Correlation of NLRP3 with severity and prognosis of coronary atherosclerosis in acute coronary syndrome patients

We decided to assess the prognostic value of NLRP3 inflammasome level in acute coronary syndrome (ACS) patients and whether it was related to coronary atherosclerotic severity. Study population included one-hundred and twenty-three (123) subjects. Peripheral blood monocyte NLRP3 protein level was co...

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Veröffentlicht in:Heart and vessels 2016-08, Vol.31 (8), p.1218-1229
Hauptverfasser: Afrasyab, Altaf, Qu, Peng, Zhao, Yang, Peng, Kuang, Wang, Hongyan, Lou, Dayuan, Niu, Nan, Yuan, Dajun
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container_end_page 1229
container_issue 8
container_start_page 1218
container_title Heart and vessels
container_volume 31
creator Afrasyab, Altaf
Qu, Peng
Zhao, Yang
Peng, Kuang
Wang, Hongyan
Lou, Dayuan
Niu, Nan
Yuan, Dajun
description We decided to assess the prognostic value of NLRP3 inflammasome level in acute coronary syndrome (ACS) patients and whether it was related to coronary atherosclerotic severity. Study population included one-hundred and twenty-three (123) subjects. Peripheral blood monocyte NLRP3 protein level was correlated with clinical presentation, angiographic characteristics and its scoring systems as well as GRACE and TIMI risk scores. Follow-up for major adverse cardiac events (MACE) was carried out at 180 days. Peripheral blood monocyte NLRP3 was found to be elevated in ACS patients ( P  
doi_str_mv 10.1007/s00380-015-0723-8
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Study population included one-hundred and twenty-three (123) subjects. Peripheral blood monocyte NLRP3 protein level was correlated with clinical presentation, angiographic characteristics and its scoring systems as well as GRACE and TIMI risk scores. Follow-up for major adverse cardiac events (MACE) was carried out at 180 days. Peripheral blood monocyte NLRP3 was found to be elevated in ACS patients ( P  &lt; 0.05) and showed positive correlation with GRACE score ( r  = 0.619), TIMI score ( r  = 0.580), SYNTAX score ( r  = 0.550), Clinical SYNTAX score ( r  = 0.564) and Gensini score ( r  = 0.516). NLRP3 was also increased with increasing number of vessels, the number of lesions present and the presence bifurcation lesions ( P  &lt; 0.05). Multivariate Cox regression analysis showed NLRP3 to be an independent predictor of MACE ( P  = 0.043). Kaplan–Meier analysis and receiver operating characteristic curves for NLRP3 showed good predictive value for MACE. There is a positive correlation of NLRP3 level with severity of coronary atherosclerosis. NLRP3 level is a promising prognostic utility and is efficient in event prediction for MACE.</description><identifier>ISSN: 0910-8327</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-015-0723-8</identifier><identifier>PMID: 26290166</identifier><identifier>CODEN: HEVEEO</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Acute Coronary Syndrome - complications ; Acute Coronary Syndrome - mortality ; Acute coronary syndromes ; Aged ; Atherosclerosis ; Biomedical Engineering and Bioengineering ; Cardiac Surgery ; Cardiology ; Case-Control Studies ; Coronary Angiography ; Coronary Artery Disease - blood ; Creatinine - blood ; Female ; Humans ; Kaplan-Meier Estimate ; Lipids - blood ; Male ; Medical prognosis ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Multivariate Analysis ; NLR Family, Pyrin Domain-Containing 3 Protein - blood ; Original Article ; Prognosis ; Proportional Hazards Models ; Protein expression ; Risk Assessment ; Risk Factors ; ROC Curve ; Severity of Illness Index ; Vascular Surgery</subject><ispartof>Heart and vessels, 2016-08, Vol.31 (8), p.1218-1229</ispartof><rights>Springer Japan 2015</rights><rights>Springer Japan 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c429t-e7503a4a136fb9dbd57d2ecf2654e6e438d8176a22aa84ab90c30aca4f188c1c3</citedby><cites>FETCH-LOGICAL-c429t-e7503a4a136fb9dbd57d2ecf2654e6e438d8176a22aa84ab90c30aca4f188c1c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00380-015-0723-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-015-0723-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26290166$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Afrasyab, Altaf</creatorcontrib><creatorcontrib>Qu, Peng</creatorcontrib><creatorcontrib>Zhao, Yang</creatorcontrib><creatorcontrib>Peng, Kuang</creatorcontrib><creatorcontrib>Wang, Hongyan</creatorcontrib><creatorcontrib>Lou, Dayuan</creatorcontrib><creatorcontrib>Niu, Nan</creatorcontrib><creatorcontrib>Yuan, Dajun</creatorcontrib><title>Correlation of NLRP3 with severity and prognosis of coronary atherosclerosis in acute coronary syndrome patients</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>We decided to assess the prognostic value of NLRP3 inflammasome level in acute coronary syndrome (ACS) patients and whether it was related to coronary atherosclerotic severity. 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Study population included one-hundred and twenty-three (123) subjects. Peripheral blood monocyte NLRP3 protein level was correlated with clinical presentation, angiographic characteristics and its scoring systems as well as GRACE and TIMI risk scores. Follow-up for major adverse cardiac events (MACE) was carried out at 180 days. Peripheral blood monocyte NLRP3 was found to be elevated in ACS patients ( P  &lt; 0.05) and showed positive correlation with GRACE score ( r  = 0.619), TIMI score ( r  = 0.580), SYNTAX score ( r  = 0.550), Clinical SYNTAX score ( r  = 0.564) and Gensini score ( r  = 0.516). NLRP3 was also increased with increasing number of vessels, the number of lesions present and the presence bifurcation lesions ( P  &lt; 0.05). Multivariate Cox regression analysis showed NLRP3 to be an independent predictor of MACE ( P  = 0.043). Kaplan–Meier analysis and receiver operating characteristic curves for NLRP3 showed good predictive value for MACE. There is a positive correlation of NLRP3 level with severity of coronary atherosclerosis. NLRP3 level is a promising prognostic utility and is efficient in event prediction for MACE.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>26290166</pmid><doi>10.1007/s00380-015-0723-8</doi><tpages>12</tpages></addata></record>
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subjects Acute Coronary Syndrome - complications
Acute Coronary Syndrome - mortality
Acute coronary syndromes
Aged
Atherosclerosis
Biomedical Engineering and Bioengineering
Cardiac Surgery
Cardiology
Case-Control Studies
Coronary Angiography
Coronary Artery Disease - blood
Creatinine - blood
Female
Humans
Kaplan-Meier Estimate
Lipids - blood
Male
Medical prognosis
Medicine
Medicine & Public Health
Middle Aged
Multivariate Analysis
NLR Family, Pyrin Domain-Containing 3 Protein - blood
Original Article
Prognosis
Proportional Hazards Models
Protein expression
Risk Assessment
Risk Factors
ROC Curve
Severity of Illness Index
Vascular Surgery
title Correlation of NLRP3 with severity and prognosis of coronary atherosclerosis in acute coronary syndrome patients
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