Small-size Microparticles as Indicators of Acute Decompensated State in Ischemic Heart Failure

Abstract Introduction and objectives Microparticles are markers for cell activation and apoptosis and could provide valuable information that is not available from clinical data. This study assesses the clinical and biological relationship of small-sized microparticles in different forms of ischemic...

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Veröffentlicht in:Revista española de cardiología (English ed.) 2015-11, Vol.68 (11), p.951-958
Hauptverfasser: Montoro-García, Silvia, Shantsila, Eduard, Wrigley, Benjamin J, Tapp, Luke D, Abellán Alemán, José, Lip, Gregory Y.H
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container_issue 11
container_start_page 951
container_title Revista española de cardiología (English ed.)
container_volume 68
creator Montoro-García, Silvia
Shantsila, Eduard
Wrigley, Benjamin J
Tapp, Luke D
Abellán Alemán, José
Lip, Gregory Y.H
description Abstract Introduction and objectives Microparticles are markers for cell activation and apoptosis and could provide valuable information that is not available from clinical data. This study assesses the clinical and biological relationship of small-sized microparticles in different forms of ischemic systolic heart failure and their relation to markers of inflammation and repair. Methods We compared 49 patients with acute heart failure, 39 with stable heart failure and 25 patients with stable coronary artery disease. Small-size microparticles counts were determined by high-resolution flow cytometry. Moreover, 3 different monocyte subpopulations and their expression of inflammatory and adhesive scavenger receptors were analyzed using a conventional flow cytometer. Results Endothelial CD144+ microparticle counts were decreased in heart failure groups ( P = .008). Annexin V-binding microparticle counts were found increased in heart failure ( P = .024) and in patients with lower functional class ( P = .013). Platelet CD42b+ microparticle counts positively correlated with left ventricular ejection fraction ( P = .006), and annexin V-binding microparticle counts with interleukin-6 levels in stable heart failure ( P = .034). Annexin V-binding microparticle counts in the acute status strongly correlated with toll-like receptor-4 expression on all monocyte subsets (all P < .01). Three months after admission with acute heart failure, annexin V-binding microparticle counts were positively correlated with receptors for interleukin-6, CD163 and CD204 (all P < .05). Conclusions Annexin V-binding microparticle counts constitute valuable hallmarks of acute decompensated state in systolic heart failure. The observed relationship between small-size annexin V-binding microparticles and scavenger receptors supports their involvement in the progression of the acute response to injury, and thus their contribution to the pathogenesis of acute decompensated heart failure.
doi_str_mv 10.1016/j.rec.2014.11.016
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This study assesses the clinical and biological relationship of small-sized microparticles in different forms of ischemic systolic heart failure and their relation to markers of inflammation and repair. Methods We compared 49 patients with acute heart failure, 39 with stable heart failure and 25 patients with stable coronary artery disease. Small-size microparticles counts were determined by high-resolution flow cytometry. Moreover, 3 different monocyte subpopulations and their expression of inflammatory and adhesive scavenger receptors were analyzed using a conventional flow cytometer. Results Endothelial CD144+ microparticle counts were decreased in heart failure groups ( P = .008). Annexin V-binding microparticle counts were found increased in heart failure ( P = .024) and in patients with lower functional class ( P = .013). Platelet CD42b+ microparticle counts positively correlated with left ventricular ejection fraction ( P = .006), and annexin V-binding microparticle counts with interleukin-6 levels in stable heart failure ( P = .034). Annexin V-binding microparticle counts in the acute status strongly correlated with toll-like receptor-4 expression on all monocyte subsets (all P &lt; .01). Three months after admission with acute heart failure, annexin V-binding microparticle counts were positively correlated with receptors for interleukin-6, CD163 and CD204 (all P &lt; .05). Conclusions Annexin V-binding microparticle counts constitute valuable hallmarks of acute decompensated state in systolic heart failure. The observed relationship between small-size annexin V-binding microparticles and scavenger receptors supports their involvement in the progression of the acute response to injury, and thus their contribution to the pathogenesis of acute decompensated heart failure.</description><identifier>ISSN: 1885-5857</identifier><identifier>EISSN: 1885-5857</identifier><identifier>DOI: 10.1016/j.rec.2014.11.016</identifier><identifier>PMID: 25819989</identifier><language>eng</language><publisher>Spain</publisher><subject>Aged ; Annexin A5 ; Antigens, CD ; Antigens, Differentiation, Myelomonocytic ; Apoptosis ; Biomarkers ; Blood Platelets - cytology ; Blood Platelets - metabolism ; Cadherins ; Cardiovascular ; Case-Control Studies ; Cell-Derived Microparticles - metabolism ; Coronary Artery Disease - metabolism ; Endothelial Cells - cytology ; Endothelial Cells - metabolism ; Female ; Flow Cytometry ; Heart Failure - etiology ; Heart Failure - metabolism ; Humans ; Internal Medicine ; Male ; Middle Aged ; Monocytes - cytology ; Monocytes - metabolism ; Myocardial Ischemia - complications ; Myocardial Ischemia - metabolism ; Platelet Glycoprotein GPIb-IX Complex ; Prospective Studies ; Receptors, Cell Surface ; Receptors, Interleukin-6 ; Receptors, Scavenger ; Scavenger Receptors, Class A ; Stroke Volume ; Toll-Like Receptor 4</subject><ispartof>Revista española de cardiología (English ed.), 2015-11, Vol.68 (11), p.951-958</ispartof><rights>Sociedad Española de Cardiología</rights><rights>Copyright © 2014 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c286t-6cafb562b808ba0d8ac4f4bc269f13c1db3b7f755f1a35ed51098dee89f08f483</citedby><cites>FETCH-LOGICAL-c286t-6cafb562b808ba0d8ac4f4bc269f13c1db3b7f755f1a35ed51098dee89f08f483</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25819989$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Montoro-García, Silvia</creatorcontrib><creatorcontrib>Shantsila, Eduard</creatorcontrib><creatorcontrib>Wrigley, Benjamin J</creatorcontrib><creatorcontrib>Tapp, Luke D</creatorcontrib><creatorcontrib>Abellán Alemán, José</creatorcontrib><creatorcontrib>Lip, Gregory Y.H</creatorcontrib><title>Small-size Microparticles as Indicators of Acute Decompensated State in Ischemic Heart Failure</title><title>Revista española de cardiología (English ed.)</title><addtitle>Rev Esp Cardiol (Engl Ed)</addtitle><description>Abstract Introduction and objectives Microparticles are markers for cell activation and apoptosis and could provide valuable information that is not available from clinical data. This study assesses the clinical and biological relationship of small-sized microparticles in different forms of ischemic systolic heart failure and their relation to markers of inflammation and repair. Methods We compared 49 patients with acute heart failure, 39 with stable heart failure and 25 patients with stable coronary artery disease. Small-size microparticles counts were determined by high-resolution flow cytometry. Moreover, 3 different monocyte subpopulations and their expression of inflammatory and adhesive scavenger receptors were analyzed using a conventional flow cytometer. Results Endothelial CD144+ microparticle counts were decreased in heart failure groups ( P = .008). Annexin V-binding microparticle counts were found increased in heart failure ( P = .024) and in patients with lower functional class ( P = .013). Platelet CD42b+ microparticle counts positively correlated with left ventricular ejection fraction ( P = .006), and annexin V-binding microparticle counts with interleukin-6 levels in stable heart failure ( P = .034). Annexin V-binding microparticle counts in the acute status strongly correlated with toll-like receptor-4 expression on all monocyte subsets (all P &lt; .01). Three months after admission with acute heart failure, annexin V-binding microparticle counts were positively correlated with receptors for interleukin-6, CD163 and CD204 (all P &lt; .05). Conclusions Annexin V-binding microparticle counts constitute valuable hallmarks of acute decompensated state in systolic heart failure. The observed relationship between small-size annexin V-binding microparticles and scavenger receptors supports their involvement in the progression of the acute response to injury, and thus their contribution to the pathogenesis of acute decompensated heart failure.</description><subject>Aged</subject><subject>Annexin A5</subject><subject>Antigens, CD</subject><subject>Antigens, Differentiation, Myelomonocytic</subject><subject>Apoptosis</subject><subject>Biomarkers</subject><subject>Blood Platelets - cytology</subject><subject>Blood Platelets - metabolism</subject><subject>Cadherins</subject><subject>Cardiovascular</subject><subject>Case-Control Studies</subject><subject>Cell-Derived Microparticles - metabolism</subject><subject>Coronary Artery Disease - metabolism</subject><subject>Endothelial Cells - cytology</subject><subject>Endothelial Cells - metabolism</subject><subject>Female</subject><subject>Flow Cytometry</subject><subject>Heart Failure - etiology</subject><subject>Heart Failure - metabolism</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Monocytes - cytology</subject><subject>Monocytes - metabolism</subject><subject>Myocardial Ischemia - complications</subject><subject>Myocardial Ischemia - metabolism</subject><subject>Platelet Glycoprotein GPIb-IX Complex</subject><subject>Prospective Studies</subject><subject>Receptors, Cell Surface</subject><subject>Receptors, Interleukin-6</subject><subject>Receptors, Scavenger</subject><subject>Scavenger Receptors, Class A</subject><subject>Stroke Volume</subject><subject>Toll-Like Receptor 4</subject><issn>1885-5857</issn><issn>1885-5857</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkc1r3DAQxUVpyFfzB_QSdOzFzoxt2fKlEPK5kNDDttcKWR5RbWV7K9mB9K-Plk1CTjMMbx6832PsK0KOgPXFJg9k8gKwyhHzdPnEjlFKkQkpms8f9iN2EuMGQJSyqQ7ZUSEktq1sj9nv9aC9z6L7T_zRmTBtdZid8RS5jnw19s7oeQqRT5ZfmmUmfk1mGrY0Rj1Tz9dzGtyNfBXNHxqc4feUHPitdn4J9IUdWO0jnb3OU_br9ubn1X328ONudXX5kJlC1nNWG207URedBNlp6KU2la06U9StxdJg35VdYxshLOpSUC8QWtkTydaCtJUsT9m3ve82TP8WirMaXDTkvR5pWqLCpixKaKCpkhT30hQ2xkBWbYMbdHhWCGqHVW1Uwqp2WBWiSpf0c_5qv3QD9e8fbxyT4PteQCnkk6OgjHdjYuf_0jPFzbSEMeVXqGKhQK13zeyKQQEAVQHlC1kgid8</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Montoro-García, Silvia</creator><creator>Shantsila, Eduard</creator><creator>Wrigley, Benjamin J</creator><creator>Tapp, Luke D</creator><creator>Abellán Alemán, José</creator><creator>Lip, Gregory Y.H</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20151101</creationdate><title>Small-size Microparticles as Indicators of Acute Decompensated State in Ischemic Heart Failure</title><author>Montoro-García, Silvia ; Shantsila, Eduard ; Wrigley, Benjamin J ; Tapp, Luke D ; Abellán Alemán, José ; Lip, Gregory Y.H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c286t-6cafb562b808ba0d8ac4f4bc269f13c1db3b7f755f1a35ed51098dee89f08f483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Annexin A5</topic><topic>Antigens, CD</topic><topic>Antigens, Differentiation, Myelomonocytic</topic><topic>Apoptosis</topic><topic>Biomarkers</topic><topic>Blood Platelets - cytology</topic><topic>Blood Platelets - metabolism</topic><topic>Cadherins</topic><topic>Cardiovascular</topic><topic>Case-Control Studies</topic><topic>Cell-Derived Microparticles - metabolism</topic><topic>Coronary Artery Disease - metabolism</topic><topic>Endothelial Cells - cytology</topic><topic>Endothelial Cells - metabolism</topic><topic>Female</topic><topic>Flow Cytometry</topic><topic>Heart Failure - etiology</topic><topic>Heart Failure - metabolism</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Monocytes - cytology</topic><topic>Monocytes - metabolism</topic><topic>Myocardial Ischemia - complications</topic><topic>Myocardial Ischemia - metabolism</topic><topic>Platelet Glycoprotein GPIb-IX Complex</topic><topic>Prospective Studies</topic><topic>Receptors, Cell Surface</topic><topic>Receptors, Interleukin-6</topic><topic>Receptors, Scavenger</topic><topic>Scavenger Receptors, Class A</topic><topic>Stroke Volume</topic><topic>Toll-Like Receptor 4</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Montoro-García, Silvia</creatorcontrib><creatorcontrib>Shantsila, Eduard</creatorcontrib><creatorcontrib>Wrigley, Benjamin J</creatorcontrib><creatorcontrib>Tapp, Luke D</creatorcontrib><creatorcontrib>Abellán Alemán, José</creatorcontrib><creatorcontrib>Lip, Gregory Y.H</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>Revista española de cardiología (English ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Montoro-García, Silvia</au><au>Shantsila, Eduard</au><au>Wrigley, Benjamin J</au><au>Tapp, Luke D</au><au>Abellán Alemán, José</au><au>Lip, Gregory Y.H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Small-size Microparticles as Indicators of Acute Decompensated State in Ischemic Heart Failure</atitle><jtitle>Revista española de cardiología (English ed.)</jtitle><addtitle>Rev Esp Cardiol (Engl Ed)</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>68</volume><issue>11</issue><spage>951</spage><epage>958</epage><pages>951-958</pages><issn>1885-5857</issn><eissn>1885-5857</eissn><abstract>Abstract Introduction and objectives Microparticles are markers for cell activation and apoptosis and could provide valuable information that is not available from clinical data. This study assesses the clinical and biological relationship of small-sized microparticles in different forms of ischemic systolic heart failure and their relation to markers of inflammation and repair. Methods We compared 49 patients with acute heart failure, 39 with stable heart failure and 25 patients with stable coronary artery disease. Small-size microparticles counts were determined by high-resolution flow cytometry. Moreover, 3 different monocyte subpopulations and their expression of inflammatory and adhesive scavenger receptors were analyzed using a conventional flow cytometer. Results Endothelial CD144+ microparticle counts were decreased in heart failure groups ( P = .008). Annexin V-binding microparticle counts were found increased in heart failure ( P = .024) and in patients with lower functional class ( P = .013). Platelet CD42b+ microparticle counts positively correlated with left ventricular ejection fraction ( P = .006), and annexin V-binding microparticle counts with interleukin-6 levels in stable heart failure ( P = .034). Annexin V-binding microparticle counts in the acute status strongly correlated with toll-like receptor-4 expression on all monocyte subsets (all P &lt; .01). Three months after admission with acute heart failure, annexin V-binding microparticle counts were positively correlated with receptors for interleukin-6, CD163 and CD204 (all P &lt; .05). Conclusions Annexin V-binding microparticle counts constitute valuable hallmarks of acute decompensated state in systolic heart failure. The observed relationship between small-size annexin V-binding microparticles and scavenger receptors supports their involvement in the progression of the acute response to injury, and thus their contribution to the pathogenesis of acute decompensated heart failure.</abstract><cop>Spain</cop><pmid>25819989</pmid><doi>10.1016/j.rec.2014.11.016</doi><tpages>8</tpages></addata></record>
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subjects Aged
Annexin A5
Antigens, CD
Antigens, Differentiation, Myelomonocytic
Apoptosis
Biomarkers
Blood Platelets - cytology
Blood Platelets - metabolism
Cadherins
Cardiovascular
Case-Control Studies
Cell-Derived Microparticles - metabolism
Coronary Artery Disease - metabolism
Endothelial Cells - cytology
Endothelial Cells - metabolism
Female
Flow Cytometry
Heart Failure - etiology
Heart Failure - metabolism
Humans
Internal Medicine
Male
Middle Aged
Monocytes - cytology
Monocytes - metabolism
Myocardial Ischemia - complications
Myocardial Ischemia - metabolism
Platelet Glycoprotein GPIb-IX Complex
Prospective Studies
Receptors, Cell Surface
Receptors, Interleukin-6
Receptors, Scavenger
Scavenger Receptors, Class A
Stroke Volume
Toll-Like Receptor 4
title Small-size Microparticles as Indicators of Acute Decompensated State in Ischemic Heart Failure
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