The relationship between Lp-PLA2 levels and carotid atherosclerotic plaque in patients with acute cerebral infarction
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1.Department of Neurology, the Fourth Hospital of Ningbo City, Ningbo, Zhejiang 315700, China;2.Department of Neurology, Henan Provincial People's Hospital, Zhengzhou, Henan 450003, China)

Clc Number:

R741

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    Abstract:

    Aim To explore the relationship between lipoprotein-associated phospholipase A2 (Lp-PLA2) levels and carotid atherosclerotic plaque in patients with acute cerebral infarction (ACI). Methods A total of 82 ACI patients from June 2013 to October 2014 in our hospital were selected as cerebral infarction group, and a total of 82 healthy people were selected as control group. The total carotid atherosclerotic plaque score were tested by color Doppler ultrasound. The serum Lp-PLA2 levels were detected by ELISA. The relationship between serum Lp-PLA2 levels and acute cerebral infarction size, carotid atherosclerotic plaque Crouse score in patients were analyzed by Spearman correlation. Results The Lp-PLA2, hs-CRP, TG, TC and LDLC levels in infarction patients were significantly higher than those in control group, HDLC levels were significantly lower than that in control group (P<0.05). Crouse score, Lp-PLA2 levels had significant differences among the three groups of carotid atherosclerotic plaque block grade Ⅰ, Ⅱ, Ⅲ. Lp-PLA2 levels increased with the grade and the degree of injury (P<0.05). Lp-PLA2 levels was positively correlated to Crouse score, infarct size (r=0.823 and r=0.879, all P<0.05). Conclusion It shows that Lp-PLA2 levels and atherosclerotic cerebral infarction are closely related, Lp-PLA2 levels may reflect carotid atherosclerotic plaque and infarct size, which can be used as predictors of cerebral infarction.

    Reference
    [1] 蔡敏, 马璟曦, 罗春阳, 等.阿托伐他汀对急性脑梗死患者颈动脉粥样硬化斑块的影响.重庆医学, 2,1(7):656-657.
    [2] 李强, 凌芳, 聂德云, 等.大剂量阿托伐他汀对急性脑梗死患者血清细胞因子及动脉粥样硬化斑块的影响.重庆医学, 2,1(16):1 598-600.
    [3] 陈瑞英, 郑清存, 安雅臣, 等.脂蛋白相关性磷脂酶A2、超敏C反应蛋白与脑梗死患者颈动脉粥样硬化斑块的关系.中国实验诊断学, 1,5(7):1 122-124.
    [4] Cai A, Li G, Chen J, et al.Increased serum level of Lp-PLA2 is independently associated with the severity of coronary artery diseases:a cross-sectional study of Chinese population.BMC Cardiovasc Disord, 5,5(1):14.
    [5] Grouse JR, Harpold GH, Kahl FR, et al.Evaluation of a scoring system for extracranial carotid atherosclerosis extent with B-mode ul-trasound.Stroke, 6,7(2):270.
    [6] 陈瑞英, 郑清存, 王大力, 等.急性脑梗死患者脂蛋白相关性磷脂酶A2与梗死体积及神经功能缺损的关系.中国实验诊断学, 2,6(3):490-491.
    [7] Delgado P, Chacón P, Penalba A, et al.Temporal profile and prognostic value of Lp-PLA2 mass and activity in the acute stroke setting.Atherosclerosis, 2,0(2):532-536.
    [8] Reddy KJ, Singh M, Joey R.et al.The role of lipoprotein-associated phospholipase A2 on cardiovascular disease risk assessment and plaque rupture:a clinical review.J Clin Lipidol, 9,3(2):85-93.
    [9] 刘春燕.血清脂蛋白相关磷脂酶A2及C反应蛋白与颈动脉粥样硬化斑块易损性的关系.中华实用诊断与治疗杂志, 4,8(4):350-352.
    [10] Hassan M.STABILITY and SOLID-TIMI 52:Lipoprotein associated phospholipase A2 (Lp-PLA2) as a biomarker or risk factor for cardiovascular diseases.Glob Cardiol Sci Pract, 5,5:6.
    [11] Marsche G.Lp-PLA2, plaque inflammation and lesion development vary fundamentally between different vascular sites.J Am Heart Assoc, 5,4(2):e001800.
    [12] Lind L, Simon T, Johansson L, et al.Circulating levels of secretory- and lipoprotein-associated phospholipase A2 activities:relation to atherosclerotic plaques and future all-cause mortality.Eur Heart J, 2,3(23):2 946-954.
    [13] Fenning RS, Burgert ME, Hamamdzic D, et al.Atherosclerotic plaque inflammation varies between vascular sites and correlates with response to inhibition of lipoprotein-associated phospholipase A2.J Am Heart Assoc, 5,4(2):e001477.
    [14] 张亮, 刘亚杰, 贺雄军, 等.CD62E+微颗粒水平与急性脑梗死患者病情严重程度、预后及血管危险因素关系.中华神经医学杂志, 4,3(4):388-392.
    [15] Ferri N, Corsini A.Role of secreted and lipoprotein-associated phospholipase A2 in cardiovascular risk.G Ital Cardiol (Rome), 4,5(12):664-669.
    [16] Riba-Llena I, Penalba A, Pelegrí D, et al.Role of lipoprotein-associated phospholipase A2 activity for the prediction of silent brain infarcts in women.Atherosclerosis, 4,7(2):811-815.
    [17] Polupanov AG, Lomteva IuN, Khalmatov AN, et al.Lipoprotein-associated phospholipase A2:relation to development of ischemic stroke in patients with essential hypertension.Kardiologiia, 4,4(6):29-34.
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LIU Ting-Lei, WANG Yun-Ming, YANG Hong-Qi. The relationship between Lp-PLA2 levels and carotid atherosclerotic plaque in patients with acute cerebral infarction[J]. Editorial Office of Chinese Journal of Arteriosclerosis,2017,25(9):933-936.

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History
  • Received:May 21,2016
  • Revised:July 06,2017
  • Online: September 29,2017
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