Plasma Cyclophilin A Is a Novel Biomarker for Coronary Artery Disease

Background: Oxidative stress induces secretion of cyclophilin A (CyPA) from vascular smooth muscle cells and it plays a crucial role in the pathogenesis of atherosclerosis in mice. Therefore, we tested our hypothesis that plasma CyPA levels are increased in patients with coronary artery diseases (CA...

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Veröffentlicht in:Circulation Journal 2013, Vol.77(2), pp.447-455
Hauptverfasser: Satoh, Kimio, Fukumoto, Yoshihiro, Sugimura, Koichiro, Miura, Yutaka, Aoki, Tatsuo, Nochioka, Kotaro, Tatebe, Shunsuke, Miyamichi-Yamamoto, Saori, Shimizu, Toru, Osaki, Shizuka, Takagi, Yusuke, Tsuburaya, Ryuji, Ito, Yoshitaka, Matsumoto, Yasuharu, Nakayama, Masaharu, Takeda, Morihiko, Takahashi, Jun, Ito, Kenta, Yasuda, Satoshi, Shimokawa, Hiroaki
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container_issue 2
container_start_page 447
container_title Circulation Journal
container_volume 77
creator Satoh, Kimio
Fukumoto, Yoshihiro
Sugimura, Koichiro
Miura, Yutaka
Aoki, Tatsuo
Nochioka, Kotaro
Tatebe, Shunsuke
Miyamichi-Yamamoto, Saori
Shimizu, Toru
Osaki, Shizuka
Takagi, Yusuke
Tsuburaya, Ryuji
Ito, Yoshitaka
Matsumoto, Yasuharu
Nakayama, Masaharu
Takeda, Morihiko
Takahashi, Jun
Ito, Kenta
Yasuda, Satoshi
Shimokawa, Hiroaki
description Background: Oxidative stress induces secretion of cyclophilin A (CyPA) from vascular smooth muscle cells and it plays a crucial role in the pathogenesis of atherosclerosis in mice. Therefore, we tested our hypothesis that plasma CyPA levels are increased in patients with coronary artery diseases (CAD). Methods and Results: In 320 consecutive patients undergoing coronary angiography, we examined the relationship between plasma CyPA levels and the severity of CAD. We measured plasma CyPA by an immunoassay based on the sandwich technique. Plasma CyPA levels were significantly higher in patients with significant coronary stenosis compared to those without it (P
doi_str_mv 10.1253/circj.CJ-12-0805
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Therefore, we tested our hypothesis that plasma CyPA levels are increased in patients with coronary artery diseases (CAD). Methods and Results: In 320 consecutive patients undergoing coronary angiography, we examined the relationship between plasma CyPA levels and the severity of CAD. We measured plasma CyPA by an immunoassay based on the sandwich technique. Plasma CyPA levels were significantly higher in patients with significant coronary stenosis compared to those without it (P&lt;0.001). A positive correlation was noted between plasma CyPA levels and significant coronary stenosis. The average number of stenotic coronary arteries and the need for coronary intervention were significantly increased in the quartiles of higher CyPA levels (both P&lt;0.001). Indeed, the plasma CyPA level significantly correlated with the presence of CAD (adjusted odds ratio for CAD, 6.20; 95% confidence interval, 3.14–12.27; P&lt;0.001). Interestingly, plasma levels of CyPA increased according to the number of atherosclerotic risk factors, all of which induce oxidative stress. Furthermore, plasma levels of CyPA significantly reduced after medical treatment of risk factors. Finally, CyPA was strongly expressed in coronary atherosclerotic plaque in patients with myocardial infarction. Conclusions: Plasma CyPA level is a novel biomarker for oxidative stress and CAD in humans.  (Circ J 2013; 77: 447–455)</description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-12-0805</identifier><identifier>PMID: 23138189</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Aged ; Biomarker ; Biomarkers - blood ; Comorbidity ; Coronary Angiography ; Coronary artery disease ; Coronary Artery Disease - blood ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - epidemiology ; Coronary Stenosis - blood ; Coronary Stenosis - diagnostic imaging ; Coronary Stenosis - epidemiology ; Cyclophilin A - blood ; Female ; Humans ; Male ; Middle Aged ; Odds Ratio ; Oxidative stress ; Prognosis ; Prospective Studies ; Risk Factors ; Sensitivity and Specificity ; Severity of Illness Index</subject><ispartof>Circulation Journal, 2013, Vol.77(2), pp.447-455</ispartof><rights>2013 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c642t-a326d105ad17860dcac1af8fd2c78b3da63c8b51447e8867c38def58534139ab3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1876,4009,27902,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23138189$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Satoh, Kimio</creatorcontrib><creatorcontrib>Fukumoto, Yoshihiro</creatorcontrib><creatorcontrib>Sugimura, Koichiro</creatorcontrib><creatorcontrib>Miura, Yutaka</creatorcontrib><creatorcontrib>Aoki, Tatsuo</creatorcontrib><creatorcontrib>Nochioka, Kotaro</creatorcontrib><creatorcontrib>Tatebe, Shunsuke</creatorcontrib><creatorcontrib>Miyamichi-Yamamoto, Saori</creatorcontrib><creatorcontrib>Shimizu, Toru</creatorcontrib><creatorcontrib>Osaki, Shizuka</creatorcontrib><creatorcontrib>Takagi, Yusuke</creatorcontrib><creatorcontrib>Tsuburaya, Ryuji</creatorcontrib><creatorcontrib>Ito, Yoshitaka</creatorcontrib><creatorcontrib>Matsumoto, Yasuharu</creatorcontrib><creatorcontrib>Nakayama, Masaharu</creatorcontrib><creatorcontrib>Takeda, Morihiko</creatorcontrib><creatorcontrib>Takahashi, Jun</creatorcontrib><creatorcontrib>Ito, Kenta</creatorcontrib><creatorcontrib>Yasuda, Satoshi</creatorcontrib><creatorcontrib>Shimokawa, Hiroaki</creatorcontrib><title>Plasma Cyclophilin A Is a Novel Biomarker for Coronary Artery Disease</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background: Oxidative stress induces secretion of cyclophilin A (CyPA) from vascular smooth muscle cells and it plays a crucial role in the pathogenesis of atherosclerosis in mice. Therefore, we tested our hypothesis that plasma CyPA levels are increased in patients with coronary artery diseases (CAD). Methods and Results: In 320 consecutive patients undergoing coronary angiography, we examined the relationship between plasma CyPA levels and the severity of CAD. We measured plasma CyPA by an immunoassay based on the sandwich technique. Plasma CyPA levels were significantly higher in patients with significant coronary stenosis compared to those without it (P&lt;0.001). A positive correlation was noted between plasma CyPA levels and significant coronary stenosis. The average number of stenotic coronary arteries and the need for coronary intervention were significantly increased in the quartiles of higher CyPA levels (both P&lt;0.001). Indeed, the plasma CyPA level significantly correlated with the presence of CAD (adjusted odds ratio for CAD, 6.20; 95% confidence interval, 3.14–12.27; P&lt;0.001). Interestingly, plasma levels of CyPA increased according to the number of atherosclerotic risk factors, all of which induce oxidative stress. Furthermore, plasma levels of CyPA significantly reduced after medical treatment of risk factors. Finally, CyPA was strongly expressed in coronary atherosclerotic plaque in patients with myocardial infarction. 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Fukumoto, Yoshihiro ; Sugimura, Koichiro ; Miura, Yutaka ; Aoki, Tatsuo ; Nochioka, Kotaro ; Tatebe, Shunsuke ; Miyamichi-Yamamoto, Saori ; Shimizu, Toru ; Osaki, Shizuka ; Takagi, Yusuke ; Tsuburaya, Ryuji ; Ito, Yoshitaka ; Matsumoto, Yasuharu ; Nakayama, Masaharu ; Takeda, Morihiko ; Takahashi, Jun ; Ito, Kenta ; Yasuda, Satoshi ; Shimokawa, Hiroaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c642t-a326d105ad17860dcac1af8fd2c78b3da63c8b51447e8867c38def58534139ab3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Biomarker</topic><topic>Biomarkers - blood</topic><topic>Comorbidity</topic><topic>Coronary Angiography</topic><topic>Coronary artery disease</topic><topic>Coronary Artery Disease - blood</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - epidemiology</topic><topic>Coronary Stenosis - blood</topic><topic>Coronary Stenosis - diagnostic imaging</topic><topic>Coronary Stenosis - epidemiology</topic><topic>Cyclophilin A - blood</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Odds Ratio</topic><topic>Oxidative stress</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Sensitivity and Specificity</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Satoh, Kimio</creatorcontrib><creatorcontrib>Fukumoto, Yoshihiro</creatorcontrib><creatorcontrib>Sugimura, Koichiro</creatorcontrib><creatorcontrib>Miura, Yutaka</creatorcontrib><creatorcontrib>Aoki, Tatsuo</creatorcontrib><creatorcontrib>Nochioka, Kotaro</creatorcontrib><creatorcontrib>Tatebe, Shunsuke</creatorcontrib><creatorcontrib>Miyamichi-Yamamoto, Saori</creatorcontrib><creatorcontrib>Shimizu, Toru</creatorcontrib><creatorcontrib>Osaki, Shizuka</creatorcontrib><creatorcontrib>Takagi, Yusuke</creatorcontrib><creatorcontrib>Tsuburaya, Ryuji</creatorcontrib><creatorcontrib>Ito, Yoshitaka</creatorcontrib><creatorcontrib>Matsumoto, Yasuharu</creatorcontrib><creatorcontrib>Nakayama, Masaharu</creatorcontrib><creatorcontrib>Takeda, Morihiko</creatorcontrib><creatorcontrib>Takahashi, Jun</creatorcontrib><creatorcontrib>Ito, Kenta</creatorcontrib><creatorcontrib>Yasuda, Satoshi</creatorcontrib><creatorcontrib>Shimokawa, Hiroaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Satoh, Kimio</au><au>Fukumoto, Yoshihiro</au><au>Sugimura, Koichiro</au><au>Miura, Yutaka</au><au>Aoki, Tatsuo</au><au>Nochioka, Kotaro</au><au>Tatebe, Shunsuke</au><au>Miyamichi-Yamamoto, Saori</au><au>Shimizu, Toru</au><au>Osaki, Shizuka</au><au>Takagi, Yusuke</au><au>Tsuburaya, Ryuji</au><au>Ito, Yoshitaka</au><au>Matsumoto, Yasuharu</au><au>Nakayama, Masaharu</au><au>Takeda, Morihiko</au><au>Takahashi, Jun</au><au>Ito, Kenta</au><au>Yasuda, Satoshi</au><au>Shimokawa, Hiroaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plasma Cyclophilin A Is a Novel Biomarker for Coronary Artery Disease</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2013</date><risdate>2013</risdate><volume>77</volume><issue>2</issue><spage>447</spage><epage>455</epage><pages>447-455</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>Background: Oxidative stress induces secretion of cyclophilin A (CyPA) from vascular smooth muscle cells and it plays a crucial role in the pathogenesis of atherosclerosis in mice. Therefore, we tested our hypothesis that plasma CyPA levels are increased in patients with coronary artery diseases (CAD). Methods and Results: In 320 consecutive patients undergoing coronary angiography, we examined the relationship between plasma CyPA levels and the severity of CAD. We measured plasma CyPA by an immunoassay based on the sandwich technique. Plasma CyPA levels were significantly higher in patients with significant coronary stenosis compared to those without it (P&lt;0.001). A positive correlation was noted between plasma CyPA levels and significant coronary stenosis. The average number of stenotic coronary arteries and the need for coronary intervention were significantly increased in the quartiles of higher CyPA levels (both P&lt;0.001). Indeed, the plasma CyPA level significantly correlated with the presence of CAD (adjusted odds ratio for CAD, 6.20; 95% confidence interval, 3.14–12.27; P&lt;0.001). Interestingly, plasma levels of CyPA increased according to the number of atherosclerotic risk factors, all of which induce oxidative stress. Furthermore, plasma levels of CyPA significantly reduced after medical treatment of risk factors. Finally, CyPA was strongly expressed in coronary atherosclerotic plaque in patients with myocardial infarction. Conclusions: Plasma CyPA level is a novel biomarker for oxidative stress and CAD in humans.  (Circ J 2013; 77: 447–455)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>23138189</pmid><doi>10.1253/circj.CJ-12-0805</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Aged
Biomarker
Biomarkers - blood
Comorbidity
Coronary Angiography
Coronary artery disease
Coronary Artery Disease - blood
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - epidemiology
Coronary Stenosis - blood
Coronary Stenosis - diagnostic imaging
Coronary Stenosis - epidemiology
Cyclophilin A - blood
Female
Humans
Male
Middle Aged
Odds Ratio
Oxidative stress
Prognosis
Prospective Studies
Risk Factors
Sensitivity and Specificity
Severity of Illness Index
title Plasma Cyclophilin A Is a Novel Biomarker for Coronary Artery Disease
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