Enhanced response of blood monocytes to in vitro lipopolysaccharide-challenge in patients with recurrent unstable angina.

Abstract:

BACKGROUND:C-reactive protein (CRP) plasma levels have been associated with short- and long-term occurrence of coronary events. We investigated whether circulating inflammatory cell responsiveness to low-grade stimuli could contribute to the reported association between CRP and coronary events. METHODS AND RESULTS:We studied 32 patients with unstable angina who were followed for 24 months and were free of symptoms for 6 months (group 1): 19 patients had persistently high CRP levels (>0.3 mg/dL) (group 1A); 13 patients had normal CRP levels (group 1B). During the follow-up, 12 (63%) group 1A but no group 1B patients developed an infarction or recurrence of unstable angina (P<0.001). Eighteen patients with chronic stable angina (group 2) and 18 healthy subjects (group 3) were studied as controls. Interleukin (IL)-6 production (median, range) by peripheral blood mononuclear cells after 4 hours of in vitro stimulation with 1 ng/mL lipopolysaccharide (LPS) was significantly higher in group 1A (4526 pg/mL, 3042 to 10 583 pg/mL) than in group 1B (1752 pg/mL, 75 to 3981 pg/mL), group 2 (707 pg/mL, 41 to 3275 pg/mL), and group 3 (488 pg/mL, 92 to 3503 pg/mL) (all P<0.001). No significant differences were observed among the other groups. IL-6 production after LPS-challenge was correlated with baseline CRP levels (r=0.42, P=0.005). CONCLUSIONS:Mononuclear cells of patients with recurrent phases of instability exhibit an enhanced production of IL-6 in response to low-dose of LPS, correlated with baseline CRP levels, 6 months after the last acute event. This persisting enhanced acute-phase responsiveness may help explain the association between CRP and acute coronary events.

journal_name

Circulation

journal_title

Circulation

authors

Liuzzo G,Angiolillo DJ,Buffon A,Rizzello V,Colizzi C,Ginnetti F,Biasucci LM,Maseri A

doi

10.1161/01.cir.103.18.2236

subject

Has Abstract

pub_date

2001-05-08 00:00:00

pages

2236-41

issue

18

eissn

0009-7322

issn

1524-4539

journal_volume

103

pub_type

临床试验,杂志文章
  • Contribution of myocardium responsible for ventricular tachycardia to abnormalities detected by analysis of signal-averaged ECGs.

    abstract:BACKGROUND:Current methods of signal-averaged ECG analysis interrogate the terminal 40 msec of the QRS complex and/or the ST segment and have a low positive-predictive accuracy for detecting vulnerability to sustained ventricular tachycardia (VT). The extent to which abnormalities detected during these ECG intervals ar...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.86.6.1888

    authors: Hood MA,Pogwizd SM,Peirick J,Cain ME

    更新日期:1992-12-01 00:00:00

  • Early results of a simplified method of mitral valve annuloplasty.

    abstract:BACKGROUND:We hypothesized that a simple, unmeasured posterior annuloplasty technique (two thirds of a 27-mm Duran ring) offered advantages of standardization and ease of insertion. METHODS AND RESULTS:A consecutive series of all patients (n = 418; median age, 67 years) having mitral valve repair performed by two surg...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.92.9.150

    authors: Odell JA,Schaff HV,Orszulak TA

    更新日期:1995-11-01 00:00:00

  • Angiotensin type 2 receptors are reexpressed by cardiac fibroblasts from failing myopathic hamster hearts and inhibit cell growth and fibrillar collagen metabolism.

    abstract:BACKGROUND:Angiotensin (Ang) II type 1 receptor (AT1-R) induces cardiomyocyte hypertrophy and fibroblast proliferation, whereas the physiological role of AT2-R in cardiac remodeling remains poorly defined. METHODS AND RESULTS:Using Bio14.6 cardiomyopathic (CM) hamsters, we found that AT2-R sites were increased by 153%...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.11.3954

    authors: Ohkubo N,Matsubara H,Nozawa Y,Mori Y,Murasawa S,Kijima K,Maruyama K,Masaki H,Tsutumi Y,Shibazaki Y,Iwasaka T,Inada M

    更新日期:1997-12-02 00:00:00

  • Use of aortic counterpulsation to improve sustained coronary artery patency during acute myocardial infarction. Results of a randomized trial. The Randomized IABP Study Group.

    abstract:BACKGROUND:Aortic counterpulsation has been observed to reduce the rate of reocclusion of the infarct-related artery after patency has been restored during acute myocardial infarction in observational studies. To evaluate the benefit-to-risk ratio of aortic counterpulsation during the early phase of myocardial infarcti...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.cir.90.2.792

    authors: Ohman EM,George BS,White CJ,Kern MJ,Gurbel PA,Freedman RJ,Lundergan C,Hartmann JR,Talley JD,Frey MJ

    更新日期:1994-08-01 00:00:00

  • Angiotensin-converting enzyme inhibition increases human vascular tissue-type plasminogen activator release through endogenous bradykinin.

    abstract:BACKGROUND:Angiotensin-converting enzyme (ACE) inhibition potentiates the tissue-type plasminogen activator (t-PA) response to exogenous bradykinin. This study tested the hypothesis that ACE inhibition increases endothelial t-PA release through endogenous bradykinin. METHODS AND RESULTS:We measured the effect of intra...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.0000046268.59922.a4

    authors: Pretorius M,Rosenbaum D,Vaughan DE,Brown NJ

    更新日期:2003-02-04 00:00:00

  • Autonomic denervation with magnetic nanoparticles.

    abstract:BACKGROUND:prior studies indicated that ablation of the 4 major atrial ganglionated plexi (GP) suppressed atrial fibrillation. METHODS AND RESULTS:superparamagnetic nanoparticles (MNPs) made of Fe(3)O(4) (core), thermoresponsive polymeric hydrogel (shell), and neurotoxic agent (N-isopropylacrylamide monomer [NIPA-M]) ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.110.940288

    authors: Yu L,Scherlag BJ,Dormer K,Nguyen KT,Pope C,Fung KM,Po SS

    更新日期:2010-12-21 00:00:00

  • Why patients with congestive heart failure die: arrhythmias and sudden cardiac death.

    abstract::Patients with congestive heart failure have a high incidence of sudden cardiac death that is attributed to ventricular arrhythmias. The mortality rate in a group of patients with class III and IV heart failure is about 40% per year, and half of the deaths are sudden. Half of the patients with New York Heart Associatio...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Bigger JT Jr

    更新日期:1987-05-01 00:00:00

  • Outcomes and long-term survival for patients undergoing mitral valve repair versus replacement: effect of age and concomitant coronary artery bypass grafting.

    abstract:BACKGROUND:A paucity of literature is available on the effects of age and coronary artery bypass grafting (CABG) on the outcomes of patients undergoing mitral valve (MV) repair versus replacement. METHODS AND RESULTS:A matched study was performed using prospectively collected data from the Emory cardiovascular databas...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000079169.15862.13

    authors: Thourani VH,Weintraub WS,Guyton RA,Jones EL,Williams WH,Elkabbani S,Craver JM

    更新日期:2003-07-22 00:00:00

  • Effect of slow pathway ablation on ventricular rate during atrial fibrillation. Dependence on electrophysiological properties of the fast pathway.

    abstract:BACKGROUND:Catheter ablation of the posteroseptal right atrium has been proposed for control of ventricular rate in patients with tachycardic atrial fibrillation (AF). However, the exact mechanism of rate control is unclear. Because the ablation site corresponds to the location of the slow pathway in patients with AV n...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.93.2.277

    authors: Kreiner G,Heinz G,Siostrzonek P,Gössinger HD

    更新日期:1996-01-15 00:00:00

  • Impaired VE-cadherin/beta-catenin expression mediates endothelial cell degeneration in dilated cardiomyopathy.

    abstract:BACKGROUND:The cross-talk between vascular endothelial growth factor (VEGF)-A, angiopoietin (Ang), and VE-cadherin coregulates endothelial cell (EC) survival. Cardiac expression of VEGF-A but not its receptor KDR is blunted in dilated cardiomyopathy (DCM). Whether VE-cadherin/Ang function is affected in DCM is unknown....

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000091085.12422.19

    authors: Schäfer R,Abraham D,Paulus P,Blumer R,Grimm M,Wojta J,Aharinejad S

    更新日期:2003-09-30 00:00:00

  • The pathologic correlates of the electrocardiogram: complete left bundle branch block.

    abstract::To assess whether gross pathologic differences exist between hearts with left bundle branch block (LBBB) and left-axis deviation (LAXD) and those with LBBB and a normal frontal plane axis, we examined 70 hearts with LBBB in a series of 1410 sequential dissections (5%). Thirty-two hearts had LAXD and 34 had normal axes...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.3.445

    authors: Havelda CJ,Sohi GS,Flowers NC,Horan LG

    更新日期:1982-03-01 00:00:00

  • Depressive symptoms and the risk of atherosclerotic progression among patients with coronary artery bypass grafts.

    abstract:BACKGROUND:Depressive symptoms have been associated with increased risk of coronary artery disease and poor prognosis among patients with existing coronary artery disease, but whether depressive symptoms specifically influence atherosclerotic progression among such patients is uncertain. METHODS AND RESULTS:The Post-C...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.107.741058

    authors: Wellenius GA,Mukamal KJ,Kulshreshtha A,Asonganyi S,Mittleman MA

    更新日期:2008-05-06 00:00:00

  • Myocardial inotropic responses to aggregating platelets and modulation by the endocardium.

    abstract::Ventricular mural thrombi complicate many cardiac diseases. The endocardial endothelium can modulate the mechanical performance of subjacent myocardium and mediate responses to certain physiopharmacologic agents. We studied the effects of aggregating platelets on the contractile performance of isolated cardiac muscle....

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.79.6.1315

    authors: Shah AM,Meulemans AL,Brutsaert DL

    更新日期:1989-06-01 00:00:00

  • Early predictors of survival to and after heart transplantation in children with dilated cardiomyopathy.

    abstract:BACKGROUND:The importance of clinical presentation and pretransplantation course on outcome in children with dilated cardiomyopathy listed for heart transplantation is not well defined. METHODS AND RESULTS:The impact of age, duration of illness, sex, race, ventricular geometry, and diagnosis of myocarditis on outcome ...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.110.011999

    authors: Pietra BA,Kantor PF,Bartlett HL,Chin C,Canter CE,Larsen RL,Edens RE,Colan SD,Towbin JA,Lipshultz SE,Kirklin JK,Naftel DC,Hsu DT

    更新日期:2012-08-28 00:00:00

  • Mechanism of atrial sounds in atrial fibrillation. Phonoechocardiographic correlation. Report of a case.

    abstract::Audible atrial sounds were noted in a patient with congestive cardiomyopathy and atrial fibrillation with slow ventricular rate. Oscillatory motion of similar periodicity as fibrillation waves in the ECG and the sounds in the phonocardiogram was demonstrated in aortic and left ventricular walls, mitral, tricuspid and ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.53.3.569

    authors: Bamrah VS,Hughes CV,Tristani FE

    更新日期:1976-03-01 00:00:00

  • Serum antibodies against Chlamydia pneumoniae outer membrane protein cross-react with the heavy chain of immunoglobulin in the wall of abdominal aortic aneurysms.

    abstract:BACKGROUND:Chlamydia pneumoniae (Cp) has been demonstrated in arteries and abdominal aortic aneurysms (AAAs). However, the validity of the methods used is questioned, and antibiotic treatment trials have thus far shown disappointing results. Nevertheless, antibodies against the Cp outer membrane proteins (OMPs) have be...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000127772.58427.7E

    authors: Lindholt JS,Støvring J,Østergaard L,Urbonavicius S,Henneberg EW,Honoré B,Vorum H

    更新日期:2004-05-04 00:00:00

  • Sustained improvement in left ventricular function and mortality by intracoronary streptokinase administration during evolving myocardial infarction.

    abstract::One hundred eighty-eight patients with acute myocardial infarction were studied prospectively from August 1980 to September 1982. One hundred thirty-six of these patients were entered into a intracoronary streptokinase study after informed consent was obtained. The remaining 52 patients, who either met exclusion crite...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.68.1.131

    authors: Smalling RW,Fuentes F,Matthews MW,Freund GC,Hicks CH,Reduto LA,Walker WE,Sterling RP,Gould KL

    更新日期:1983-07-01 00:00:00

  • Effects of chronic hypertension and left ventricular hypertrophy on the incidence of sudden cardiac death after coronary artery occlusion in conscious dogs.

    abstract::When acute myocardial infarction occurs in patients with hypertension and left ventricular hypertrophy (LVH), the incidence of sudden cardiac death increases markedly. Possible explanations include increased size of the occluded vascular bed secondary to more extensive atherosclerotic coronary vascular disease in the ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.65.6.1192

    authors: Koyanagi S,Eastham C,Marcus ML

    更新日期:1982-06-01 00:00:00

  • Intermittent whole-body perfusion with "somatoplegia' versus blood perfusate to extend duration of circulatory arrest.

    abstract:BACKGROUND:Continuous whole-body perfusion for > 3 hours with a cold asanguineous blood substitute, hypothermosol (HTS) solution, has been reported to preserve organ function. We used this solution in a survival animal model to evaluate its possible application in extending the safe duration of deep hypothermic circula...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Miura T,Laussen P,Lidov HG,DuPlessis A,Shin'oka T,Jonas RA

    更新日期:1996-11-01 00:00:00

  • Loss of methyl-CpG-binding domain protein 2 enhances endothelial angiogenesis and protects mice against hind-limb ischemic injury.

    abstract:BACKGROUND:Despite intensive investigation, how DNA methylation influences endothelial function remains poorly understood. We used methyl-CpG-binding domain protein 2 (MBD2), an interpreter for DNA methylome-encoded information, to dissect the impact of DNA methylation on endothelial function in both physiological and ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.110.966408

    authors: Rao X,Zhong J,Zhang S,Zhang Y,Yu Q,Yang P,Wang MH,Fulton DJ,Shi H,Dong Z,Wang D,Wang CY

    更新日期:2011-06-28 00:00:00

  • Acute cardiovascular effects of fetal surgery in the human.

    abstract:BACKGROUND:Prenatal surgery for congenital anomalies can prevent fetal demise or alter the course of organ development, resulting in a more favorable condition at birth. The indications for fetal surgery continue to expand, yet little is known about the acute sequelae of fetal surgery on the human cardiovascular system...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.CIR.0000142294.95388.C4

    authors: Rychik J,Tian Z,Cohen MS,Ewing SG,Cohen D,Howell LJ,Wilson RD,Johnson MP,Hedrick HL,Flake AW,Crombleholme TM,Adzick NS

    更新日期:2004-09-21 00:00:00

  • Individualized values for the disappearance rate parameter (Kd) in the enzymatic estimation of infarct size. A critique.

    abstract::A mathematical model to measure infarct size from serial estimates of CPK has been developed by Shell et al. Norris et al. have recently introduced a modification of this method by calculating an individualized disappearance rate parameter (Kd) from the uniformly monoexponential portion of the CPK vs time curve. This ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.56.4.545

    authors: Slutsky AS

    更新日期:1977-10-01 00:00:00

  • The effect of L-arginine on myocardial recovery after cardioplegic arrest and ischemia under moderate and deep hypothermia.

    abstract:BACKGROUND:Depletion of L-arginine (L-arg), the substrate for nitric oxide (NO) synthesis, could be one of the mechanisms responsible for the reduced production of NO and decreased coronary flow (CF) during reperfusion. This, in turn, may adversely affect mechanical function. We aimed to study the benefits of exogenous...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Amrani M,Gray CC,Smolenski RT,Goodwin AT,London A,Yacoub MH

    更新日期:1997-11-04 00:00:00

  • Noninvasive quantitative evaluation of the morphology of the major pulmonary artery branches in cyanotic congenital heart disease. Angiocardiographic and echocardiographic correlative study.

    abstract:BACKGROUND:Precise noninvasive evaluation of pulmonary artery (PA) morphology is extremely important for medical and surgical management of patients with cyanotic heart disease. In this study, the accuracy of two-dimensional echocardiography combined with color Doppler flow mapping to assess the size, stenosis, and atr...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.89.3.1306

    authors: Hiraishi S,Misawa H,Hirota H,Agata Y,Horiguchi Y,Fujino N,Yi LH,Yashiro K,Nakae S,Kawada M

    更新日期:1994-03-01 00:00:00

  • Intracoronary radiation for prevention of restenosis: dose perturbations caused by stents.

    abstract:BACKGROUND:Intravascular irradiation with beta-emitters has been proposed for inhibition of restenosis in coronary arteries after balloon angioplasty or stent implantation. Previous studies have shown the effectiveness of gamma-radiation to prevent recurrent restenosis, even in the presence of an implanted stent. The l...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.19.2024

    authors: Amols HI,Trichter F,Weinberger J

    更新日期:1998-11-10 00:00:00

  • Late outcomes of reintervention on the descending aorta after repair of aortic coarctation.

    abstract:BACKGROUND:After repair of aortic coarctation, patients may develop restenosis, aneurysms, and pseudoaneurysms at the site of prior repair. We assessed the outcomes of late reintervention on the descending aorta after aortic coarctation repair. METHODS AND RESULTS:From March 1954 to July 2008, 130 patients had operati...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.109.925172

    authors: Brown ML,Burkhart HM,Connolly HM,Dearani JA,Hagler DJ,Schaff HV

    更新日期:2010-09-14 00:00:00

  • Long-term coffee consumption and risk of cardiovascular disease: a systematic review and a dose-response meta-analysis of prospective cohort studies.

    abstract:BACKGROUND:Considerable controversy exists on the association between coffee consumption and cardiovascular disease (CVD) risk. A meta-analysis was performed to assess the dose-response relationship of long-term coffee consumption with CVD risk. METHODS AND RESULTS:PubMed and EMBASE were searched for prospective cohor...

    journal_title:Circulation

    pub_type: 杂志文章,meta分析,评审

    doi:10.1161/CIRCULATIONAHA.113.005925

    authors: Ding M,Bhupathiraju SN,Satija A,van Dam RM,Hu FB

    更新日期:2014-02-11 00:00:00

  • Cardiovascular risk reduction in high-risk pediatric patients: a scientific statement from the American Heart Association Expert Panel on Population and Prevention Science; the Councils on Cardiovascular Disease in the Young, Epidemiology and Prevention,

    abstract::Although for most children the process of atherosclerosis is subclinical, dramatically accelerated atherosclerosis occurs in some pediatric disease states, with clinical coronary events occurring in childhood and very early adult life. As with most scientific statements about children and the future risk for cardiovas...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.106.179568

    authors: Kavey RE,Allada V,Daniels SR,Hayman LL,McCrindle BW,Newburger JW,Parekh RS,Steinberger J,American Heart Association Expert Panel on Population and Prevention Science.,American Heart Association Council on Cardiovascular Disease in the

    更新日期:2006-12-12 00:00:00

  • Enalapril reduces the incidence of diabetes in patients with chronic heart failure: insight from the Studies Of Left Ventricular Dysfunction (SOLVD).

    abstract:BACKGROUND:Diabetes mellitus is a predictor of morbidity and mortality in patients with heart failure. The effect of angiotensin-converting enzyme (ACE) inhibitors on the prevention of diabetes in patients with left ventricular dysfunction is unknown. The aim of this retrospective study was to assess the effect of the ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000054611.89228.92

    authors: Vermes E,Ducharme A,Bourassa MG,Lessard M,White M,Tardif JC,Studies Of Left Ventricular Dysfunction.

    更新日期:2003-03-11 00:00:00

  • Myosin isoenzyme distribution in overloaded human atrial tissue.

    abstract::Using nondenaturing polyacrylamide gel electrophoresis, we have identified two distinct myosin isoenzymes in human atrial tissue that correspond to the V1 and V3 isomyosins found in rat ventricular tissue. Normal left and right atrial appendages have approximately 50% V3. When the left atrium was exposed to hemodynami...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.74.3.477

    authors: Buttrick PM,Malhotra A,Brodman R,McDermott L,Lam L

    更新日期:1986-09-01 00:00:00