Angiotensin II receptors from peritransplantation through first-year post-transplantation and the risk of transplant coronary artery disease

We evaluated whether the angiotensin II (Ang II) receptors from perioperation through one-year post-transplantation predict the transplant coronary artery disease (TCAD) progression. The role of Ang II receptors (type 1: AT1R; type 2: AT2R) in TCAD is uncertain. We investigated 28 heart donors and t...

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Veröffentlicht in:Journal of the American College of Cardiology 2004-05, Vol.43 (9), p.1565-1573
Hauptverfasser: Yousufuddin, Mohammed, Cook, Daniel J, Starling, Randall C, Abdo, Ashraf, Paul, Philip, Tuzcu, E.Murat, Ratliff, Norman B, McCarthy, Patrick M, Young, James B, Yamani, Mohamad H
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container_end_page 1573
container_issue 9
container_start_page 1565
container_title Journal of the American College of Cardiology
container_volume 43
creator Yousufuddin, Mohammed
Cook, Daniel J
Starling, Randall C
Abdo, Ashraf
Paul, Philip
Tuzcu, E.Murat
Ratliff, Norman B
McCarthy, Patrick M
Young, James B
Yamani, Mohamad H
description We evaluated whether the angiotensin II (Ang II) receptors from perioperation through one-year post-transplantation predict the transplant coronary artery disease (TCAD) progression. The role of Ang II receptors (type 1: AT1R; type 2: AT2R) in TCAD is uncertain. We investigated 28 heart donors and the corresponding recipients. The levels of AT1R and AT2R messenger ribonucleic acid (mRNA) were examined in lymphocytes from the donor spleen and in the donor heart at one-week and one-year posttransplantation to determine their association with the progression of TCAD, measured as changes in maximal intimal thickness (CMIT) and plaque volume (CPV) by intravascular ultrasound (IVUS) examinations. The AT1R mRNA in lymphocytes from the donor spleen (CMIT: r = 0.73, p < 0.0001; CPV: r = 0.69, p < 0.0001) and in the donor hearts at one-week (CMIT: r = 0.52, p = 0.005; CPV: r = 0.56, p = 0.002) and at one-year (CMIT: r = 0.63, p < 0.0001; CPV: r = 0.43, p = 0.004) post-transplantation along with AT2R mRNA in the donor hearts at one-year post-transplantation (CMIT: r = 0.3, p < 0.0001; CPV: r = 0.53, p = 0.009) were univariate predictors, whereas AT1R mRNA in lymphocytes and in the donor hearts at one-year post-transplantation proved to be multivariate predictors of the progression of TCAD. These data suggest a role for Ang II receptors in the pathogenesis of TCAD and support a novel concept that TCAD may have its origin in the donor per se and may be modulated by the recipient's inherent biological factors.
doi_str_mv 10.1016/j.jacc.2003.11.060
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The role of Ang II receptors (type 1: AT1R; type 2: AT2R) in TCAD is uncertain. We investigated 28 heart donors and the corresponding recipients. The levels of AT1R and AT2R messenger ribonucleic acid (mRNA) were examined in lymphocytes from the donor spleen and in the donor heart at one-week and one-year posttransplantation to determine their association with the progression of TCAD, measured as changes in maximal intimal thickness (CMIT) and plaque volume (CPV) by intravascular ultrasound (IVUS) examinations. The AT1R mRNA in lymphocytes from the donor spleen (CMIT: r = 0.73, p &lt; 0.0001; CPV: r = 0.69, p &lt; 0.0001) and in the donor hearts at one-week (CMIT: r = 0.52, p = 0.005; CPV: r = 0.56, p = 0.002) and at one-year (CMIT: r = 0.63, p &lt; 0.0001; CPV: r = 0.43, p = 0.004) post-transplantation along with AT2R mRNA in the donor hearts at one-year post-transplantation (CMIT: r = 0.3, p &lt; 0.0001; CPV: r = 0.53, p = 0.009) were univariate predictors, whereas AT1R mRNA in lymphocytes and in the donor hearts at one-year post-transplantation proved to be multivariate predictors of the progression of TCAD. 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The role of Ang II receptors (type 1: AT1R; type 2: AT2R) in TCAD is uncertain. We investigated 28 heart donors and the corresponding recipients. The levels of AT1R and AT2R messenger ribonucleic acid (mRNA) were examined in lymphocytes from the donor spleen and in the donor heart at one-week and one-year posttransplantation to determine their association with the progression of TCAD, measured as changes in maximal intimal thickness (CMIT) and plaque volume (CPV) by intravascular ultrasound (IVUS) examinations. The AT1R mRNA in lymphocytes from the donor spleen (CMIT: r = 0.73, p &lt; 0.0001; CPV: r = 0.69, p &lt; 0.0001) and in the donor hearts at one-week (CMIT: r = 0.52, p = 0.005; CPV: r = 0.56, p = 0.002) and at one-year (CMIT: r = 0.63, p &lt; 0.0001; CPV: r = 0.43, p = 0.004) post-transplantation along with AT2R mRNA in the donor hearts at one-year post-transplantation (CMIT: r = 0.3, p &lt; 0.0001; CPV: r = 0.53, p = 0.009) were univariate predictors, whereas AT1R mRNA in lymphocytes and in the donor hearts at one-year post-transplantation proved to be multivariate predictors of the progression of TCAD. These data suggest a role for Ang II receptors in the pathogenesis of TCAD and support a novel concept that TCAD may have its origin in the donor per se and may be modulated by the recipient's inherent biological factors.</description><subject>Adult</subject><subject>Aged</subject><subject>Angiotensin-Converting Enzyme Inhibitors - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Biopsy</subject><subject>Cardiology</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular disease</subject><subject>Coronary Artery Disease - epidemiology</subject><subject>Coronary Artery Disease - etiology</subject><subject>Coronary Artery Disease - metabolism</subject><subject>Coronary heart disease</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - metabolism</subject><subject>Coronary Vessels - pathology</subject><subject>Cytomegalovirus</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Fluorescent Antibody Technique</subject><subject>Follow-Up Studies</subject><subject>Heart</subject><subject>Heart Failure - drug therapy</subject><subject>Heart Failure - metabolism</subject><subject>Heart Failure - surgery</subject><subject>Heart Transplantation</subject><subject>Humans</subject><subject>Lymphocytes</subject><subject>Lymphocytes - metabolism</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Multivariate Analysis</subject><subject>Pathogenesis</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - metabolism</subject><subject>Predictive Value of Tests</subject><subject>Receptor, Angiotensin, Type 1 - biosynthesis</subject><subject>Receptors, Angiotensin - biosynthesis</subject><subject>Risk Factors</subject><subject>RNA, Messenger - metabolism</subject><subject>Spleen</subject><subject>Studies</subject><subject>Tissue Donors</subject><subject>Transplants &amp; implants</subject><subject>Treatment Outcome</subject><subject>Tunica Intima - diagnostic imaging</subject><subject>Tunica Intima - metabolism</subject><subject>Tunica Intima - pathology</subject><subject>Ultrasonography, Interventional</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc2KFDEQgIMo7rj6Ah4kIHrrtqq70-kGL8viz8CCFz2HTLqym3YmaZO0sO_gQ5thBlb24KlC6quiqj7GXiPUCNh_mOtZG1M3AG2NWEMPT9gGhRiqVozyKduAbEWFMMoL9iKlGQD6Acfn7AIFNjBgu2F_rvytC5l8cp5vtzySoSWHmLiN4cAXii5H7dOy1z7r7ILn-S6G9faOWxdTru5JR76E8nrMaT8Vlnh06ScPlj_kuQkxeB3vuY6ZSphcIp3oJXtm9T7Rq3O8ZD8-f_p-_bW6-fZle311U5muE7kyoxSdHTQa2wxT33TDKKgfetzt5GSg64EAmpFa0iWDrTVGgJ2old3YU_m_ZO9PfZcYfq2Usjq4ZGhfZqOwJiVxGLsWmwK-fQTOYY2-zKZQQI-dHOVQqOZEmRhSimTVEt2hrKcQ1NGUmtXRlDqaUoiqmCpFb86t192BpoeSs5oCvDsDOhm9t-V6xqV_ONmITsrCfTxxVC7221FUyTjyhiZXZGY1Bfe_Of4CLIi0lg</recordid><startdate>20040505</startdate><enddate>20040505</enddate><creator>Yousufuddin, Mohammed</creator><creator>Cook, Daniel J</creator><creator>Starling, Randall C</creator><creator>Abdo, Ashraf</creator><creator>Paul, Philip</creator><creator>Tuzcu, E.Murat</creator><creator>Ratliff, Norman B</creator><creator>McCarthy, Patrick M</creator><creator>Young, James B</creator><creator>Yamani, Mohamad H</creator><general>Elsevier Inc</general><general>Elsevier Science</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><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>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20040505</creationdate><title>Angiotensin II receptors from peritransplantation through first-year post-transplantation and the risk of transplant coronary artery disease</title><author>Yousufuddin, Mohammed ; Cook, Daniel J ; Starling, Randall C ; Abdo, Ashraf ; Paul, Philip ; Tuzcu, E.Murat ; Ratliff, Norman B ; McCarthy, Patrick M ; Young, James B ; Yamani, Mohamad H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-c9754f8a1cf28d624895e6861bb7dc0460e0029e3ea89513fcc50fde37496e9e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Angiotensin-Converting Enzyme Inhibitors - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Biopsy</topic><topic>Cardiology</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular disease</topic><topic>Coronary Artery Disease - epidemiology</topic><topic>Coronary Artery Disease - etiology</topic><topic>Coronary Artery Disease - metabolism</topic><topic>Coronary heart disease</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Coronary Vessels - metabolism</topic><topic>Coronary Vessels - pathology</topic><topic>Cytomegalovirus</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Fluorescent Antibody Technique</topic><topic>Follow-Up Studies</topic><topic>Heart</topic><topic>Heart Failure - drug therapy</topic><topic>Heart Failure - metabolism</topic><topic>Heart Failure - surgery</topic><topic>Heart Transplantation</topic><topic>Humans</topic><topic>Lymphocytes</topic><topic>Lymphocytes - metabolism</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Multivariate Analysis</topic><topic>Pathogenesis</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - metabolism</topic><topic>Predictive Value of Tests</topic><topic>Receptor, Angiotensin, Type 1 - biosynthesis</topic><topic>Receptors, Angiotensin - biosynthesis</topic><topic>Risk Factors</topic><topic>RNA, Messenger - metabolism</topic><topic>Spleen</topic><topic>Studies</topic><topic>Tissue Donors</topic><topic>Transplants &amp; implants</topic><topic>Treatment Outcome</topic><topic>Tunica Intima - diagnostic imaging</topic><topic>Tunica Intima - metabolism</topic><topic>Tunica Intima - pathology</topic><topic>Ultrasonography, Interventional</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yousufuddin, Mohammed</creatorcontrib><creatorcontrib>Cook, Daniel J</creatorcontrib><creatorcontrib>Starling, Randall C</creatorcontrib><creatorcontrib>Abdo, Ashraf</creatorcontrib><creatorcontrib>Paul, Philip</creatorcontrib><creatorcontrib>Tuzcu, E.Murat</creatorcontrib><creatorcontrib>Ratliff, Norman B</creatorcontrib><creatorcontrib>McCarthy, Patrick M</creatorcontrib><creatorcontrib>Young, James B</creatorcontrib><creatorcontrib>Yamani, Mohamad H</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yousufuddin, Mohammed</au><au>Cook, Daniel J</au><au>Starling, Randall C</au><au>Abdo, Ashraf</au><au>Paul, Philip</au><au>Tuzcu, E.Murat</au><au>Ratliff, Norman B</au><au>McCarthy, Patrick M</au><au>Young, James B</au><au>Yamani, Mohamad H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Angiotensin II receptors from peritransplantation through first-year post-transplantation and the risk of transplant coronary artery disease</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2004-05-05</date><risdate>2004</risdate><volume>43</volume><issue>9</issue><spage>1565</spage><epage>1573</epage><pages>1565-1573</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>We evaluated whether the angiotensin II (Ang II) receptors from perioperation through one-year post-transplantation predict the transplant coronary artery disease (TCAD) progression. The role of Ang II receptors (type 1: AT1R; type 2: AT2R) in TCAD is uncertain. We investigated 28 heart donors and the corresponding recipients. The levels of AT1R and AT2R messenger ribonucleic acid (mRNA) were examined in lymphocytes from the donor spleen and in the donor heart at one-week and one-year posttransplantation to determine their association with the progression of TCAD, measured as changes in maximal intimal thickness (CMIT) and plaque volume (CPV) by intravascular ultrasound (IVUS) examinations. The AT1R mRNA in lymphocytes from the donor spleen (CMIT: r = 0.73, p &lt; 0.0001; CPV: r = 0.69, p &lt; 0.0001) and in the donor hearts at one-week (CMIT: r = 0.52, p = 0.005; CPV: r = 0.56, p = 0.002) and at one-year (CMIT: r = 0.63, p &lt; 0.0001; CPV: r = 0.43, p = 0.004) post-transplantation along with AT2R mRNA in the donor hearts at one-year post-transplantation (CMIT: r = 0.3, p &lt; 0.0001; CPV: r = 0.53, p = 0.009) were univariate predictors, whereas AT1R mRNA in lymphocytes and in the donor hearts at one-year post-transplantation proved to be multivariate predictors of the progression of TCAD. 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subjects Adult
Aged
Angiotensin-Converting Enzyme Inhibitors - therapeutic use
Biological and medical sciences
Biopsy
Cardiology
Cardiology. Vascular system
Cardiovascular disease
Coronary Artery Disease - epidemiology
Coronary Artery Disease - etiology
Coronary Artery Disease - metabolism
Coronary heart disease
Coronary Vessels - diagnostic imaging
Coronary Vessels - metabolism
Coronary Vessels - pathology
Cytomegalovirus
Disease Progression
Female
Fluorescent Antibody Technique
Follow-Up Studies
Heart
Heart Failure - drug therapy
Heart Failure - metabolism
Heart Failure - surgery
Heart Transplantation
Humans
Lymphocytes
Lymphocytes - metabolism
Male
Medical sciences
Middle Aged
Mortality
Multivariate Analysis
Pathogenesis
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - metabolism
Predictive Value of Tests
Receptor, Angiotensin, Type 1 - biosynthesis
Receptors, Angiotensin - biosynthesis
Risk Factors
RNA, Messenger - metabolism
Spleen
Studies
Tissue Donors
Transplants & implants
Treatment Outcome
Tunica Intima - diagnostic imaging
Tunica Intima - metabolism
Tunica Intima - pathology
Ultrasonography, Interventional
title Angiotensin II receptors from peritransplantation through first-year post-transplantation and the risk of transplant coronary artery disease
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