Abstract:
:Recent data suggests that autoimmune factors play an important role in the pathogenesis of atherosclerosis. In this context several autoantigens have been shown to elicit an immune response that results in accelerated atherosclerotic plaque formation. In the present study, we investigated whether elevated titers of anti-oxidized low density lipoprotein (oxLDL), anticardiolipin and antibodies to beta2-glycoprotein I (beta2GPI) can predict subsequent restenosis in patients undergoing percutaneous transluminal coronary angioplasty (PTCA). A total of 74 consecutive patients (52 males, 22 females) with coronary artery disease were enrolled in the study. All patients underwent successful PTCA prior to which blood was drawn for the antibody analysis. The PTCA was followed by a clinical evaluation. Patients with recurrent chest pains underwent a repeated angiography and 34 of the 74 patients (46%) experienced restenosis. Patients positive for the presence of anti-oxLDL antibodies were more likely to develop restenosis within 6 months when compared with patients with no subsequent restenosis (relative-risk of 1.87; P< 0.05). Presence of anti-oxLDL antibodies was associated with hyperlipidemia (r = 0.25; P < 0.05) but not with other risk factors for atherosclerosis. Positivity for anticardiolipin or anti-beta2GPI antibodies which associate with a prothrombotic state, was not effective in predicting lumen narrowing. Thus, the presence of elevated levels of anti-oxLDL antibodies is associated with a higher risk for coronary restenosis following PTCA.
journal_name
Immunol Lettjournal_title
Immunology lettersauthors
George J,Harats D,Bakshi E,Adler Y,Levy Y,Gilburd B,Shoenfeld Ydoi
10.1016/s0165-2478(99)00050-4subject
Has Abstractpub_date
1999-06-01 00:00:00pages
263-6issue
2-3eissn
0165-2478issn
1879-0542pii
S0165-2478(99)00050-4journal_volume
68pub_type
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journal_title:Immunology letters
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journal_title:Immunology letters
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doi:10.1016/s0165-2478(98)00014-5
更新日期:1998-04-01 00:00:00
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journal_title:Immunology letters
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更新日期:2015-12-01 00:00:00
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更新日期:2001-07-02 00:00:00
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pub_type: 杂志文章
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更新日期:1995-11-01 00:00:00
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journal_title:Immunology letters
pub_type: 杂志文章
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更新日期:1983-04-01 00:00:00
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