DOI QR코드

DOI QR Code

Apelin Levels In Isolated Coronary Artery Ectasia

  • Bilik, Mehmet Zihni (Department of Cardiology, Medicine Faculty, Dicle University) ;
  • Kaplan, Ibrahim (Department of Biochemistry, Medicine Faculty, Dicle University) ;
  • Yildiz, Abdulkadir (Department of Cardiology, Medicine Faculty, Dicle University) ;
  • Akil, Mehmet Ata (Department of Cardiology, Medicine Faculty, Dicle University) ;
  • Acet, Halit (Department of Cardiology, Medicine Faculty, Dicle University) ;
  • Yuksel, Murat (Department of Cardiology, Medicine Faculty, Dicle University) ;
  • Polat, Nihat (Department of Cardiology, Medicine Faculty, Dicle University) ;
  • Aydin, Mesut (Department of Cardiology, Medicine Faculty, Dicle University) ;
  • Oylumlu, Mustafa (Department of Cardiology, Medicine Faculty, Dicle University) ;
  • Ertas, Faruk (Department of Cardiology, Medicine Faculty, Dicle University) ;
  • Kaya, Hasan (Department of Cardiology, Medicine Faculty, Dicle University) ;
  • Alan, Sait (Department of Cardiology, Medicine Faculty, Dicle University)
  • 투고 : 2014.11.26
  • 심사 : 2015.05.07
  • 발행 : 2015.09.30

초록

Background and Objectives: The etiopathogenesis of coronary artery ectasia (CAE) is not known completely. In most of the cases, CAE is associated with atherosclerosis; however, isolated CAE has a nonatherosclerotic mechanism. The association between atherosclerotic coronary artery disease and apelin has been examined in previous studies. However, the role of plasma apelin in isolated coronary artery ectasia has not been studied. In this study, we investigated the relationship between plasma apelin levels and isolated coronary artery ectasia. Subjects and Methods: The study population included a total of 54 patients. Twenty-six patients had isolated CAE ($53.6{\pm}8.1$); 28 patients with normal coronary arteries ($51.6{\pm}8.8years$) and with similar risk factors and demographic characteristics served as the control group. Apelin levels were measured using an enzyme-linked immunoassay kit. Results: Apelin level in the CAE group was significantly lower (apelin=$0.181{\pm}0.159ng/mL$) than that in the control group (apelin=$0.646{\pm}0.578ng/mL$) (p=0.033). Glucose, creatinine, total cholesterol, triglyceride, low density lipoprotein cholesterol, and high density lipoprotein cholesterol levels were not significantly different between the two groups. Conclusion: In this study, we showed that patients with isolated CAE have decreased plasma apelin levels compared with the control group. Based on the data, a relationship between plasma apelin and isolated CAE was determined.

키워드

참고문헌

  1. Kleinz MJ, Davenport AP. Emerging roles of apelin in biology and medicine. Pharmacol Ther 2005;107:198-211. https://doi.org/10.1016/j.pharmthera.2005.04.001
  2. Ronkainen VP, Ronkainen JJ, Hänninen SL, et al. Hypoxia inducible factor regulates the cardiac expression and secretion of apelin. FASEB J 2007;21:1821-30. https://doi.org/10.1096/fj.06-7294com
  3. Chandrasekaran B, Dar O, McDonagh T. The role of apelin in cardiovascular function and heart failure. Eur J Heart Fail 2008;10:725-32. https://doi.org/10.1016/j.ejheart.2008.06.002
  4. Hashimoto T, Kihara M, Ishida J, et al. Apelin stimulates myosin light chain phosphorylation in vascular smooth muscle cells. Arterioscler Thromb Vasc Biol 2006;26:1267-72. https://doi.org/10.1161/01.ATV.0000218841.39828.91
  5. Tatemoto K, Takayama K, Zou MX, et al. The novel peptide apelin lowers blood pressure via a nitric oxide-dependent mechanism. Regul Pept 2001;99:87-92. https://doi.org/10.1016/S0167-0115(01)00236-1
  6. Farkasfalvi K, Stagg MA, Coppen SR, et al. Direct effects of apelin on cardiomyocyte contractility and electrophysiology. Biochem Biophys Res Commun 2007;357:889-95. https://doi.org/10.1016/j.bbrc.2007.04.017
  7. Leeper NJ, Tedesco MM, Kojima Y, et al. Apelin prevents aortic aneurysm formation by inhibiting macrophage inflammation. Am J Physiol Heart Circ Physiol 2009;296:H1329-35. https://doi.org/10.1152/ajpheart.01341.2008
  8. Hartnell GG, Parnell BM, Pridie RB. Coronary artery ectasia. Its prevalence and clinical significance in 4993 patients. Br Heart J 1985;54:392-5. https://doi.org/10.1136/hrt.54.4.392
  9. Yamanaka O, Hobbs RE. Coronary artery anomalies in 126,595 patients undergoing coronary arteriography. Cathet Cardiovasc Diagn 1990;21:28-40. https://doi.org/10.1002/ccd.1810210110
  10. Valente S, Lazzeri C, Giglioli C, et al. Clinical expression of coronary artery ectasia. J Cardiovasc Med (Hagerstown) 2007;8:815-20. https://doi.org/10.2459/JCM.0b013e3280115667
  11. Rath S, Har-Zahav Y, Battler A, et al. Fate of nonobstructive aneurysmatic coronary artery disease: angiographic and clinical follow-up report. Am Heart J 1985;109:785-91. https://doi.org/10.1016/0002-8703(85)90639-8
  12. Lamblin N, Bauters C, Hermant X, Lablanche JM, Helbecque N, Amouyel P. Polymorphisms in the promoter regions of MMP-2, MMP-3, MMP-9 and MMP-12 genes as determinants of aneurysmal coronary artery disease. J Am Coll Cardiol 2002;40:43-8. https://doi.org/10.1016/S0735-1097(02)01909-5
  13. Finkelstein A, Michowitz Y, Abashidze A, Miller H, Keren G, George J. Temporal association between circulating proteolytic, inflammatory and neurohormonal markers in patients with coronary ectasia. Atherosclerosis 2005;179:353-9. https://doi.org/10.1016/j.atherosclerosis.2004.10.020
  14. Turhan H, Erbay AR, Yasar AS, Balci M, Bicer A, Yetkin E. Comparison of C-reactive protein levels in patients with coronary artery ectasia versus patients with obstructive coronary artery disease. Am J Cardiol 2004;94:1303-6. https://doi.org/10.1016/j.amjcard.2004.07.120
  15. Tokgozoglu L, Ergene O, Kinay O, Nazli C, Hascelik G, Hoscan Y. Plasma interleukin-6 levels are increased in coronary artery ectasia. Acta Cardiol 2004;59:515-9. https://doi.org/10.2143/AC.59.5.2005226
  16. Turhan H, Erbay AR, Yasar AS, et al. Plasma soluble adhesion molecules; intercellular adhesion molecule-1, vascular cell adhesion molecule-1 and E-selectin levels in patients with isolated coronary artery ectasia. Coronary Artery Dis 2005;16:45-50. https://doi.org/10.1097/00019501-200502000-00009
  17. Japp AG, Cruden NL, Amer DA, et al. Vascular effects of apelin in vivo in man. J Am Coll Cardiol 2008;52:908-13. https://doi.org/10.1016/j.jacc.2008.06.013
  18. Ellinor PT, Low AF, Macrae CA. Reduced apelin levels in lone atrial fibrillation. Eur Heart J 2006;27:222-6. https://doi.org/10.1093/eurheartj/ehi648
  19. Li Z, Bai Y, Hu J. Reduced apelin levels in stable angina. Intern Med 2008;47:1951-5. https://doi.org/10.2169/internalmedicine.47.1287
  20. Kadoglou NP, Lampropoulos S, Kapelouzou A, et al. Serum levels of apelin and ghrelin in patients with acute coronary syndromes and established coronary artery disease--KOZANI STUDY. Transl Res 2010;155:238-46. https://doi.org/10.1016/j.trsl.2010.01.004
  21. Ashley EA, Powers J, Chen M, et al. The endogenous peptide apelin potently improves cardiac contractility and reduces cardiac loading in vivo. Cardiovasc Res 2005;65:73-82. https://doi.org/10.1016/j.cardiores.2004.08.018
  22. Simpkin JC, Yellon DM, Davidson SM, Lim SY, Wynne AM, Smith CC. Apelin-13 and apelin-36 exhibit direct cardioprotective activity against ischemia-reperfusion injury. Basic Res Cardiol 2007;102:518-28. https://doi.org/10.1007/s00395-007-0671-2
  23. Li L, Li L, Xie F, et al. Jagged-1/Notch3 signaling transduction pathway is involved in apelin-13-induced vascular smooth muscle cells proliferation. Acta Biochim Biophys Sin (Shanghai) 2013;45:875-81. https://doi.org/10.1093/abbs/gmt085
  24. Daviaud D, Boucher J, Gesta S, et al. TNFalpha up-regulates apelin expression in human and mouse adipose tissue. FASEB J 2006;20:1528-30. https://doi.org/10.1096/fj.05-5243fje
  25. El-Shehaby AM, El-Khatib MM, Battah AA, Roshdy AR. Apelin: a potential link between inflammation and cardiovascular disease in end stage renal disease patients. Scand J Clin Lab Invest 2010;70:421-7. https://doi.org/10.3109/00365513.2010.504281
  26. Arroyo-Espliguero R, Avanzas P, Cosín-Sales J, Aldama G, Pizzi C, Kaski JC. C-reactive protein elevation and disease activity in patients with coronary artery disease. Eur Heart J 2004;25:401-8. https://doi.org/10.1016/j.ehj.2003.12.017
  27. Ayhan SS, Oztürk S, Erdem A, et al. Relation of neutrophil/lymphocyte ratio with the presence and severity of coronary artery ectasia. Turk Kardiyol Dern Ars 2013;41:185-90. https://doi.org/10.5543/tkda.2013.83030
  28. Sincer I, Akturk E, Acikgoz N, Ermis N, Kosar MF. Evaluation of the relationship between serum high sensitive C-reactive protein and the elasticity properties of the aorta in patients with coronary artery ectasia. Anadolu Kardiyol Derg 2011;11:414-20.
  29. Malyszko J, Malyszko JS, Pawlak K, Wolczynski S, Mysliwiec M. Apelin, a novel adipocytokine, in relation to endothelial function and inflammation in kidney allograft recipients. Transplant Proc 2008;40:3466-9. https://doi.org/10.1016/j.transproceed.2008.06.059
  30. Dagli N, Ozturk U, Karaca I, et al. Adiponectin levels in coronary artery ectasia. Heart Vessels 2009;24:84-9. https://doi.org/10.1007/s00380-008-1087-0

피인용 문헌

  1. Metabolomic Characterization of Fatty Acids in Patients With Coronary Artery Ectasias vol.12, pp.None, 2021, https://doi.org/10.3389/fphys.2021.770223