Int J Cardiol:血清骨桥蛋白水平可预测严重颈动脉狭窄患者主要不良心血管事件!

2018-01-06 xing.T MedSci原创

由此可见,较高的循环OPN水平与斑块内易损参数密切相关,并可以预测重度颈动脉狭窄患者的MACEs。尽管需要进行更大规模的试验来进行证实,OPN可能是评估动脉粥样硬化结局一个很有前途的临床工具。

在血液和斑块内炎症因子是动脉粥样硬化的关键因素。近日,心血管领域权威杂志International Journal of Cardiology上发表了一篇研究文章,研究人员分析了血清骨桥蛋白(OPN)作为严重颈动脉粥样硬化患者预后不良的潜在预测因子的作用。

研究人员收集了无症状缺血性卒中(n=185)或有症状缺血性卒中(n=40)患者的颈动脉斑块和血清。研究人员对斑块中的脂质、平滑肌细胞、嗜中性粒细胞、M1和M2巨噬细胞亚群和金属基质蛋白-9(MMP-9)进行染色,并采用比色酶联免疫吸附试验测定了血清OPN和IL-6水平。

研究人员发现有症状缺血性卒中患者血清OPN水平增加了2倍。在有症状和无症状患者中,OPN水平与斑块内中性粒细胞计数、巨噬细胞总数和MMP-9的含量呈正相关。在无症状患者中,OPN水平与脂质和M1巨噬细胞亚群呈正相关。ROC曲线分析确定了血清OPN浓度为70ng/ml时是预测主要不良心血管事件(MACE)的最佳临界值。与低OPN水平相比,高OPN水平的患者更有可能为易损斑块表型,以及降低低密度脂蛋白胆固醇和白细胞介素-6的水平。Kaplan–Meier 曲线证实OPN水平大于70ng/ml的患者在24个月的随访期间具有更多的MACE。在多因素分析中,OPN水平大于70ng/ml可预测MACEs,独立于年龄、性别、有无症状。

由此可见,较高的循环OPN水平与斑块内易损参数密切相关,并可以预测重度颈动脉狭窄患者的MACEs。尽管需要进行更大规模的试验来进行证实,OPN可能是评估动脉粥样硬化结局一个很有前途的临床工具。

原始出处:


Federico Carbone, et al. Serum levels of osteopontin predict major adverse cardiovascular events in patients with severe carotid artery stenosis.International Journal of Cardiology.2017. https://doi.org/10.1016/j.ijcard.2018.01.008

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    2018-01-07 方舒

    学习

    0

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    2018-01-06 changjiu

    学习一下谢谢

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1643514, encodeId=3e68164351402, content=<a href='/topic/show?id=6236895092b' target=_blank style='color:#2F92EE;'>#血管事件#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89509, encryptionId=6236895092b, topicName=血管事件)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f99523187183, createdName=hukaixun, createdTime=Mon Nov 19 08:42:00 CST 2018, time=2018-11-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1843494, encodeId=446618434943e, content=<a href='/topic/show?id=dab8100523bb' target=_blank style='color:#2F92EE;'>#颈动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100523, encryptionId=dab8100523bb, topicName=颈动脉)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=416347, createdName=mhzhuang@stu.e, createdTime=Mon Dec 03 22:42:00 CST 2018, time=2018-12-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1781849, encodeId=32f01e81849ac, content=<a href='/topic/show?id=5db8409ed8' target=_blank style='color:#2F92EE;'>#Cardiol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4097, encryptionId=5db8409ed8, topicName=Cardiol)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Sat Aug 11 06:42:00 CST 2018, time=2018-08-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1496891, encodeId=a9bf149689191, content=<a href='/topic/show?id=217b33259df' target=_blank style='color:#2F92EE;'>#动脉狭窄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33259, encryptionId=217b33259df, topicName=动脉狭窄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b4ae9287436, createdName=piaojinhua, createdTime=Mon Jan 08 09:42:00 CST 2018, time=2018-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1533196, encodeId=722d153319688, content=<a href='/topic/show?id=c7a02326657' target=_blank style='color:#2F92EE;'>#主要不良心血管事件#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23266, encryptionId=c7a02326657, topicName=主要不良心血管事件)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=929a12392280, createdName=wetgdt, createdTime=Mon Jan 08 09:42:00 CST 2018, time=2018-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276442, encodeId=177c2e64424d, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5KiblTyxD95ExbzUoCVcRuhPibXboL28wicFMTXUhCA0RWCyQZYC5Na3ap7CxjialMkB50VEJ0XToQQTC/0, createdBy=470c1945776, createdName=方舒, createdTime=Sun Jan 07 22:00:10 CST 2018, time=2018-01-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276171, encodeId=e65c2e6171ca, content=学习一下谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLGSUSR8zwnWWLT4FMl5XH8S58HuZslVkLsAPbXDXaliagK7TOxQfmngKibG1yrDonepCLDkcxGk8hS/0, createdBy=b8282062892, createdName=changjiu, createdTime=Sat Jan 06 23:46:31 CST 2018, time=2018-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276146, encodeId=ac0c2e61464d, content=了解一下.谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/12/23/2f51002e1349ccda5be11c1eea1e1e60.jpg, createdBy=a22097948, createdName=天地飞扬, createdTime=Sat Jan 06 22:07:35 CST 2018, time=2018-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=276130, encodeId=67ab2e61300f, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat Jan 06 20:55:24 CST 2018, time=2018-01-06, status=1, ipAttribution=)]
    2018-01-06 天地飞扬

    了解一下.谢谢分享!

    0

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    2018-01-06 明月清辉

    谢谢分享.学习了

    0