PMID- 10077403 OWN - NLM STAT- MEDLINE DCOM- 19990603 LR - 20190816 IS - 0167-5273 (Print) IS - 0167-5273 (Linking) VI - 68 IP - 1 DP - 1999 Jan TI - Intense acute phase response in ischemic patients. PG - 69-73 AB - The aim of this study was to estimate the qualitative and quantitative changes of acute phase proteins in patients suffering from coronary heart disease. The study was carried out on 74 patients and 12 healthy volunteers. The patients were divided into three groups as follows: patients with myocardial infarction (n=37), Group I--without heart failure, Group II--with heart failure (II-III NYHA), Group III--patients with unstable angina pectoris (n=35); controls-healthy volunteers (n=12). The immunological measurements were performed at the beginning of hospitalisation (point 0), after 4, 8, 12 and 72 h, and after 6, 9 and 12 days of hospitalisation. The concentrations of C-reactive protein (CRP), alpha1-acid glycoprotein (AGP) and alpha1-antichymotrypsin (ACT) were measured using rocket immunoelectrophoresis according to Laurell. Glycosylation profiles of AGP and ACT were determined using crossed affinity immunoelectrophoresis with Con A as ligand according to Bog-Hansen. Between Groups I and II statistically significant differences were observed for all investigated parameters. Highest concentration values were observed for Groups II and III; for Group II they appeared earlier than for Group III. The maximal values for reactivity coefficients (AGP-RC and ACT-RC) were observed earlier than the respective maximal values of concentrations. Continuous activation occurring in unstable angina leads to a more rapid increase in the concentrations of acute phase proteins and more marked alterations in their glycosylation profiles. In a way these patients seem to be 'primed' with constant stimulation, so that they respond dramatically to the stimulus of ischemia. FAU - Kazmierczak, E AU - Kazmierczak E AD - Department of Clinical Pharmacology, University of Medical Sciences, Poznan, Poland. FAU - Sobieska, M AU - Sobieska M FAU - Kazmierczak, M AU - Kazmierczak M FAU - Mrozikiewicz, A AU - Mrozikiewicz A FAU - Wiktorowicz, K AU - Wiktorowicz K LA - eng PT - Journal Article PL - Netherlands TA - Int J Cardiol JT - International journal of cardiology JID - 8200291 RN - 0 (Acute-Phase Proteins) SB - IM MH - Acute-Phase Proteins/*metabolism MH - Adult MH - Aged MH - Aged, 80 and over MH - Analysis of Variance MH - Angina, Unstable/*metabolism MH - Female MH - Heart Failure/etiology/*metabolism MH - Humans MH - Immunoelectrophoresis MH - Male MH - Middle Aged MH - Myocardial Infarction/complications/*metabolism EDAT- 1999/03/17 00:00 MHDA- 1999/03/17 00:01 CRDT- 1999/03/17 00:00 PHST- 1999/03/17 00:00 [pubmed] PHST- 1999/03/17 00:01 [medline] PHST- 1999/03/17 00:00 [entrez] AID - S0167527398003404 [pii] AID - 10.1016/s0167-5273(98)00340-4 [doi] PST - ppublish SO - Int J Cardiol. 1999 Jan;68(1):69-73. doi: 10.1016/s0167-5273(98)00340-4.