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The Association of Serum Neutrophil Markers and Acute Coronary Syndrome

Identifieur interne : 003684 ( Main/Exploration ); précédent : 003683; suivant : 003685

The Association of Serum Neutrophil Markers and Acute Coronary Syndrome

Auteurs : Hatem Alfakry [Finlande] ; Juha Sinisalo [Finlande] ; Susanna Paju [Finlande] ; Markku S. Nieminen [Finlande] ; Ville Valtonen [Finlande] ; Taina Tervahartiala [Finlande] ; Pirkko J. Pussinen [Finlande] ; Timo Sorsa [Finlande]

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RBID : ISTEX:874063A2071B92C09D9B599C2B3F50C9AC577A91

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English descriptors

Abstract

An association exists between chronic infection‐induced inflammation, such as periodontitis, and acute coronary syndrome (ACS). We studied the association of serum neutrophil markers, myeloperoxidase (MPO), matrix metalloproteinase (MMP)‐8, tissue inhibitor of metalloproteinase (TIMP)‐1 concentrations and MMP‐8/TIMP‐1 ratio, with the risk of recurrent ACS. Radiographic periodontal status was recorded from 141 patients with acute non‐Q‐wave infarction or unstable angina pectoris, who participated in a double‐blind, placebo‐controlled study with clarithromycin for 3 months. Serum samples were collected within arrival to the hospital, at 1 week, 3 months and 1 year. Recurrent ACS events were registered during the 1‐year follow‐up. In the whole population, high serum MPO concentrations at 1 week (fourth quartile versus quartiles 1–3) were associated with the risk of recurrent ACS with a relative risk (RR) of 2.52 (95% CI, 1.277–4.980; P = 0.008). In patients without periodontal disease, high MPO concentration at 1 week and 1 year predicted recurrent ACS with RRs of 3.54 (1.600–7.831; P = 0.002) and 2.87 (1.171–7.038; P = 0.021), respectively. In the placebo group, but not in the clarithromycin group, high serum MMP‐8/TIMP‐1 ratio at 1 week predicted recurrent ACS with an RR of 3.23 (1.295–8.063; P = 0.012). Our results suggest that high serum neutrophil markers reflect increased risk of recurrent ACS, especially in patients without periodontal disease and not receiving antimicrobial medication.

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DOI: 10.1111/j.1365-3083.2012.02718.x


Affiliations:


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<term>Atherosclerotic lesions</term>
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<term>Blackwell publishing</term>
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<term>Dental status</term>
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<term>Hatem alfakry</term>
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<term>High serum</term>
<term>High serum ratio</term>
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<term>Major molecule</term>
<term>Marker</term>
<term>Matrix</term>
<term>Matrix metalloproteinases</term>
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<term>Mmps</term>
<term>Myeloperoxidase</term>
<term>Myocardial infarction</term>
<term>Neutrophil</term>
<term>Nonperiodontitis patients</term>
<term>Periodontal</term>
<term>Periodontal breakdown</term>
<term>Periodontal disease</term>
<term>Periodontal infection</term>
<term>Periodontal pathogens</term>
<term>Periodontitis</term>
<term>Periodontitis patients</term>
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<term>Placebo group</term>
<term>Plaque rupture</term>
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<term>Previous studies</term>
<term>Protective factor</term>
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<term>Regression analysis</term>
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<term>Risk factor</term>
<term>Risk factors</term>
<term>Sampling points</term>
<term>Scandinavian journal</term>
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<term>Tissue destruction</term>
<term>Tissue inhibitor</term>
<term>Tissue inhibitors</term>
<term>Unstable angina pectoris</term>
<term>Value4</term>
<term>Value4 placebo clarithromycin</term>
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<term>Acute infarction</term>
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<term>Antimicrobial medication</term>
<term>Arterioscler thromb vasc biol</term>
<term>Atherosclerosis</term>
<term>Atherosclerotic lesions</term>
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<term>Blackwell publishing</term>
<term>Bras cardiol</term>
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<term>Chronic periodontitis</term>
<term>Clarithromycin</term>
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<term>Immunology</term>
<term>Major molecule</term>
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<term>Matrix</term>
<term>Matrix metalloproteinases</term>
<term>Metalloproteinases</term>
<term>Mmps</term>
<term>Myeloperoxidase</term>
<term>Myocardial infarction</term>
<term>Neutrophil</term>
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<term>Periodontal pathogens</term>
<term>Periodontitis</term>
<term>Periodontitis patients</term>
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<term>Placebo group</term>
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<front>
<div type="abstract" xml:lang="en">An association exists between chronic infection‐induced inflammation, such as periodontitis, and acute coronary syndrome (ACS). We studied the association of serum neutrophil markers, myeloperoxidase (MPO), matrix metalloproteinase (MMP)‐8, tissue inhibitor of metalloproteinase (TIMP)‐1 concentrations and MMP‐8/TIMP‐1 ratio, with the risk of recurrent ACS. Radiographic periodontal status was recorded from 141 patients with acute non‐Q‐wave infarction or unstable angina pectoris, who participated in a double‐blind, placebo‐controlled study with clarithromycin for 3 months. Serum samples were collected within arrival to the hospital, at 1 week, 3 months and 1 year. Recurrent ACS events were registered during the 1‐year follow‐up. In the whole population, high serum MPO concentrations at 1 week (fourth quartile versus quartiles 1–3) were associated with the risk of recurrent ACS with a relative risk (RR) of 2.52 (95% CI, 1.277–4.980; P = 0.008). In patients without periodontal disease, high MPO concentration at 1 week and 1 year predicted recurrent ACS with RRs of 3.54 (1.600–7.831; P = 0.002) and 2.87 (1.171–7.038; P = 0.021), respectively. In the placebo group, but not in the clarithromycin group, high serum MMP‐8/TIMP‐1 ratio at 1 week predicted recurrent ACS with an RR of 3.23 (1.295–8.063; P = 0.012). Our results suggest that high serum neutrophil markers reflect increased risk of recurrent ACS, especially in patients without periodontal disease and not receiving antimicrobial medication.</div>
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