Association of serum interleukin 17A with thrombotic events in patients with non-valvular atrial fibrillation
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1.Department of Cardiology, Affiliated Hospital of Jiangsu University, ;2.Jiangsu University, Zhenjiang, Jiangsu 212001, China)

Clc Number:

R5

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    Abstract:

    Aim To observe the level of interleukin-17A (IL-17A) in patients with atrial fibrillation (AF), to assess its clinical value of thrombotic events in AF patients. Methods 67 controls (38 males and 29 females, average age 60.37±9.51 years), 65 patients with paroxysmal AF (35 males and 30 females, average age 58.92±8.59 years), and 88 patients with persistent AF (57 males and 31 females, average age 61.45±8.32 years) were enrolled in the present study, the expression of IL-17A was measured, then judged by creating the receiver operating characteristic curves (ROC). Serum levels of MMP-9, procollagen type Ⅲ and the left atrial ejection fraction (LAEF) were examined and compared. The patients with AF who were complicated by thrombotic events were followed-up, levels of IL-17A were further analyzed to assess the predictive value for thrombotic events in patients with AF. Results The level of serum IL-17A was increased in patients with AF. Area under the ROC of IL17A was 0.784 (P<0.01), the sensitivity was 78.6%, the specificity was 69.1%. In the patients with AF who were complicated by thrombotic events, the level of serum IL-17A was significantly increased, while it was markedly decreased after regular anticoagulant therapy. The increased IL-17A level was significantly correlated with the levels of MMP-9, procollagen type Ⅲ and LAEF. Conclusion IL-17A might promote AF and thrombus event in AF patients.

    Reference
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    [3] Marrouche NF, Brachmann J, Andresen D, et al.Catheter ablation for atrial fibrillation with heart failure.New Engl J Med, 8,8(5):417-427.
    [4] Brachmann J, Lewalter T, Kuck KH, et al.Long-term symptom improvement and patient satisfaction following catheter ablation of supraventricular tachycardia:insights from the German ablation registry.Eur Heart J, 7,8(17):1317-1326.
    [5] Rienks M, Papageorgiou AP, Frangogiannis NG, et al.Myocardial extracellular matrix:an ever-changing and diverse entity.Circ Res, 4,4(5):872-888.
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XU Liangjie, WANG Zhongqun, WANG Ning, LIANG Yi, ZHOU Cuicui, ZHANG Fen, ZHOU Hong, YAN Jinchuan. Association of serum interleukin 17A with thrombotic events in patients with non-valvular atrial fibrillation[J]. Editorial Office of Chinese Journal of Arteriosclerosis,2018,26(10):1027-1030.

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History
  • Received:August 02,2018
  • Revised:October 12,2018
  • Online: November 09,2018
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