Correlation of CD40 and DPP-4 Concentration With Corrected TIMI Frame Count in Patients With Coronary Slow Flow

Introduction: Microvascular and endothelial disorders play a significant role in the pathophysiology of coronary slow flow phenomenon (CSFP). However, according to previous studies, the etiology of CSFP is not completely understood. As CD40 and dipeptidyl peptidase-4 (DPP-4) are reported to play an...

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Main Authors: Sepideh Elyasi, Jamal Shamsara, Mostafa Dastani, Maedeh Sadoughi, Fatemeh Jafari, Mahdi Akbarzadeh, Amir Hooshang Mohammadpour
Format: Article
Language:English
Published: Zabol University of Medical sciences 2022-12-01
Series:International Journal of Basic Science in Medicine
Subjects:
Online Access:https://ijbsm.zbmu.ac.ir/PDF/ijbsm-7-166.pdf
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author Sepideh Elyasi
Jamal Shamsara
Mostafa Dastani
Maedeh Sadoughi
Fatemeh Jafari
Mahdi Akbarzadeh
Amir Hooshang Mohammadpour
author_facet Sepideh Elyasi
Jamal Shamsara
Mostafa Dastani
Maedeh Sadoughi
Fatemeh Jafari
Mahdi Akbarzadeh
Amir Hooshang Mohammadpour
author_sort Sepideh Elyasi
collection DOAJ
description Introduction: Microvascular and endothelial disorders play a significant role in the pathophysiology of coronary slow flow phenomenon (CSFP). However, according to previous studies, the etiology of CSFP is not completely understood. As CD40 and dipeptidyl peptidase-4 (DPP-4) are reported to play an important role in atherosclerosis process as well as microvascular and the endothelial dysfunction, this study evaluated the role of these two biomarkers in the pathophysiology of CSFP. Methods: One-hundred twenty-nine volunteers who were candidates for angiography and fulfilled the inclusion criteria were selected, including 29 patients with coronary artery diseases (CADs) which had less than 50% stenosis (CAD+,<50%) and without CSF, 22 CAD+patients which had 50-90% stenosis (CAD+, 50%-90%) without CSF, 16 CAD+patients with CSF, 22 patients with CSF without stenosis in their arteries, and 40 healthy individuals as controls. The serum levels of CD40 and DPP-4 were measured by an enzyme-linked immunosorbent assay kit. Results: There was no significant correlation between the serum concentration of CD40 and the thrombosis in myocardial infarction (TIMI) frame count (P=0.571). However, the serum concentration of CD40 in CAD+patients with CSF was significantly higher than the values in patients without CSF (P=0.022). Moreover, the concentration of DPP-4 in different coronary vessels did not exhibit any significant relation with TIMI score (P=0.763). Conclusion: In the present study, no significant correlation was found between the serum concentrations of CD40 and DPP-4 and the mean corrected TIMI frame count (CTFC). Accordingly, further studies with larger population sizes are needed to investigate the correlation between CD40 and DPP-4 serum levels and CSFP.
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spelling doaj.art-cc80e558f9cb4f699de38ea691ca17cd2023-04-26T08:05:43ZengZabol University of Medical sciencesInternational Journal of Basic Science in Medicine2476-664X2022-12-017416617210.34172/ijbsm.2022.29ijbsm-26615Correlation of CD40 and DPP-4 Concentration With Corrected TIMI Frame Count in Patients With Coronary Slow FlowSepideh Elyasi0Jamal Shamsara1Mostafa Dastani2Maedeh Sadoughi3Fatemeh Jafari4Mahdi Akbarzadeh5Amir Hooshang Mohammadpour6Department of Clinical Pharmacy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, IranPharmaceutical Research Center, Mashhad University of Medical Sciences, Mashhad, IranCardiovascular Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Clinical Pharmacy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Clinical Pharmacy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Clinical Pharmacy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, IranDepartment of Clinical Pharmacy, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, IranIntroduction: Microvascular and endothelial disorders play a significant role in the pathophysiology of coronary slow flow phenomenon (CSFP). However, according to previous studies, the etiology of CSFP is not completely understood. As CD40 and dipeptidyl peptidase-4 (DPP-4) are reported to play an important role in atherosclerosis process as well as microvascular and the endothelial dysfunction, this study evaluated the role of these two biomarkers in the pathophysiology of CSFP. Methods: One-hundred twenty-nine volunteers who were candidates for angiography and fulfilled the inclusion criteria were selected, including 29 patients with coronary artery diseases (CADs) which had less than 50% stenosis (CAD+,<50%) and without CSF, 22 CAD+patients which had 50-90% stenosis (CAD+, 50%-90%) without CSF, 16 CAD+patients with CSF, 22 patients with CSF without stenosis in their arteries, and 40 healthy individuals as controls. The serum levels of CD40 and DPP-4 were measured by an enzyme-linked immunosorbent assay kit. Results: There was no significant correlation between the serum concentration of CD40 and the thrombosis in myocardial infarction (TIMI) frame count (P=0.571). However, the serum concentration of CD40 in CAD+patients with CSF was significantly higher than the values in patients without CSF (P=0.022). Moreover, the concentration of DPP-4 in different coronary vessels did not exhibit any significant relation with TIMI score (P=0.763). Conclusion: In the present study, no significant correlation was found between the serum concentrations of CD40 and DPP-4 and the mean corrected TIMI frame count (CTFC). Accordingly, further studies with larger population sizes are needed to investigate the correlation between CD40 and DPP-4 serum levels and CSFP.https://ijbsm.zbmu.ac.ir/PDF/ijbsm-7-166.pdfdpp-4cd40timi framecoronary slow flow
spellingShingle Sepideh Elyasi
Jamal Shamsara
Mostafa Dastani
Maedeh Sadoughi
Fatemeh Jafari
Mahdi Akbarzadeh
Amir Hooshang Mohammadpour
Correlation of CD40 and DPP-4 Concentration With Corrected TIMI Frame Count in Patients With Coronary Slow Flow
International Journal of Basic Science in Medicine
dpp-4
cd40
timi frame
coronary slow flow
title Correlation of CD40 and DPP-4 Concentration With Corrected TIMI Frame Count in Patients With Coronary Slow Flow
title_full Correlation of CD40 and DPP-4 Concentration With Corrected TIMI Frame Count in Patients With Coronary Slow Flow
title_fullStr Correlation of CD40 and DPP-4 Concentration With Corrected TIMI Frame Count in Patients With Coronary Slow Flow
title_full_unstemmed Correlation of CD40 and DPP-4 Concentration With Corrected TIMI Frame Count in Patients With Coronary Slow Flow
title_short Correlation of CD40 and DPP-4 Concentration With Corrected TIMI Frame Count in Patients With Coronary Slow Flow
title_sort correlation of cd40 and dpp 4 concentration with corrected timi frame count in patients with coronary slow flow
topic dpp-4
cd40
timi frame
coronary slow flow
url https://ijbsm.zbmu.ac.ir/PDF/ijbsm-7-166.pdf
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