Investigating the inflammatory status in the patients candidate for second angiography after coronary stent implantation

Sara Saffar Soflaei, Maryam Saberi-Karimian, Mojtaba Baktashian, Mohammad Tajfard, Hedieh Alimi, Maryam Tayefi, Mohsen Moohebati, Mahmoud Ebrahimi, Negin Kosari, Mashallah Dehghani, Habibollah Esmaily, Seyed Mohammad Hashemi, Gordon A. Ferns, Mansoor Salehi*, Alireza Pasdar*, Majid Ghayour-Mobarhan*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Background: Inflammation has been shown to be an important feature of atherosclerosis. We aimed to assess a profile of inflammatory cytokines and growth factors in patients with established coronary artery disease (CAD), 12 months after stent implantation. Methods: A total of 193 patients with CAD, who were candidates for angiography, 12 months after stent implantation (cases), were compared with 107 patients with CAD, who were candidates for their first angiography (controls). Fasting blood glucose (FBG), triglycerides (TGs), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) and high-sensitive C-reactive protein (hs-CRP) were measured using routine methods. The serum concentrations of IL-1α, IL-1β, IL-2, IL-4, IL-6, IL-8, IL-10, TNF-α, IFN-γ, MCP-1, EGF and VEGF were determined using competitive chemiluminescence immunoassays. Results: Serum levels of FBG (p =.002), TG (p =.029) and hs-CRP (p =.005) were significantly lower in cases than controls. The cytokines and growth factor profiles in cases were significantly different from controls. After multivariate analysis, serum levels of IL-2 (p <.001), IL-4 (p =.028) were significantly lower in cases compared with the controls while serum levels of IL-8, TNF-α, MCP-1, EGF and VEGF were significantly higher in the cases (p <.001). Conclusions: In patients with CAD and higher consumption of drug used (statins, aspirin and glucose lowering agents) to mitigate the risk of a secondary event, the level of hs-CRP one year after stent implantation decreased despite of significant higher serum levels of pro- and anti-inflammatory cytokines and growth factors.

Original languageEnglish
Pages (from-to)80-85
Number of pages6
JournalActa Cardiologica
Volume78
Issue number1
Early online date10 Aug 2022
DOIs
Publication statusPublished - 2023

Bibliographical note

Funding Information:
This study was supported by Mashhad and Isfahan University of Medical Sciences [ID: 930834]. The authors thank technicians of Sina, Sadi, Ghaem catheterisation laboratory and technicians of Isfahan Alzahra genetics laboratory.

Keywords

  • anti-inflammatory cytokines
  • Coronary artery disease
  • growth factors
  • pro-inflammatory cytokines

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