Association between Prior Cytomegalovirus Infection and the Risk of Restenosis after Coronary Atherectomy

Neointimal hyperplasia and arterial remodeling cause restenosis in 20 to 50 percent of patients who have undergone coronary angioplasty. 1 , 2 Although the mechanisms are unknown, previous findings have raised the possibility that cytomegalovirus (CMV) contributes to the development of restenosis in...

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Veröffentlicht in:The New England journal of medicine 1996-08, Vol.335 (9), p.624-630
Hauptverfasser: Zhou, Yi Fu, Leon, Martin B, Waclawiw, Myron A, Popma, Jeffery J, Yu, Zu Xi, Finkel, Toren, Epstein, Stephen E
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container_end_page 630
container_issue 9
container_start_page 624
container_title The New England journal of medicine
container_volume 335
creator Zhou, Yi Fu
Leon, Martin B
Waclawiw, Myron A
Popma, Jeffery J
Yu, Zu Xi
Finkel, Toren
Epstein, Stephen E
description Neointimal hyperplasia and arterial remodeling cause restenosis in 20 to 50 percent of patients who have undergone coronary angioplasty. 1 , 2 Although the mechanisms are unknown, previous findings have raised the possibility that cytomegalovirus (CMV) contributes to the development of restenosis in some patients. 3 In approximately one third of patients with restenosis, the lesions contain CMV DNA sequences. Smooth-muscle cells grown from such lesions express IE84, one of the virus's immediate early proteins, and IE84 binds to and inhibits the p53 tumor-suppressor gene product. These effects may enhance the proliferation of smooth-muscle cells or inhibit apoptosis, either of which may contribute . . .
doi_str_mv 10.1056/NEJM199608293350903
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Smooth-muscle cells grown from such lesions express IE84, one of the virus's immediate early proteins, and IE84 binds to and inhibits the p53 tumor-suppressor gene product. 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Smooth-muscle cells grown from such lesions express IE84, one of the virus's immediate early proteins, and IE84 binds to and inhibits the p53 tumor-suppressor gene product. These effects may enhance the proliferation of smooth-muscle cells or inhibit apoptosis, either of which may contribute . . .</description><subject>Adult</subject><subject>Aged</subject><subject>Angioplasty</subject><subject>Antibodies, Viral - blood</subject><subject>Apoptosis</subject><subject>Atherectomy, Coronary</subject><subject>Biological and medical sciences</subject><subject>Cell cycle</subject><subject>Cineangiography</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - surgery</subject><subject>Coronary Artery Disease - virology</subject><subject>Coronary Disease - diagnostic imaging</subject><subject>Coronary Disease - surgery</subject><subject>Coronary Disease - virology</subject><subject>Cytomegalovirus</subject><subject>Cytomegalovirus - immunology</subject><subject>Cytomegalovirus Infections - complications</subject><subject>Cytomegalovirus Infections - immunology</subject><subject>Female</subject><subject>Gene expression</subject><subject>Hepatitis Antibodies - blood</subject><subject>Hepatovirus - immunology</subject><subject>Humans</subject><subject>Immunoglobulin G - blood</subject><subject>Linear Models</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Recurrence</subject><subject>Risk Factors</subject><subject>Serologic Tests</subject><subject>Surgery (general aspects). 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subjects Adult
Aged
Angioplasty
Antibodies, Viral - blood
Apoptosis
Atherectomy, Coronary
Biological and medical sciences
Cell cycle
Cineangiography
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - surgery
Coronary Artery Disease - virology
Coronary Disease - diagnostic imaging
Coronary Disease - surgery
Coronary Disease - virology
Cytomegalovirus
Cytomegalovirus - immunology
Cytomegalovirus Infections - complications
Cytomegalovirus Infections - immunology
Female
Gene expression
Hepatitis Antibodies - blood
Hepatovirus - immunology
Humans
Immunoglobulin G - blood
Linear Models
Logistic Models
Male
Medical sciences
Middle Aged
Multivariate Analysis
Patients
Prospective Studies
Recurrence
Risk Factors
Serologic Tests
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
title Association between Prior Cytomegalovirus Infection and the Risk of Restenosis after Coronary Atherectomy
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