Lemańska-Perek Anna, Krzyżanowska-Gołąb Dorota, Pupek Małgorzata, Klimeczek Piotr, Witkiewicz Wojciech, Kątnik-Prastowska Iwona
Department of Chemistry and Immunochemistry, Medical University of Wrocław, Bujwida 44a, 50-345, Wrocław, Poland.
Provincial Specialist Hospital in Wrocław, Research and Development Center in Wrocław, Wrocław, Poland.
Inflammation. 2016 Jun;39(3):1059-68. doi: 10.1007/s10753-016-0336-0.
Atherosclerosis, a chronic vascular disease, leads to molecular events bound with interplaying processes of inflammation and coagulation. In the present study, fibronectin (FN), FN containing extra domain A (EDA-FN), frequency of occurrence, and relative amounts of soluble plasma FN-fibrin complexes were analyzed in 80 plasma samples of patients suspected of coronary artery disease based on clinical evaluation and changes in arteries found by computed tomographic coronary angiography. The study showed that in the plasma of the patients' group with high risk of coronary artery disease EDA-FN concentration was significantly higher (3.5 ± 2.5 mg/L; P < 0.025) and the molecular FN-fibrin complexes of 1000 kDa and higher occurred more often than in the groups of patients with mild risk of coronary artery disease and the normal age-matched. The increased level of EDA-FN and occurrence of FN-fibrin complexes could have a potential diagnostic value in the diagnosis and management of patients with coronary artery disease.
动脉粥样硬化是一种慢性血管疾病,会引发与炎症和凝血相互作用过程相关的分子事件。在本研究中,基于临床评估以及计算机断层扫描冠状动脉造影发现的动脉变化,对80例疑似冠心病患者的血浆样本中的纤连蛋白(FN)、含额外结构域A的纤连蛋白(EDA - FN)、出现频率以及可溶性血浆FN - 纤维蛋白复合物的相对含量进行了分析。研究表明,在冠心病高风险患者组的血浆中,EDA - FN浓度显著更高(3.5±2.5mg/L;P<0.025),并且1000kDa及以上的分子FN - 纤维蛋白复合物出现的频率高于冠心病低风险患者组和年龄匹配的正常组。EDA - FN水平的升高以及FN - 纤维蛋白复合物的出现可能对冠心病患者的诊断和管理具有潜在的诊断价值。