Pre-procedural expression of Mac-1 and LFA-1 on leukocytes for prediction of late restenosis and their possible correlation with advanced coronary artery disease.

BACKGROUND: The activation status of the inflammatory system has been suggested to play an important role in predicting restenosis. Activation of leukocyte adhesion molecules occur after coronary intervention and the level of activation correlates to restenosis. However, little is known about the sp...

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Main Authors: Rahimi, K, Maerz, H, Zotz, R, Tárnok, A
Format: Journal article
Language:English
Published: 2003
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author Rahimi, K
Maerz, H
Zotz, R
Tárnok, A
author_facet Rahimi, K
Maerz, H
Zotz, R
Tárnok, A
author_sort Rahimi, K
collection OXFORD
description BACKGROUND: The activation status of the inflammatory system has been suggested to play an important role in predicting restenosis. Activation of leukocyte adhesion molecules occur after coronary intervention and the level of activation correlates to restenosis. However, little is known about the specific role of adhesion molecules before intervention. The purpose of this study concerned the search for differences in the expression level of selected adhesion molecules to identify suitable tools for the pre-procedural identification of restenosis patients prior to angioplasty. METHODS: Blood samples of 31 patients undergoing elective coronary angiography were obtained just before intervention. Seven healthy volunteers were also enrolled. Surface expression of leukocyte adhesion molecules Mac-1 (CD11b/CD18), LFA-1 (CD11a/CD18), L-Selectin (CD62L), ICAM-1 (CD54), and MHC-II (HLA-DR) were assessed by flow cytometry. Patients with a successful angioplasty received a follow-up angiography after six months. RESULTS: According to the clinical and angiographic data, patients were divided into four groups: control (N = 14), no restenosis (N = 11), restenosis (N = 4), and advanced coronary artery disease (CAD, N = 9). The restenosis group and the advanced CAD group showed higher expression of Mac-1 and LFA-1 on monocytes and neutrophils compared to the other groups. Using the pre-procedural expression levels, patients with restenosis could be predicted by discriminant analysis with CD11a, CD11b, and CD18 (average recognition index = 95.5%). CONCLUSIONS: The data of this pilot study indicate that pre-procedural activation status of CD11a and CD11b may play a role in the subsequent development of restenosis. Moreover, CD11a, CD11b, and CD18 may be helpful as indicators for the progression of CAD. Copyright 2003 Wiley-Liss, Inc.
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spelling oxford-uuid:28582396-f078-490f-86ff-4133088f5b832022-03-26T12:12:25ZPre-procedural expression of Mac-1 and LFA-1 on leukocytes for prediction of late restenosis and their possible correlation with advanced coronary artery disease.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:28582396-f078-490f-86ff-4133088f5b83EnglishSymplectic Elements at Oxford2003Rahimi, KMaerz, HZotz, RTárnok, ABACKGROUND: The activation status of the inflammatory system has been suggested to play an important role in predicting restenosis. Activation of leukocyte adhesion molecules occur after coronary intervention and the level of activation correlates to restenosis. However, little is known about the specific role of adhesion molecules before intervention. The purpose of this study concerned the search for differences in the expression level of selected adhesion molecules to identify suitable tools for the pre-procedural identification of restenosis patients prior to angioplasty. METHODS: Blood samples of 31 patients undergoing elective coronary angiography were obtained just before intervention. Seven healthy volunteers were also enrolled. Surface expression of leukocyte adhesion molecules Mac-1 (CD11b/CD18), LFA-1 (CD11a/CD18), L-Selectin (CD62L), ICAM-1 (CD54), and MHC-II (HLA-DR) were assessed by flow cytometry. Patients with a successful angioplasty received a follow-up angiography after six months. RESULTS: According to the clinical and angiographic data, patients were divided into four groups: control (N = 14), no restenosis (N = 11), restenosis (N = 4), and advanced coronary artery disease (CAD, N = 9). The restenosis group and the advanced CAD group showed higher expression of Mac-1 and LFA-1 on monocytes and neutrophils compared to the other groups. Using the pre-procedural expression levels, patients with restenosis could be predicted by discriminant analysis with CD11a, CD11b, and CD18 (average recognition index = 95.5%). CONCLUSIONS: The data of this pilot study indicate that pre-procedural activation status of CD11a and CD11b may play a role in the subsequent development of restenosis. Moreover, CD11a, CD11b, and CD18 may be helpful as indicators for the progression of CAD. Copyright 2003 Wiley-Liss, Inc.
spellingShingle Rahimi, K
Maerz, H
Zotz, R
Tárnok, A
Pre-procedural expression of Mac-1 and LFA-1 on leukocytes for prediction of late restenosis and their possible correlation with advanced coronary artery disease.
title Pre-procedural expression of Mac-1 and LFA-1 on leukocytes for prediction of late restenosis and their possible correlation with advanced coronary artery disease.
title_full Pre-procedural expression of Mac-1 and LFA-1 on leukocytes for prediction of late restenosis and their possible correlation with advanced coronary artery disease.
title_fullStr Pre-procedural expression of Mac-1 and LFA-1 on leukocytes for prediction of late restenosis and their possible correlation with advanced coronary artery disease.
title_full_unstemmed Pre-procedural expression of Mac-1 and LFA-1 on leukocytes for prediction of late restenosis and their possible correlation with advanced coronary artery disease.
title_short Pre-procedural expression of Mac-1 and LFA-1 on leukocytes for prediction of late restenosis and their possible correlation with advanced coronary artery disease.
title_sort pre procedural expression of mac 1 and lfa 1 on leukocytes for prediction of late restenosis and their possible correlation with advanced coronary artery disease
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AT maerzh preproceduralexpressionofmac1andlfa1onleukocytesforpredictionoflaterestenosisandtheirpossiblecorrelationwithadvancedcoronaryarterydisease
AT zotzr preproceduralexpressionofmac1andlfa1onleukocytesforpredictionoflaterestenosisandtheirpossiblecorrelationwithadvancedcoronaryarterydisease
AT tarnoka preproceduralexpressionofmac1andlfa1onleukocytesforpredictionoflaterestenosisandtheirpossiblecorrelationwithadvancedcoronaryarterydisease