Is Hsp27 a marker of myocardial ischaemia?

Abstract:

BACKGROUND:Heat shock protein (Hsp) 27 expression in cardiomyocytes increases in response to ischaemia. The extracellular release of Hsp27 from cardiomyocytes is proportional to its intracellular levels. AIM:To assess the influence of significant coronary artery disease (CAD), which by definition results in chronic myocardial ischaemia, on blood serum levels of Hsp27. METHODS:Blood serum levels of Hsp27 in 62 patients with at least 50% lumen diameter narrowing in at least one main epicardial coronary artery on angiography and in 21 controls with normal coronaries were measured. RESULTS:Patients with CAD tended to have higher serum level of Hsp27 than controls [0.463 (0.158-0.809) vs. 0.184 (0.099-0.337) ng/ml, p = 0.084]. Serum Hsp27 level in patients with CAD affecting more than a single vessel was significantly increased [0.529 (0.192-1.004) ng/ml] compared with controls (p = 0.035) and with one artery narrowed [0.276 (0.087-0.549) ng/ml, p = 0.041]. No correlation between Hsp27 serum levels and severity of coronary narrowings assessed by Gensini score was found (r = 0.21, p = 0.11). CONCLUSIONS:Serum level of Hsp27 seems to be a potential marker of myocardial ischaemia caused by advanced 2- or 3-vessel CAD.

journal_name

Kardiol Pol

journal_title

Kardiologia polska

authors

Józefowicz-Okonkwo G,Wierzbowska-Drabik K,Kasielski M,Trzos E,Goraca A,Nowak D,Kasprzak J,Krzemińska-Pakuła M

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

947-52

issue

9

eissn

0022-9032

issn

1897-4279

pii

13298

journal_volume

67

pub_type

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