Urbanowicz Tomasz, Hanć Anetta, Tomczak Jolanta, Michalak Michał, Olasińska-Wiśniewska Anna, Rzesoś Patrycja, Szot Mateusz, Filipiak Krzysztof J, Krasińska Beata, Krasiński Zbigniew, Tykarski Andrzej, Jemielity Marek
Cardiac Surgery and Transplantology Department, Poznan University of Medical Sciences, Dluga 1/2, 61-848 Poznan, Poland.
Department of Trace Analysis, Faculty of Chemistry, Adam Mickiewicz University, 61-614 Poznan, Poland.
Life (Basel). 2024 Apr 29;14(5):571. doi: 10.3390/life14050571.
An imbalance between pro- and anti-inflammatory mechanisms is indicated in the pathophysiology of atherosclerotic plaque. The coronary artery and carotid disease, despite sharing similar risk factors, are developed separately. The aim of this study was to analyze possible mechanisms between trace element hair-scalp concentrations and whole blood counts that favor atherosclerotic plaque progression in certain locations.
There were 65 (36 (55%) males and 29 (45%) females) patients with a median age of 68 (61-73) years enrolled in a prospective, preliminary, multicenter analysis. The study group was composed of 13 patients with stable coronary artery disease (CAD group) referred for surgical revascularization due to multivessel coronary disease, 34 patients with carotid artery disease (carotid group) admitted for vascular procedure, and 18 patients in a control group (control group).
There was a significant difference between the CAD and carotid groups regarding lymphocyte ( = 0.004) counts. The biochemical comparison between the coronary and carotid groups revealed significant differences regarding chromium (Cr) ( = 0.002), copper (Cu) ( < 0.001), and zinc (Zn) ( < 0.001) concentrations. Spearman Rank Order Correlations between lymphocyte counts and trace elements in the analyzed groups were performed, revealing a strong correlation with zinc (R = 0.733, < 0.001) in the control group (non-CAD, non-carotid).
Significant differences in hair-scalp concentrations related to atherosclerosis location were observed in our analysis. The interplay between zinc concentration and lymphocyte count may play a pivotal role in cardiovascular disease development.
动脉粥样硬化斑块的病理生理学表明促炎和抗炎机制之间存在失衡。冠状动脉疾病和颈动脉疾病尽管有相似的危险因素,但却是分别发展的。本研究的目的是分析微量元素头皮浓度与全血细胞计数之间可能存在的机制,这些机制有利于动脉粥样硬化斑块在某些部位的进展。
65例(36例(55%)男性和29例(45%)女性)患者参与了一项前瞻性、初步、多中心分析,中位年龄为68(61 - 73)岁。研究组由13例因多支冠状动脉疾病接受手术血运重建的稳定型冠状动脉疾病患者(CAD组)、34例因血管手术入院的颈动脉疾病患者(颈动脉组)和18例对照组患者(对照组)组成。
CAD组和颈动脉组在淋巴细胞计数方面存在显著差异( = 0.004)。冠状动脉组和颈动脉组之间的生化比较显示,在铬(Cr)( = 0.002)、铜(Cu)( < 0.001)和锌(Zn)( < 0.001)浓度方面存在显著差异。对分析组中淋巴细胞计数与微量元素之间进行了Spearman等级相关分析,结果显示在对照组(非CAD、非颈动脉)中与锌存在强相关性(R = 0.733, < 0.001)。
在我们的分析中观察到与动脉粥样硬化部位相关的头皮浓度存在显著差异。锌浓度与淋巴细胞计数之间的相互作用可能在心血管疾病发展中起关键作用。