Pharmaceuti

• Akimoto Hiroji

  Departments of Cardiovascular Surgery, Tohoku University Graduate School of Medicine

• Tabayashi Koichi

  Department Of Cardiovascular Surgery Tohoku University Graduate School Of Medicine

• Oda Katsuhiko

  Department Of Cardiovascular Surgery Graduate School Of Medicine Tohoku University

• Fukuchi Mitsumasa

  Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine

• Ohta Jun

  Department Of Cardiovascular Medicine Tohoku University Graduate School

• Tabayashi Koichi

  Department Of Cardiovascular Surgery Graduate School Of Medicine Tohoku University

• Tabayashi Koichi

  Department Of Cardiovancular Surgery Tohoku University Graduate School Of Medicine

• TABAYASHI Koichi

  Tohoku University Graduate School of Medicine

• Tabayashi Koichi

  Department Of Cardiovascular Surgery Tohoku University Hospital

• Ohta Jun

  Tohoku Kosai Hospital Department Of Cardiology

• Kumagai Koji

  Department Of Cardiology Institute Of Clinical Medicine University Of Tsukuba

• Akimoto Hiroji

  Departments Of Cardiovascular Surgery Tohoku University Graduate School Of Medicine

• Tamaki Kenji

  Tohoku University Graduate School Of Medicine

• Watanabe Jun

  Department Of Anatomy & Cell Science Kansai Medical University

• Oda Katsuhiko

  Departments Of Cardiovascular Surgery Tohoku University Graduate School Of Medicine

• AKIMOTO Hiroji

  Department of Thoracic and Cardiovascular Surgery, Graduate School of Medicine, Tohoku University

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