Endothelial vascular markers in coronary surgery

Coronary heart disease is associated with high morbidity and mortality. Endothelial dysfunction in affected patients is linked to long-term atherosclerotic disease progression and cardiovascular event rates. The present paper reports on changes in the levels of endothelial progenitor cells (VEGFR2/C...

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Veröffentlicht in:Heart and vessels 2017-11, Vol.32 (11), p.1390-1399
Hauptverfasser: Valencia-Nuñez, Diana M., Kreutler, Willy, Moya-Gonzalez, Javier, Alados-Arboledas, Pedro, Muñoz-Carvajal, Ignacio, Carmona, Andrés, Ramirez-Chamond, Rafael, Carracedo-Añon, Julia
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container_end_page 1399
container_issue 11
container_start_page 1390
container_title Heart and vessels
container_volume 32
creator Valencia-Nuñez, Diana M.
Kreutler, Willy
Moya-Gonzalez, Javier
Alados-Arboledas, Pedro
Muñoz-Carvajal, Ignacio
Carmona, Andrés
Ramirez-Chamond, Rafael
Carracedo-Añon, Julia
description Coronary heart disease is associated with high morbidity and mortality. Endothelial dysfunction in affected patients is linked to long-term atherosclerotic disease progression and cardiovascular event rates. The present paper reports on changes in the levels of endothelial progenitor cells (VEGFR2/CD133/CD34), essential for endothelial repair, and of endothelial microvesicles (CD31/annexin V) as indicators of endothelial lesion, in patients undergoing coronary bypass surgery with respect both to baseline levels and to counts in healthy subjects. In an observational descriptive study, 31 patients scheduled for coronary revascularization surgery were compared with those of 25 healthy controls. In a subsequent longitudinal study, patients undergoing surgery were monitored at 5 timepoints up until 48 h after surgery. Endothelial progenitor cell (VEGFR2/CD133/CD34) and endothelial microvesicle (CD31/annexin V) levels were quantified by flow cytometry. Baseline endothelial progenitor cell counts in coronary patients were significantly lower than those of healthy controls ( p  
doi_str_mv 10.1007/s00380-017-1006-3
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Endothelial dysfunction in affected patients is linked to long-term atherosclerotic disease progression and cardiovascular event rates. The present paper reports on changes in the levels of endothelial progenitor cells (VEGFR2/CD133/CD34), essential for endothelial repair, and of endothelial microvesicles (CD31/annexin V) as indicators of endothelial lesion, in patients undergoing coronary bypass surgery with respect both to baseline levels and to counts in healthy subjects. In an observational descriptive study, 31 patients scheduled for coronary revascularization surgery were compared with those of 25 healthy controls. In a subsequent longitudinal study, patients undergoing surgery were monitored at 5 timepoints up until 48 h after surgery. Endothelial progenitor cell (VEGFR2/CD133/CD34) and endothelial microvesicle (CD31/annexin V) levels were quantified by flow cytometry. Baseline endothelial progenitor cell counts in coronary patients were significantly lower than those of healthy controls ( p  &lt; 0.001); however, after surgery, levels rose steadily over all 5 timepoints to 48 h  with statistically significant differences ( p  &lt; 0.001) between intra-operative and 48 h after surgery (T5). Endothelial microvesicle levels were significantly higher in coronary patients prior to surgery than in healthy controls ( p  &lt; 0.001), and despite declining at 48 h remained significantly higher than those of controls ( p  &lt; 0.001). Coronary surgery has had a positive impact on the endothelium in the patients, prompting a decrease in signs of endothelial dysfunction and a considerable improvement in the endothelial repair mechanisms involved in angiogenesis, playing an important role in the inflammatory response and the remodelling process of ischemic myocardium in postoperative period.</description><identifier>ISSN: 0910-8327</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-017-1006-3</identifier><identifier>PMID: 28623398</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Angiogenesis ; Annexin V ; Annexins - blood ; Arteriosclerosis ; Atherosclerosis ; Biomarkers - blood ; Biomedical Engineering and Bioengineering ; Cardiac Surgery ; Cardiology ; Cardiovascular disease ; Cardiovascular diseases ; CD34 antigen ; Cell-Derived Microparticles - metabolism ; Cell-Derived Microparticles - pathology ; Cells (biology) ; Coronary artery disease ; Coronary Artery Disease - blood ; Coronary Artery Disease - physiopathology ; Coronary Artery Disease - surgery ; Coronary Vessels - metabolism ; Coronary Vessels - physiopathology ; Coronary Vessels - surgery ; Correlation analysis ; Cytometry ; Endothelial Progenitor Cells - metabolism ; Endothelial Progenitor Cells - pathology ; Endothelium ; Endothelium, Vascular - metabolism ; Endothelium, Vascular - pathology ; Endothelium, Vascular - physiopathology ; Flow Cytometry ; Follow-Up Studies ; Heart ; Heart diseases ; Heart surgery ; Humans ; Inflammation ; Inflammatory response ; Ischemia ; Medicine ; Medicine &amp; Public Health ; Morbidity ; Myocardial Revascularization ; Myocardium ; Original Article ; Patients ; Postoperative Period ; Progenitor cells ; Prognosis ; Prospective Studies ; Repair ; Statistical analysis ; Stem cells ; Surgery ; Vascular Surgery ; Vasodilation - physiology</subject><ispartof>Heart and vessels, 2017-11, Vol.32 (11), p.1390-1399</ispartof><rights>Springer Japan KK 2017</rights><rights>Heart and Vessels is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-1c4439dbdd038844d48157211dff82c917e9d011b512ae0c4964a86ae970bd0a3</citedby><cites>FETCH-LOGICAL-c396t-1c4439dbdd038844d48157211dff82c917e9d011b512ae0c4964a86ae970bd0a3</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/s00380-017-1006-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-017-1006-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,777,781,27905,27906,41469,42538,51300</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28623398$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Valencia-Nuñez, Diana M.</creatorcontrib><creatorcontrib>Kreutler, Willy</creatorcontrib><creatorcontrib>Moya-Gonzalez, Javier</creatorcontrib><creatorcontrib>Alados-Arboledas, Pedro</creatorcontrib><creatorcontrib>Muñoz-Carvajal, Ignacio</creatorcontrib><creatorcontrib>Carmona, Andrés</creatorcontrib><creatorcontrib>Ramirez-Chamond, Rafael</creatorcontrib><creatorcontrib>Carracedo-Añon, Julia</creatorcontrib><title>Endothelial vascular markers in coronary surgery</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>Coronary heart disease is associated with high morbidity and mortality. Endothelial dysfunction in affected patients is linked to long-term atherosclerotic disease progression and cardiovascular event rates. The present paper reports on changes in the levels of endothelial progenitor cells (VEGFR2/CD133/CD34), essential for endothelial repair, and of endothelial microvesicles (CD31/annexin V) as indicators of endothelial lesion, in patients undergoing coronary bypass surgery with respect both to baseline levels and to counts in healthy subjects. In an observational descriptive study, 31 patients scheduled for coronary revascularization surgery were compared with those of 25 healthy controls. In a subsequent longitudinal study, patients undergoing surgery were monitored at 5 timepoints up until 48 h after surgery. Endothelial progenitor cell (VEGFR2/CD133/CD34) and endothelial microvesicle (CD31/annexin V) levels were quantified by flow cytometry. Baseline endothelial progenitor cell counts in coronary patients were significantly lower than those of healthy controls ( p  &lt; 0.001); however, after surgery, levels rose steadily over all 5 timepoints to 48 h  with statistically significant differences ( p  &lt; 0.001) between intra-operative and 48 h after surgery (T5). Endothelial microvesicle levels were significantly higher in coronary patients prior to surgery than in healthy controls ( p  &lt; 0.001), and despite declining at 48 h remained significantly higher than those of controls ( p  &lt; 0.001). Coronary surgery has had a positive impact on the endothelium in the patients, prompting a decrease in signs of endothelial dysfunction and a considerable improvement in the endothelial repair mechanisms involved in angiogenesis, playing an important role in the inflammatory response and the remodelling process of ischemic myocardium in postoperative period.</description><subject>Angiogenesis</subject><subject>Annexin V</subject><subject>Annexins - blood</subject><subject>Arteriosclerosis</subject><subject>Atherosclerosis</subject><subject>Biomarkers - blood</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>CD34 antigen</subject><subject>Cell-Derived Microparticles - metabolism</subject><subject>Cell-Derived Microparticles - pathology</subject><subject>Cells (biology)</subject><subject>Coronary artery disease</subject><subject>Coronary Artery Disease - blood</subject><subject>Coronary Artery Disease - physiopathology</subject><subject>Coronary Artery Disease - surgery</subject><subject>Coronary Vessels - metabolism</subject><subject>Coronary Vessels - physiopathology</subject><subject>Coronary Vessels - surgery</subject><subject>Correlation analysis</subject><subject>Cytometry</subject><subject>Endothelial Progenitor Cells - metabolism</subject><subject>Endothelial Progenitor Cells - pathology</subject><subject>Endothelium</subject><subject>Endothelium, Vascular - metabolism</subject><subject>Endothelium, Vascular - pathology</subject><subject>Endothelium, Vascular - physiopathology</subject><subject>Flow Cytometry</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Heart diseases</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Inflammation</subject><subject>Inflammatory response</subject><subject>Ischemia</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Morbidity</subject><subject>Myocardial Revascularization</subject><subject>Myocardium</subject><subject>Original Article</subject><subject>Patients</subject><subject>Postoperative Period</subject><subject>Progenitor cells</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Repair</subject><subject>Statistical analysis</subject><subject>Stem cells</subject><subject>Surgery</subject><subject>Vascular Surgery</subject><subject>Vasodilation - physiology</subject><issn>0910-8327</issn><issn>1615-2573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OIlOpOP3eQopX5AwYueQ3aT1dbtbk26Qv-9KVtFBE9hyDPvzDyEnCNcI0BxEwG4AgpY0FTnlB-QMeYoKZMFPyRj0AhUcVaMyEmMSwCUGvUxGTGVM861GhOYta7bvPlmYZvs08aqb2zIVja8-xCzRZtVXehaG7ZZ7MOrD9tTclTbJvqz_TshL3ez5-kDnT_dP05v57TiOt9QrITg2pXOpRWVEE4olAVDdHWtWKWx8NoBYimRWQ-V0LmwKrdeF1A6sHxCrobcdeg-eh83ZrWIlW8a2_qujwbTbSpJYDKhl3_QZdeHNm2XKClkmqt5onCgqtDFGHxt1mGRDt0aBLPTaQadJunc1bnZ9Vzsk_ty5d1Px7e_BLABiOmrTX5-jf439QsCc32r</recordid><startdate>20171101</startdate><enddate>20171101</enddate><creator>Valencia-Nuñez, Diana M.</creator><creator>Kreutler, Willy</creator><creator>Moya-Gonzalez, Javier</creator><creator>Alados-Arboledas, Pedro</creator><creator>Muñoz-Carvajal, Ignacio</creator><creator>Carmona, Andrés</creator><creator>Ramirez-Chamond, Rafael</creator><creator>Carracedo-Añon, Julia</creator><general>Springer Japan</general><general>Springer Nature B.V</general><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>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20171101</creationdate><title>Endothelial vascular markers in coronary surgery</title><author>Valencia-Nuñez, Diana M. ; Kreutler, Willy ; Moya-Gonzalez, Javier ; Alados-Arboledas, Pedro ; Muñoz-Carvajal, Ignacio ; Carmona, Andrés ; Ramirez-Chamond, Rafael ; Carracedo-Añon, Julia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-1c4439dbdd038844d48157211dff82c917e9d011b512ae0c4964a86ae970bd0a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Angiogenesis</topic><topic>Annexin V</topic><topic>Annexins - blood</topic><topic>Arteriosclerosis</topic><topic>Atherosclerosis</topic><topic>Biomarkers - blood</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>CD34 antigen</topic><topic>Cell-Derived Microparticles - metabolism</topic><topic>Cell-Derived Microparticles - pathology</topic><topic>Cells (biology)</topic><topic>Coronary artery disease</topic><topic>Coronary Artery Disease - blood</topic><topic>Coronary Artery Disease - physiopathology</topic><topic>Coronary Artery Disease - surgery</topic><topic>Coronary Vessels - metabolism</topic><topic>Coronary Vessels - physiopathology</topic><topic>Coronary Vessels - surgery</topic><topic>Correlation analysis</topic><topic>Cytometry</topic><topic>Endothelial Progenitor Cells - metabolism</topic><topic>Endothelial Progenitor Cells - pathology</topic><topic>Endothelium</topic><topic>Endothelium, Vascular - metabolism</topic><topic>Endothelium, Vascular - pathology</topic><topic>Endothelium, Vascular - physiopathology</topic><topic>Flow Cytometry</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Heart diseases</topic><topic>Heart surgery</topic><topic>Humans</topic><topic>Inflammation</topic><topic>Inflammatory response</topic><topic>Ischemia</topic><topic>Medicine</topic><topic>Medicine &amp; 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Endothelial dysfunction in affected patients is linked to long-term atherosclerotic disease progression and cardiovascular event rates. The present paper reports on changes in the levels of endothelial progenitor cells (VEGFR2/CD133/CD34), essential for endothelial repair, and of endothelial microvesicles (CD31/annexin V) as indicators of endothelial lesion, in patients undergoing coronary bypass surgery with respect both to baseline levels and to counts in healthy subjects. In an observational descriptive study, 31 patients scheduled for coronary revascularization surgery were compared with those of 25 healthy controls. In a subsequent longitudinal study, patients undergoing surgery were monitored at 5 timepoints up until 48 h after surgery. Endothelial progenitor cell (VEGFR2/CD133/CD34) and endothelial microvesicle (CD31/annexin V) levels were quantified by flow cytometry. Baseline endothelial progenitor cell counts in coronary patients were significantly lower than those of healthy controls ( p  &lt; 0.001); however, after surgery, levels rose steadily over all 5 timepoints to 48 h  with statistically significant differences ( p  &lt; 0.001) between intra-operative and 48 h after surgery (T5). Endothelial microvesicle levels were significantly higher in coronary patients prior to surgery than in healthy controls ( p  &lt; 0.001), and despite declining at 48 h remained significantly higher than those of controls ( p  &lt; 0.001). Coronary surgery has had a positive impact on the endothelium in the patients, prompting a decrease in signs of endothelial dysfunction and a considerable improvement in the endothelial repair mechanisms involved in angiogenesis, playing an important role in the inflammatory response and the remodelling process of ischemic myocardium in postoperative period.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>28623398</pmid><doi>10.1007/s00380-017-1006-3</doi><tpages>10</tpages></addata></record>
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subjects Angiogenesis
Annexin V
Annexins - blood
Arteriosclerosis
Atherosclerosis
Biomarkers - blood
Biomedical Engineering and Bioengineering
Cardiac Surgery
Cardiology
Cardiovascular disease
Cardiovascular diseases
CD34 antigen
Cell-Derived Microparticles - metabolism
Cell-Derived Microparticles - pathology
Cells (biology)
Coronary artery disease
Coronary Artery Disease - blood
Coronary Artery Disease - physiopathology
Coronary Artery Disease - surgery
Coronary Vessels - metabolism
Coronary Vessels - physiopathology
Coronary Vessels - surgery
Correlation analysis
Cytometry
Endothelial Progenitor Cells - metabolism
Endothelial Progenitor Cells - pathology
Endothelium
Endothelium, Vascular - metabolism
Endothelium, Vascular - pathology
Endothelium, Vascular - physiopathology
Flow Cytometry
Follow-Up Studies
Heart
Heart diseases
Heart surgery
Humans
Inflammation
Inflammatory response
Ischemia
Medicine
Medicine & Public Health
Morbidity
Myocardial Revascularization
Myocardium
Original Article
Patients
Postoperative Period
Progenitor cells
Prognosis
Prospective Studies
Repair
Statistical analysis
Stem cells
Surgery
Vascular Surgery
Vasodilation - physiology
title Endothelial vascular markers in coronary surgery
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