Relationship between serum biomarker levels and severity of coronary atherosclerosis / 心血管康复医学杂志

ABSTRACT

Objective:To explore relationship between serum biomarker levels and severity of coronary atherosclerosis (CAS) ,and provide reference for diagnosis and treatment .Methods: A total of 160 CAS patients treated in our hos-pital from Apr 2012 to Nov 2016 were selected .According to plaque characteristics ,patients were divided into stable plaque group (n＝80) and unstable plaque group (n＝80) ,another 60 healthy subjects undergoing physical examina-tion simultaneously were selected as healthy control group .Serum biomarker levels were measured and compared a-mong three groups ,and their relationship with CAS severity were analyzed .Results: Along with CAS aggravated , there were gradual rise in serum levels of trasforming growth factor (TGF)-β ,tumor necrosis factor (TNF)-α ,nu-clear factor (NF)-κB ,vascular endothelial growth factor (VEGF) ,recombinant bovine basic fibroblast growth fac-tor (bFGF) ,monocyte chemoattractant protein (MCP)-1 ,stroma-cell derivated factor (SDF)-1 ,chemokine re-ceptor (CXCR )-4 ,chemokine receptor (CCR )-2 ,Smad-1 ,Smad-2 ,Smad-3 ,peroxisome proliferators-activated receptor (PPAR)-γ ,tissue inhibitor of metalloproteinase (TIMP)-1 ,TIMP-2 ,TIMP-3 ,healthy control group＜stable plaque group＜ unstable plaque group ,there existed significant difference between any two groups , P＝0-001 all.Compared with healthy control group ,there were significant rise in serum levels of Caspase-3 ,Caspase-6 and Bcl-2 related X protein (Bax) ,and significant reduction in Bcl2 level in stable and unstable plaque group , P＝0-001 all.Conclusion: Biomarkers ,such as TGF-β ,MCP-1 ,CXCR-4 etc .,are closely associated with severity of coronary atherosclerosis ,which can be used as important indexes for clinical treatment .