Assessment of IgG antibodies to oxidized LDL in patients with acute coronary syndrome

Objectives. Circulating IgG antibodies to oxidized low-density lipoprotein (anti-oxLDL) have been implicated in the development of atherosclerotic plaques. In this study, we investigated the prognostic value of IgG anti-oxLDL antibodies in patients with acute coronary syndrome (ACS). Methods. In tot...

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Veröffentlicht in:Lupus 2011-06, Vol.20 (7), p.730-735
Hauptverfasser: Laczik, R, Szodoray, P, Veres, K, Szomják, E, Csípő, I, Sipka, S, Shoenfeld, Y, Szekanecz, Z, Soltész, P
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container_end_page 735
container_issue 7
container_start_page 730
container_title Lupus
container_volume 20
creator Laczik, R
Szodoray, P
Veres, K
Szomják, E
Csípő, I
Sipka, S
Shoenfeld, Y
Szekanecz, Z
Soltész, P
description Objectives. Circulating IgG antibodies to oxidized low-density lipoprotein (anti-oxLDL) have been implicated in the development of atherosclerotic plaques. In this study, we investigated the prognostic value of IgG anti-oxLDL antibodies in patients with acute coronary syndrome (ACS). Methods. In total 54 patients with ACS and 41 matched healthy controls were involved in this prospective study. Serum IgG anti-oxLDL levels were assessed by ELISA. Results. Higher IgG anti-oxLDL levels were found in patients with ACS versus controls (22.8 ± 23.3 vs. 7.5 ± 5.27 EU/ml, p 
doi_str_mv 10.1177/0961203311398884
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Circulating IgG antibodies to oxidized low-density lipoprotein (anti-oxLDL) have been implicated in the development of atherosclerotic plaques. In this study, we investigated the prognostic value of IgG anti-oxLDL antibodies in patients with acute coronary syndrome (ACS). Methods. In total 54 patients with ACS and 41 matched healthy controls were involved in this prospective study. Serum IgG anti-oxLDL levels were assessed by ELISA. Results. Higher IgG anti-oxLDL levels were found in patients with ACS versus controls (22.8 ± 23.3 vs. 7.5 ± 5.27 EU/ml, p &lt; 0.0001). IgG anti-oxLDL concentrations were significantly higher in ACS patients with unstable clinical complications (circulatory insufficiency, malignant arrhythmias, recurring ischaemic pain, positive stress-test, need for urgent coronary intervention or sudden cardiac death) versus those without such complications (30.0 vs. 11.7 EU/ml, p &lt; 0.001). Twelve patients (22%) were taking statins. Patients on statins had a significant reduction in clinical complications (33%) versus patients not receiving statin therapy (61%). IgG anti-oxLDL levels were also different in these two groups (11.4 vs. 25.8 EU/ml, respectively; p = 0.03). Serum IgG anti-oxLDL levels correlated with the subsequent development of unstable coronary events. Levels of anti-oxLDL significantly decreased in response to statin therapy, independently of its lipid-lowering effect. Conclusions. Anti-oxLDL antibodies are involved in ACS. The association of anti-oxLDL with unstable clinical complications may indicate the role of this antibody in plaque destabilization.</description><identifier>ISSN: 0961-2033</identifier><identifier>EISSN: 1477-0962</identifier><identifier>DOI: 10.1177/0961203311398884</identifier><identifier>PMID: 21505011</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Acute Coronary Syndrome - blood ; Acute Coronary Syndrome - drug therapy ; Acute Coronary Syndrome - immunology ; Acute coronary syndromes ; Adult ; Aged ; Antibodies ; Arrhythmia ; Arteriosclerosis ; Atherosclerosis ; Autoantibodies - immunology ; Case-Control Studies ; Enzyme-Linked Immunosorbent Assay ; Female ; Heart ; Heart attacks ; Humans ; Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology ; Immunoglobulin G ; Immunoglobulin G - blood ; Immunology ; Internal medicine ; Lipids ; Lipoproteins ; Lipoproteins (low density) ; Lipoproteins, LDL - immunology ; Male ; Medicine ; Middle Aged ; Pain ; Plaque, Atherosclerotic - immunology ; Plaques ; Prognosis ; Prospective Studies ; Science ; Statins</subject><ispartof>Lupus, 2011-06, Vol.20 (7), p.730-735</ispartof><rights>The Author(s), 2011. 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Circulating IgG antibodies to oxidized low-density lipoprotein (anti-oxLDL) have been implicated in the development of atherosclerotic plaques. In this study, we investigated the prognostic value of IgG anti-oxLDL antibodies in patients with acute coronary syndrome (ACS). Methods. In total 54 patients with ACS and 41 matched healthy controls were involved in this prospective study. Serum IgG anti-oxLDL levels were assessed by ELISA. Results. Higher IgG anti-oxLDL levels were found in patients with ACS versus controls (22.8 ± 23.3 vs. 7.5 ± 5.27 EU/ml, p &lt; 0.0001). IgG anti-oxLDL concentrations were significantly higher in ACS patients with unstable clinical complications (circulatory insufficiency, malignant arrhythmias, recurring ischaemic pain, positive stress-test, need for urgent coronary intervention or sudden cardiac death) versus those without such complications (30.0 vs. 11.7 EU/ml, p &lt; 0.001). Twelve patients (22%) were taking statins. Patients on statins had a significant reduction in clinical complications (33%) versus patients not receiving statin therapy (61%). IgG anti-oxLDL levels were also different in these two groups (11.4 vs. 25.8 EU/ml, respectively; p = 0.03). Serum IgG anti-oxLDL levels correlated with the subsequent development of unstable coronary events. Levels of anti-oxLDL significantly decreased in response to statin therapy, independently of its lipid-lowering effect. Conclusions. Anti-oxLDL antibodies are involved in ACS. 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Circulating IgG antibodies to oxidized low-density lipoprotein (anti-oxLDL) have been implicated in the development of atherosclerotic plaques. In this study, we investigated the prognostic value of IgG anti-oxLDL antibodies in patients with acute coronary syndrome (ACS). Methods. In total 54 patients with ACS and 41 matched healthy controls were involved in this prospective study. Serum IgG anti-oxLDL levels were assessed by ELISA. Results. Higher IgG anti-oxLDL levels were found in patients with ACS versus controls (22.8 ± 23.3 vs. 7.5 ± 5.27 EU/ml, p &lt; 0.0001). IgG anti-oxLDL concentrations were significantly higher in ACS patients with unstable clinical complications (circulatory insufficiency, malignant arrhythmias, recurring ischaemic pain, positive stress-test, need for urgent coronary intervention or sudden cardiac death) versus those without such complications (30.0 vs. 11.7 EU/ml, p &lt; 0.001). Twelve patients (22%) were taking statins. Patients on statins had a significant reduction in clinical complications (33%) versus patients not receiving statin therapy (61%). IgG anti-oxLDL levels were also different in these two groups (11.4 vs. 25.8 EU/ml, respectively; p = 0.03). Serum IgG anti-oxLDL levels correlated with the subsequent development of unstable coronary events. Levels of anti-oxLDL significantly decreased in response to statin therapy, independently of its lipid-lowering effect. Conclusions. Anti-oxLDL antibodies are involved in ACS. The association of anti-oxLDL with unstable clinical complications may indicate the role of this antibody in plaque destabilization.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>21505011</pmid><doi>10.1177/0961203311398884</doi><tpages>6</tpages></addata></record>
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subjects Acute Coronary Syndrome - blood
Acute Coronary Syndrome - drug therapy
Acute Coronary Syndrome - immunology
Acute coronary syndromes
Adult
Aged
Antibodies
Arrhythmia
Arteriosclerosis
Atherosclerosis
Autoantibodies - immunology
Case-Control Studies
Enzyme-Linked Immunosorbent Assay
Female
Heart
Heart attacks
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors - pharmacology
Immunoglobulin G
Immunoglobulin G - blood
Immunology
Internal medicine
Lipids
Lipoproteins
Lipoproteins (low density)
Lipoproteins, LDL - immunology
Male
Medicine
Middle Aged
Pain
Plaque, Atherosclerotic - immunology
Plaques
Prognosis
Prospective Studies
Science
Statins
title Assessment of IgG antibodies to oxidized LDL in patients with acute coronary syndrome
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