Chemokines CCL3/MIP1α, CCL5/RANTES and CCL18/PARC are independent risk predictors of short-term mortality in patients with acute coronary syndromes.

Cytokines play an important role in ischemic injury and repair. However, little is known about their prognostic value in cardiovascular disease. The aim of this study was to investigate the prognostic importance of chemokines CCL3/MIP-1α, CCL5/RANTES and CCL18/PARC for the risk of future cardiovascu...

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Autores principales: Saskia C A de Jager, Brenda W C Bongaerts, Michael Weber, Adriaan O Kraaijeveld, Mat Rousch, Stefanie Dimmeler, Marja P van Dieijen-Visser, Kitty B J M Cleutjens, Patty J Nelemans, Theo J C van Berkel, Erik A L Biessen
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Publicado: Public Library of Science (PLoS) 2012
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spelling oai:doaj.org-article:a245f1e15c894d60856f4a3540d041e62021-11-18T07:04:30ZChemokines CCL3/MIP1α, CCL5/RANTES and CCL18/PARC are independent risk predictors of short-term mortality in patients with acute coronary syndromes.1932-620310.1371/journal.pone.0045804https://doaj.org/article/a245f1e15c894d60856f4a3540d041e62012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23029252/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203Cytokines play an important role in ischemic injury and repair. However, little is known about their prognostic value in cardiovascular disease. The aim of this study was to investigate the prognostic importance of chemokines CCL3/MIP-1α, CCL5/RANTES and CCL18/PARC for the risk of future cardiovascular events in patients with acute coronary syndromes (ACS). Baseline levels of CCL3/MIP-1α, CCL5/RANTES and CCL18/PARC were determined in ACS patients from the Bad Nauheim ACS II registry (n = 609). During the following 200 days, patients were monitored for the occurrence of fatal and non-fatal cardiovascular events. Patients with CCL3/MIP1α, CCL5/RANTES and CCL18/PARC concentrations in the highest tertile were associated with an increased risk of a fatal event during follow-up (HR: 2.19, 95%CI: 1.04-4.61 for CCL3/MIP1α, HR: 3.45, 95%CI: 1.54-7.72 for CCL5/RANTES and HR: 3.14, 95%CI: 1.33-7.46 for CCL18/PARC). This risk was highest for patients with all three biomarkers concentrations in the upper tertile (HR: 2.52, 95%CI: 1.11-5.65). Together with known risk predictors of cardiovascular events, CCL3/MIP-1α, CCL5/RANTES and CCL18/PARC combined improved the c-statistics from 0.74 to 0.81 (p = 0.007). In conclusion, CCL3/MIP-1α, CCL5/RANTES and CCL18/PARC are independently associated with the risk of short-term mortality in ACS patients. Combining all three biomarkers further increased their prognostic value.Saskia C A de JagerBrenda W C BongaertsMichael WeberAdriaan O KraaijeveldMat RouschStefanie DimmelerMarja P van Dieijen-VisserKitty B J M CleutjensPatty J NelemansTheo J C van BerkelErik A L BiessenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 9, p e45804 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Saskia C A de Jager
Brenda W C Bongaerts
Michael Weber
Adriaan O Kraaijeveld
Mat Rousch
Stefanie Dimmeler
Marja P van Dieijen-Visser
Kitty B J M Cleutjens
Patty J Nelemans
Theo J C van Berkel
Erik A L Biessen
Chemokines CCL3/MIP1α, CCL5/RANTES and CCL18/PARC are independent risk predictors of short-term mortality in patients with acute coronary syndromes.
description Cytokines play an important role in ischemic injury and repair. However, little is known about their prognostic value in cardiovascular disease. The aim of this study was to investigate the prognostic importance of chemokines CCL3/MIP-1α, CCL5/RANTES and CCL18/PARC for the risk of future cardiovascular events in patients with acute coronary syndromes (ACS). Baseline levels of CCL3/MIP-1α, CCL5/RANTES and CCL18/PARC were determined in ACS patients from the Bad Nauheim ACS II registry (n = 609). During the following 200 days, patients were monitored for the occurrence of fatal and non-fatal cardiovascular events. Patients with CCL3/MIP1α, CCL5/RANTES and CCL18/PARC concentrations in the highest tertile were associated with an increased risk of a fatal event during follow-up (HR: 2.19, 95%CI: 1.04-4.61 for CCL3/MIP1α, HR: 3.45, 95%CI: 1.54-7.72 for CCL5/RANTES and HR: 3.14, 95%CI: 1.33-7.46 for CCL18/PARC). This risk was highest for patients with all three biomarkers concentrations in the upper tertile (HR: 2.52, 95%CI: 1.11-5.65). Together with known risk predictors of cardiovascular events, CCL3/MIP-1α, CCL5/RANTES and CCL18/PARC combined improved the c-statistics from 0.74 to 0.81 (p = 0.007). In conclusion, CCL3/MIP-1α, CCL5/RANTES and CCL18/PARC are independently associated with the risk of short-term mortality in ACS patients. Combining all three biomarkers further increased their prognostic value.
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author Saskia C A de Jager
Brenda W C Bongaerts
Michael Weber
Adriaan O Kraaijeveld
Mat Rousch
Stefanie Dimmeler
Marja P van Dieijen-Visser
Kitty B J M Cleutjens
Patty J Nelemans
Theo J C van Berkel
Erik A L Biessen
author_facet Saskia C A de Jager
Brenda W C Bongaerts
Michael Weber
Adriaan O Kraaijeveld
Mat Rousch
Stefanie Dimmeler
Marja P van Dieijen-Visser
Kitty B J M Cleutjens
Patty J Nelemans
Theo J C van Berkel
Erik A L Biessen
author_sort Saskia C A de Jager
title Chemokines CCL3/MIP1α, CCL5/RANTES and CCL18/PARC are independent risk predictors of short-term mortality in patients with acute coronary syndromes.
title_short Chemokines CCL3/MIP1α, CCL5/RANTES and CCL18/PARC are independent risk predictors of short-term mortality in patients with acute coronary syndromes.
title_full Chemokines CCL3/MIP1α, CCL5/RANTES and CCL18/PARC are independent risk predictors of short-term mortality in patients with acute coronary syndromes.
title_fullStr Chemokines CCL3/MIP1α, CCL5/RANTES and CCL18/PARC are independent risk predictors of short-term mortality in patients with acute coronary syndromes.
title_full_unstemmed Chemokines CCL3/MIP1α, CCL5/RANTES and CCL18/PARC are independent risk predictors of short-term mortality in patients with acute coronary syndromes.
title_sort chemokines ccl3/mip1α, ccl5/rantes and ccl18/parc are independent risk predictors of short-term mortality in patients with acute coronary syndromes.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/a245f1e15c894d60856f4a3540d041e6
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