Literature DB >> 22146599

Serum levels of IgG4 and soluble interleukin-2 receptor in patients with coronary artery disease.

Aiko Sakamoto1, Nobukazu Ishizaka, Kan Saito, Yasushi Imai, Hiroyuki Morita, Kazuhiko Koike, Takahide Kohro, Ryozo Nagai.   

Abstract

BACKGROUND: Immunoglobulin G4 (IgG4)-related immuno-inflammation has been suggested to play a role in the development of remodeling of arterial wall. We investigated the association between serum concentrations of IgG4 or soluble interleukin-2 receptor (sIL-2R) and coronary artery disease (CAD).
METHODS: Serum concentrations of IgG4 and sIL-2R were measured in 286 patients who underwent coronary angiography.
RESULTS: In patients with CAD, the medians of serum concentrations of IgG4 (39.3 mg/dl) and sIL-2R (388 U/ml) were significantly higher than corresponding values in patients without CAD (IgG4 27.0 mg/dl, sIL-2R 312 U/ml). In receiver-operating characteristic curve analysis, the area under the curve of sIL-2R and IgG4 for the presence of CAD was 0.634 and 0.632, respectively. Age- and gender-adjusted logistic regression analysis showed that both of the fourth quartile of sIL-2R concentrations (≥509 U/ml) and that of IgG4 concentrations (≥57.7 mg/dl) were found to be associated with CAD with an odds ratio of 2.82 and 4.08, respectively, compared with the corresponding lowest quartile.
CONCLUSIONS: Serum concentrations of IgG4 and sIL-2R were increased in patients with angiographically-proven CAD, suggesting that IgG4-related immuno-inflammation may also have a role in the development and/or progression of coronary artery atherosclerosis.
Copyright © 2011 Elsevier B.V. All rights reserved.

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Year:  2011        PMID: 22146599     DOI: 10.1016/j.cca.2011.11.023

Source DB:  PubMed          Journal:  Clin Chim Acta        ISSN: 0009-8981            Impact factor:   3.786


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