Increased expression of peripheral benzodiazepine receptors on leukocytes in silent myocardial ischemia

OBJECTIVES The purpose of this study was to evaluate benzodiazepine receptor expression on leukocytes from patients with symptomatic or silent myocardial ischemia. BACKGROUND Silent myocardial ischemia is frequently observed in patients with coronary artery disease. Pain can be effectively controlle...

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Veröffentlicht in:Journal of the American College of Cardiology 2000-09, Vol.36 (3), p.746-750
Hauptverfasser: Mazzone, Antonino, Mazzucchelli, Iolanda, Vezzoli, Monia, Ottini, Elena, Auguadro, Carla, Serio, Alessandra, Falcone, Colomba
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container_end_page 750
container_issue 3
container_start_page 746
container_title Journal of the American College of Cardiology
container_volume 36
creator Mazzone, Antonino
Mazzucchelli, Iolanda
Vezzoli, Monia
Ottini, Elena
Auguadro, Carla
Serio, Alessandra
Falcone, Colomba
description OBJECTIVES The purpose of this study was to evaluate benzodiazepine receptor expression on leukocytes from patients with symptomatic or silent myocardial ischemia. BACKGROUND Silent myocardial ischemia is frequently observed in patients with coronary artery disease. Pain can be effectively controlled by various endogenous mechanisms. Benzodiazepines and their receptors play key roles in pain, in interactions with peptide opioids, in inflammation and in the response to stress. METHODS The study group consisted of 57 patients with reproducible exercise-induced myocardial ischemia. The presence of a constant behavior in the anginal pain perception during both exercise-induced ischemia and daily life was the most important inclusion criterion. Venous blood samples were taken from all patients to evaluate the expression of peripheral benzodiazepine receptors by flow cytometry. The study cohort was classified into two groups: 24 patients who had anginal pain both at home and during the exercise stress test and 33 patients who were asymptomatic during both daily life and exercise-induced ischemia. RESULTS Flow cytometry analysis showed increased expression of peripheral benzodiazepine receptors on all types of leukocytes in the asymptomatic patients. The difference was statistically significant for lymphocytes (p < 0.005), monocytes (p < 0.001) and granulocytes (p < 0.001). CONCLUSIONS These data show that expression of peripheral benzodiazepine receptors was higher in patients with silent myocardial ischemia than in symptomatic patients.
doi_str_mv 10.1016/S0735-1097(00)00778-6
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BACKGROUND Silent myocardial ischemia is frequently observed in patients with coronary artery disease. Pain can be effectively controlled by various endogenous mechanisms. Benzodiazepines and their receptors play key roles in pain, in interactions with peptide opioids, in inflammation and in the response to stress. METHODS The study group consisted of 57 patients with reproducible exercise-induced myocardial ischemia. The presence of a constant behavior in the anginal pain perception during both exercise-induced ischemia and daily life was the most important inclusion criterion. Venous blood samples were taken from all patients to evaluate the expression of peripheral benzodiazepine receptors by flow cytometry. The study cohort was classified into two groups: 24 patients who had anginal pain both at home and during the exercise stress test and 33 patients who were asymptomatic during both daily life and exercise-induced ischemia. RESULTS Flow cytometry analysis showed increased expression of peripheral benzodiazepine receptors on all types of leukocytes in the asymptomatic patients. The difference was statistically significant for lymphocytes (p &lt; 0.005), monocytes (p &lt; 0.001) and granulocytes (p &lt; 0.001). CONCLUSIONS These data show that expression of peripheral benzodiazepine receptors was higher in patients with silent myocardial ischemia than in symptomatic patients.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/S0735-1097(00)00778-6</identifier><identifier>PMID: 10987594</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Activities of Daily Living ; Aged ; Angina Pectoris - etiology ; Angina Pectoris - physiopathology ; Biological and medical sciences ; Cardiology. Vascular system ; Cohort Studies ; Coronary heart disease ; Exercise ; Exercise Test ; Female ; Flow Cytometry ; Granulocytes - metabolism ; Heart ; Humans ; Leukocytes - metabolism ; Male ; Medical sciences ; Middle Aged ; Monocytes - metabolism ; Myocardial Infarction - blood ; Myocardial Infarction - physiopathology ; Receptors, GABA-A - blood</subject><ispartof>Journal of the American College of Cardiology, 2000-09, Vol.36 (3), p.746-750</ispartof><rights>2000 American College of Cardiology</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-a464e0d56359b61fe739d96c3dbed5f56f15371a2e445d5bc63f955513307a1b3</citedby><cites>FETCH-LOGICAL-c424t-a464e0d56359b61fe739d96c3dbed5f56f15371a2e445d5bc63f955513307a1b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0735109700007786$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=1499402$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10987594$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mazzone, Antonino</creatorcontrib><creatorcontrib>Mazzucchelli, Iolanda</creatorcontrib><creatorcontrib>Vezzoli, Monia</creatorcontrib><creatorcontrib>Ottini, Elena</creatorcontrib><creatorcontrib>Auguadro, Carla</creatorcontrib><creatorcontrib>Serio, Alessandra</creatorcontrib><creatorcontrib>Falcone, Colomba</creatorcontrib><title>Increased expression of peripheral benzodiazepine receptors on leukocytes in silent myocardial ischemia</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>OBJECTIVES The purpose of this study was to evaluate benzodiazepine receptor expression on leukocytes from patients with symptomatic or silent myocardial ischemia. BACKGROUND Silent myocardial ischemia is frequently observed in patients with coronary artery disease. Pain can be effectively controlled by various endogenous mechanisms. Benzodiazepines and their receptors play key roles in pain, in interactions with peptide opioids, in inflammation and in the response to stress. METHODS The study group consisted of 57 patients with reproducible exercise-induced myocardial ischemia. The presence of a constant behavior in the anginal pain perception during both exercise-induced ischemia and daily life was the most important inclusion criterion. Venous blood samples were taken from all patients to evaluate the expression of peripheral benzodiazepine receptors by flow cytometry. The study cohort was classified into two groups: 24 patients who had anginal pain both at home and during the exercise stress test and 33 patients who were asymptomatic during both daily life and exercise-induced ischemia. RESULTS Flow cytometry analysis showed increased expression of peripheral benzodiazepine receptors on all types of leukocytes in the asymptomatic patients. The difference was statistically significant for lymphocytes (p &lt; 0.005), monocytes (p &lt; 0.001) and granulocytes (p &lt; 0.001). CONCLUSIONS These data show that expression of peripheral benzodiazepine receptors was higher in patients with silent myocardial ischemia than in symptomatic patients.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Angina Pectoris - etiology</subject><subject>Angina Pectoris - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Cardiology. 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Vascular system</topic><topic>Cohort Studies</topic><topic>Coronary heart disease</topic><topic>Exercise</topic><topic>Exercise Test</topic><topic>Female</topic><topic>Flow Cytometry</topic><topic>Granulocytes - metabolism</topic><topic>Heart</topic><topic>Humans</topic><topic>Leukocytes - metabolism</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Monocytes - metabolism</topic><topic>Myocardial Infarction - blood</topic><topic>Myocardial Infarction - physiopathology</topic><topic>Receptors, GABA-A - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mazzone, Antonino</creatorcontrib><creatorcontrib>Mazzucchelli, Iolanda</creatorcontrib><creatorcontrib>Vezzoli, Monia</creatorcontrib><creatorcontrib>Ottini, Elena</creatorcontrib><creatorcontrib>Auguadro, Carla</creatorcontrib><creatorcontrib>Serio, Alessandra</creatorcontrib><creatorcontrib>Falcone, Colomba</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>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>Mazzone, Antonino</au><au>Mazzucchelli, Iolanda</au><au>Vezzoli, Monia</au><au>Ottini, Elena</au><au>Auguadro, Carla</au><au>Serio, Alessandra</au><au>Falcone, Colomba</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Increased expression of peripheral benzodiazepine receptors on leukocytes in silent myocardial ischemia</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2000-09-01</date><risdate>2000</risdate><volume>36</volume><issue>3</issue><spage>746</spage><epage>750</epage><pages>746-750</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>OBJECTIVES The purpose of this study was to evaluate benzodiazepine receptor expression on leukocytes from patients with symptomatic or silent myocardial ischemia. 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subjects Activities of Daily Living
Aged
Angina Pectoris - etiology
Angina Pectoris - physiopathology
Biological and medical sciences
Cardiology. Vascular system
Cohort Studies
Coronary heart disease
Exercise
Exercise Test
Female
Flow Cytometry
Granulocytes - metabolism
Heart
Humans
Leukocytes - metabolism
Male
Medical sciences
Middle Aged
Monocytes - metabolism
Myocardial Infarction - blood
Myocardial Infarction - physiopathology
Receptors, GABA-A - blood
title Increased expression of peripheral benzodiazepine receptors on leukocytes in silent myocardial ischemia
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