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Kercheva M, Ryabov V, Gombozhapova A, Stepanov I, Kzhyshkowska J. Macrophages of the Cardiorenal Axis and Myocardial Infarction. Biomedicines 2023; 11:1843. [PMID: 37509483 PMCID: PMC10376845 DOI: 10.3390/biomedicines11071843] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Revised: 06/21/2023] [Accepted: 06/22/2023] [Indexed: 07/30/2023] Open
Abstract
The aim of our study was to compare the features of macrophage (mf) composition of the kidneys in patients with fatal myocardial infarction (MI) and in patients without cardiovascular diseases (CVD). We used kidney fragments taken during autopsy. Macrophage infiltration was assessed by immunohistochemistry: antibodies CD68 were used as a common mf marker, CD80-M1 type mf marker, CD163, CD206, and stabilin-1-M2 type. Macrophage composition of the kidneys in patients with fatal MI was characterized by the predominance of CD163+ cells among studied cells, and the control group was characterized by the predominance of CD163+, CD206+, and CD68+. In patients with MI, biphasic response from kidney cells was characterized for CD80+ and CD206+: their number decreased by the long-term period of MI; other cells did not show any dynamics. The exact number of CD80+ cells in kidneys of individuals without CVD was slightly higher than in patients with MI, and the number of CD206+-strikingly predominant. Subsequent analysis of CD80+ and CD206+ cells in a larger sample, as well as comparison of data with results obtained from survivors of MI, may bring us closer to understanding whether the influence on these cells can serve as a new target in personalized therapy in postinfarction complications.
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Affiliation(s)
- Maria Kercheva
- Cardiology Division, Siberian State Medical University, 2 Moscovsky Trakt, 634055 Tomsk, Russia
- Cardiology Research Institute, Tomsk National Research Medical Center of the RAS, 111a Kievskaya Street, 634012 Tomsk, Russia
| | - Vyacheslav Ryabov
- Cardiology Division, Siberian State Medical University, 2 Moscovsky Trakt, 634055 Tomsk, Russia
- Cardiology Research Institute, Tomsk National Research Medical Center of the RAS, 111a Kievskaya Street, 634012 Tomsk, Russia
- Laboratory of Translational and Cellular Biomedicine, National Research Tomsk State University, 36 Lenin Avenue, 634050 Tomsk, Russia
| | - Aleksandra Gombozhapova
- Cardiology Division, Siberian State Medical University, 2 Moscovsky Trakt, 634055 Tomsk, Russia
- Cardiology Research Institute, Tomsk National Research Medical Center of the RAS, 111a Kievskaya Street, 634012 Tomsk, Russia
| | - Ivan Stepanov
- Cardiology Research Institute, Tomsk National Research Medical Center of the RAS, 111a Kievskaya Street, 634012 Tomsk, Russia
| | - Julia Kzhyshkowska
- Laboratory of Translational and Cellular Biomedicine, National Research Tomsk State University, 36 Lenin Avenue, 634050 Tomsk, Russia
- Institute of Transfusion Medicine and Immunology, University of Heidelberg, 1-3 Theodor-Kutzer Ufer, 68167 Mannheim, Germany
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Altintas MS, Eyerci N, Karayigit O, Demirtas B, Gok M, Kiziltunc E. Low sCD163/TWEAK Ratio at First Day After Acute Myocardial Infarction Associated with Adverse Cardiac Remodeling in Non-Elderly Patients. KARDIOLOGIIA 2022; 62:49-55. [DOI: 10.18087/cardio.2022.10.n2155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Accepted: 08/26/2022] [Indexed: 11/18/2022]
Abstract
Aim In this study, we aimed to investigate the role of sCD163 / tumor necrosis factor-like weak apoptosis-inducing (TWEAK) ratio in cardiac remodeling in non-elderly patients diagnosed with first acute myocardial infarction (MI).Material and Methods Forty-four patients (age ranges: 40–64 years) diagnosed with first-time acute ST-elevation MI in the emergency department were evaluated with cardiac magnetic resonance (CMR) imaging. Adverse remodeling (AR) was defined the increases of left ventricular end-diastolic volume by ≥12 % by CMR at 6‑month post-MI TWEAK and sCD163 were measured at the first day (baseline), 2 weeks and 6 weeks post-MI.Results The average age of patients included in the study was 53.6±5.1 years. AR was detected in 18 patients at the 6 months post-MI. At the first day post-MI, median sCD163 concentration (116 069 vs 86 394 pg / mL, p=0.040) and median TWEAK concentration (759.4 vs 220.1 pg / mL, p<0.001) were higher in AR group compared to group without AR (the non-AR group), median sCD163 / TWEAK ratio (101.4 vs. 406.8; p<0.001) was lower. At the first day post-MI, concentrations of TWEAK and sCD163 showed a positive correlation in AR group and group without AR s. At 2 weeks post-MI, positive correlation continued in the non-AR group, but no significant correlation was found in the AR group. At the first day post-MI, sCD163 / TWEAK ratio was higher diagnostic performance compared to TWEAK and sCD163.Conclusion In the early phase post-MI, the relationship between sCD163 – TWEAK may have an important role in AR pathogenesis. A lower sCD163 / TWEAK ratio on the first day after MI was associated with an increase in left ventricular end-diastolic volume after 6 months of follow-up.
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Affiliation(s)
| | | | | | | | - Murat Gok
- Trakya University Faculty of Medicine
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Kercheva M, Ryabov V, Trusov A, Stepanov I, Kzhyshkowska J. Characteristics of the Cardiosplenic Axis in Patients with Fatal Myocardial Infarction. Life (Basel) 2022; 12:life12050673. [PMID: 35629341 PMCID: PMC9147017 DOI: 10.3390/life12050673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 04/27/2022] [Accepted: 04/30/2022] [Indexed: 11/16/2022] Open
Abstract
Myocardial ischemia triggers neurohumoral activation of the cardiosplenic axis. In rodents, adverse outcomes occur upon prolonged entrance of mononuclear cells from the spleen into myocardial tissue. The purpose of this study is to assess the features of spleen structure in patients with fatal myocardial infarction (MI), the dynamics of macrophage infiltration of the spleen and its relationship with cardiac macrophage infiltration and unfavorable outcomes. Using immunohistochemistry techniques, we analyzed the macrophage infiltration of the spleen and myocardium sections collected from patients (n = 30) with fatal MI. The spleen of the patients was decreased and showed a predominance of red pulp with a high concentration of CD68+ and stabilin-1+ cells. The white pulp contained many medium and small follicles and a lower concentration of CD68+ and stabilin-1+ cells, which was comparable to that in the infarct area of the myocardium. The concentration of CD68+ and stabilin-1+ cells increased in the myocardium in the late period of MI, but did not show any dynamics in the spleen. A high number of CD68+ cells in the red pulp and reduced concentration of stabilin-1+ cells in the white pulp were associated with unfavorable post-infarction outcomes. These fundamental findings could be a basis for the development of new personalized therapeutic and diagnostic approaches for the treatment of MI and its complications.
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Affiliation(s)
- Maria Kercheva
- Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, 111a Kievskaya Street, 634012 Tomsk, Russia; (V.R.); (A.T.); (I.S.)
- Central Research Laboratory, Siberian State Medical University, 2 Moscovsky Trakt, 634055 Tomsk, Russia
- Correspondence: ; Tel.: +7-(3822)-561232
| | - Vyacheslav Ryabov
- Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, 111a Kievskaya Street, 634012 Tomsk, Russia; (V.R.); (A.T.); (I.S.)
- Central Research Laboratory, Siberian State Medical University, 2 Moscovsky Trakt, 634055 Tomsk, Russia
- Laboratory of Translational and Cellular Biomedicine Department, National Research Tomsk State University, 36 Lenin Avenue, 634050 Tomsk, Russia
| | - Andrey Trusov
- Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, 111a Kievskaya Street, 634012 Tomsk, Russia; (V.R.); (A.T.); (I.S.)
| | - Ivan Stepanov
- Cardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences, 111a Kievskaya Street, 634012 Tomsk, Russia; (V.R.); (A.T.); (I.S.)
| | - Julia Kzhyshkowska
- Department for Innate Immunity and Tolerance, Institute of Transfusion Medicine and Immunology, University of Heidelberg, 1-3 Theodor-Kutzer Ufer, 68167 Mannheim, Germany;
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Oktay V, Keskin B, Serin E, Oksen D, Kaya A, Ozkan AA. Comparison of transradial versus transfemoral diagnostic coronary angiography in terms of oxidative stress: Which option is more physiological? EUR J INFLAMM 2021. [DOI: 10.1177/20587392211028073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
In this randomized, single-center, clinical study we aimed to compare the oxidative stress response in patients undergoing diagnostic transradial or transfemoral elective coronary angiography. Sixty patients with stable angina pectoris undergoing elective coronary angiography to either transradial ( n = 30) or transfemoral ( n = 30) approach were included. The levels of plasma total oxidative status (TOS) were measured and compared just before and immediately after the procedure in both groups. The clinical and laboratory findings were compatible between the two groups. Although the levels of plasma total oxidative status after coronary angiography were increased in both groups (TF pTOS 20. ± :3; 34 ± 3 vs TR pTOS 18 ± 2; 23 ± 4), this was more pronounced in the transfemoral group as compared with the transradial group (ΔpTOS: 11 ± 4 vs 4 ± 3, p < 0.001) In correlation analysis, TOS levels and white blood cell counts ( r = 0.25, p = 0.042), total cholesterol levels ( r = 0.267, p = 0.041), triglyceride levels ( r = 0.253, p = 0.049), serum creatinine levels ( r = 0.260, p = 0.043) were found to be moderately positively correlated. This study showed that oxidative stress response associated with heart catheterization is more evident in patients undergoing transfemoral coronary angiography versus transradial coronary angiography.
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Affiliation(s)
- Veysel Oktay
- Department of Cardiology, Istanbul University Cerrahpasa, Institute of Cardiology, Istanbul, Turkey
| | - Bengisu Keskin
- Department of Cardiology, Istanbul University Cerrahpasa, Institute of Cardiology, Istanbul, Turkey
| | - Ebru Serin
- Department of Cardiology, Istanbul University Cerrahpasa, Institute of Cardiology, Istanbul, Turkey
| | - Dogac Oksen
- Department of Cardiology, Istanbul University Cerrahpasa, Institute of Cardiology, Istanbul, Turkey
| | - Aysem Kaya
- Deparment of Biochemistry, Istanbul University Cerrahpasa, Institute of Cardiology, Istanbul, Turkey
| | - Alev Arat Ozkan
- Department of Cardiology, Istanbul University Cerrahpasa, Institute of Cardiology, Istanbul, Turkey
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