TRANSIENT REDUCTION OF AUTOANTIBODIES AGAINST OXIDIZED LDL IN PATIENTS WITH ACUTE MYOCARDIAL-INFARCTION

被引:49
作者
SCHUMACHER, M [1 ]
EBER, B [1 ]
TATZBER, F [1 ]
KAUFMANN, P [1 ]
HALWACHS, G [1 ]
FRUHWALD, FM [1 ]
ZWEIKER, R [1 ]
ESTERBAUER, H [1 ]
KLEIN, W [1 ]
机构
[1] GRAZ UNIV,INST BIOCHEM,A-8036 GRAZ,AUSTRIA
关键词
OXIDIZED LDL AUTOANTIBODIES; ACUTE MYOCARDIAL INFARCTION; FREE RADICALS;
D O I
10.1016/0891-5849(94)00216-7
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Fifteen consecutive patients (mean age 66 +/- 14, range 31-82) with an acute myocardial infarction (MI) suitable for thrombolytic therapy were included in this study. Autoantibodies against oxidized low-density lipoprotein (LDL) were determined by enzyme-linked immunosorbent assay (ELISA). Patients (n = 10) with marked elevation of the MB isoenzyme of creatinine kinase (CK-MB)-mass had significant decreases of oLDL-Ab during the acute phase, with a minimum after 8 h following the onset of thrombolytic therapy (within-group significance: p < .001; between groups: p = .01). Patients (n = 5) with CK-MB-mass values less than 70 ng/ml did not show this phenomenon. Furthermore, significant correlations existed between CK-MB-mass and oLDL-Ab after 6 and 8 h (n = 15; r = .72; p = .003) and the time of the highest CK-MB-mass values (after 12 h) and the time of the maximal decrease of oLDL-Ab (after 8 h) (r = .74; p = .003). Our observations provide further evidence for the release of free radicals and for increased lipid peroxidation during reperfusion after prolonged ischemia. The decrease of oLDL-Ab appears to be a marker for the severity of MI.
引用
收藏
页码:1087 / 1091
页数:5
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