TY - JOUR
T1 - Serum inflammatory and immune marker response after bare-metal or drug-eluting stent implantation following percutaneous coronary intervention
AU - Moohebati, Mohsen
AU - Falsoleiman, Homa
AU - Dehghani, Mashalla
AU - Fazlinezhad, Afsoon
AU - Daloee, Mehdi Hassanzadeh
AU - Esmaeili, Habib
AU - Parizadeh, Seyyed Mohammad Reza
AU - Tavallaie, Shima
AU - Rahsepar, Amir Ali
AU - Paydar, Roghayeh
AU - Kazemi-Bajestani, Seyyed Mohammad Reza
AU - Pourghadam-Yari, Hossein
AU - Rad, Mina Akbari
AU - Zoghdar-Moghadam, Talat
AU - Ghayour-Mobarhan, Majid
AU - Ferns, Gordon A.
PY - 2011/2
Y1 - 2011/2
N2 - We assessed the changes in serum antiheat shock protein (HSP)-27 antibody and high-sensitivity C-reactive protein (hsCRP) levels, following the placement of a drug-eluting stent (DES) or bare-metal stent (BMS) in patients with stable coronary artery disease. Either a BMS or DES was implanted in 137 patients (82 BMS; 55 DES). Anti-HSP27 and hsCRP levels were measured 24 hours before and 24 hours after stenting. Median hsCRP serum levels increased significantly to 60.78 (10.13-84.87) and 77.80 (50.00-84.84) mg/L for BMS and DES groups (P =.006 and P =.000, respectively); this increase did not differ significantly between the 2 groups. Median anti-HSP27 antibody levels decreased to 0.26 (0.17-0.49) and 0.21 (0.16-0.29) absorbency units in BMS and DES groups (P =.045 and P = < 0.001, respectively). The changes in anti-HSP27 antibody titers were significant between the 2 groups (P =.015). Bare-metal stent and DES differ in stimulation of immune rather than inflammatory responses. Less stent restenosis after DES compared with BMS implantation could, in part, be attributed to differences in immune responses.
AB - We assessed the changes in serum antiheat shock protein (HSP)-27 antibody and high-sensitivity C-reactive protein (hsCRP) levels, following the placement of a drug-eluting stent (DES) or bare-metal stent (BMS) in patients with stable coronary artery disease. Either a BMS or DES was implanted in 137 patients (82 BMS; 55 DES). Anti-HSP27 and hsCRP levels were measured 24 hours before and 24 hours after stenting. Median hsCRP serum levels increased significantly to 60.78 (10.13-84.87) and 77.80 (50.00-84.84) mg/L for BMS and DES groups (P =.006 and P =.000, respectively); this increase did not differ significantly between the 2 groups. Median anti-HSP27 antibody levels decreased to 0.26 (0.17-0.49) and 0.21 (0.16-0.29) absorbency units in BMS and DES groups (P =.045 and P = < 0.001, respectively). The changes in anti-HSP27 antibody titers were significant between the 2 groups (P =.015). Bare-metal stent and DES differ in stimulation of immune rather than inflammatory responses. Less stent restenosis after DES compared with BMS implantation could, in part, be attributed to differences in immune responses.
KW - bare-metal stent
KW - drug-eluting stent
KW - heat shock protein 27
KW - high-sensitivity C-reactive protein
KW - percutaneous coronary intervention
UR - https://www.scopus.com/pages/publications/78651403747
UR - https://www.scopus.com/inward/citedby.url?scp=78651403747&partnerID=8YFLogxK
U2 - 10.1177/0003319710375086
DO - 10.1177/0003319710375086
M3 - Article
C2 - 20713488
AN - SCOPUS:78651403747
SN - 0003-3197
VL - 62
SP - 184
EP - 190
JO - Angiology
JF - Angiology
IS - 2
ER -