Introduction: Inflammation and angiogenesis disturbances are considered as factors contributing to the development of coronary artery ectasias (CAE). Endocan (endothelial cell-specific molecule-1 - ESM-1) regulates both inflammatory and angiogenetic processes. However, there are no data about the correlation between endocan level and the severity of CAE measured with total volume of coronary artery dilation. Aim: To assess whether the severity of the inflammatory process measured as endocan concentration correlates with the total volume of CAE. Material and methods: We selected prospectively a total of 43 consecutive patients with coronary artery ectasia from 2240 patients who underwent coronary angiography in our center. Determination of endocan was performed by using the Human Endothelial cell-specific Molecule 1 (ECSM1/ENDOCAN) ELISA Kit. 3D QCA (three-dimensional quantitative coronary angiography) was used for coronary lesion and aneurysm quantification. The total volume of dilation was defined as the volume of all aneurysms and ectasias of coronary arteries in 1 patient. Results: The mean volume of all aneurysms in 1 patient was 677 +/- 878.7 mm3. The total aneurysm volume was positively strongly correlated with endocan concentration (Pearson correlation coefficient: 0.811; 2-tailed p < 0.001). Conclusions: Endocan is a potential marker of vascular wall damage mainly as a result of inflammation in the course of atherosclerosis, but also vascular remodeling as a result of a disturbance of pro- and anti-angiogenic processes. Endocan level reflects the intensity of the above processes and therefore correlates with the severity of CAE, measured as the total volume of dilation.
机构:
Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Kaohsiung Med Univ, Coll Med, Grad Inst Med, Kaohsiung, Taiwan
Kaohsiung Med Univ, Coll Med, Fac Med, Kaohsiung, TaiwanKaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Hsu, Po-Chao
Su, Ho-Ming
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Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Kaohsiung Med Univ, Coll Med, Fac Med, Kaohsiung, Taiwan
Kaohsiung Municipal Hsiaokang Hosp, Dept Internal Med, Kaohsiung, TaiwanKaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Su, Ho-Ming
Lee, Hsiang-Chun
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Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Kaohsiung Med Univ, Coll Med, Grad Inst Med, Kaohsiung, TaiwanKaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Lee, Hsiang-Chun
Juo, Suh-Hang
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Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Med Res, Kaohsiung, Taiwan
Kaohsiung Med Univ, Kaohsiung, Taiwan
Kaohsiung Med Univ, Ctr Excellence Environm Med, Kaohsiung, TaiwanKaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Juo, Suh-Hang
Lin, Tsung-Hsien
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Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Kaohsiung Med Univ, Coll Med, Fac Med, Kaohsiung, TaiwanKaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Lin, Tsung-Hsien
Voon, Wen-Chol
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Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Kaohsiung Med Univ, Coll Med, Fac Med, Kaohsiung, TaiwanKaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Voon, Wen-Chol
Lai, Wen-Ter
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Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Kaohsiung Med Univ, Coll Med, Fac Med, Kaohsiung, TaiwanKaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Lai, Wen-Ter
Sheu, Sheng-Hsiung
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Kaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan
Kaohsiung Med Univ, Coll Med, Fac Med, Kaohsiung, TaiwanKaohsiung Med Univ, Kaohsiung Med Univ Hosp, Dept Internal Med, Div Cardiol, Kaohsiung, Taiwan