PMID- 11776300 OWN - NLM STAT- MEDLINE DCOM- 20020712 LR - 20041117 IS - 0340-6245 (Print) IS - 0340-6245 (Linking) VI - 86 IP - 6 DP - 2001 Dec TI - Endothelial perturbation in cystic fibrosis. PG - 1363-7 AB - Cystic fibrosis (CF) is characterized by a persistent inflammatory state, which can be secondary to chronic pulmonary infection and may affect vascular endothelium. We measured circulating levels of von Willebrand factor (vWF), tissue-plasminogen activator (t-PA), and P-selectin in 20 CF patients and 20 healthy subjects. vWF, t-PA and P-selectin levels were significantly higher in CF patients. Endothelial perturbation (>2 SD increase in both vWF and t-PA) was present in 65% of CF patients. These patients displayed lower FEV1 values compared to individuals without endothelial perturbation and an inverse correlation between FEV1 and P-selectin levels was observed. Tumor necrosis factor-alpha (TNF-alpha) and interleukin (IL)-6 levels were also increased in CF patients and significant direct correlations were found between TNF-alpha and vWF, t-PA or P-selectin levels. These results indicate that CF patients exhibit signs of endothelial dysfunction/perturbation, which are likely to be related to a persistent inflammatory state due to chronic pulmonary infection, and may play a role in the progression of this disease. FAU - Romano, M AU - Romano M AD - Department of Human Pathology, University of Messina, Italy. FAU - Collura, M AU - Collura M FAU - Lapichino, L AU - Lapichino L FAU - Pardo, F AU - Pardo F FAU - Falco, A AU - Falco A FAU - Chiesa, P L AU - Chiesa PL FAU - Caimi, G AU - Caimi G FAU - Davi, G AU - Davi G LA - eng PT - Journal Article PL - Germany TA - Thromb Haemost JT - Thrombosis and haemostasis JID - 7608063 RN - 0 (Interleukin-6) RN - 0 (P-Selectin) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (von Willebrand Factor) RN - EC 3.4.21.68 (Tissue Plasminogen Activator) SB - IM MH - Adolescent MH - Adult MH - Child MH - Cystic Fibrosis/blood/complications/*pathology MH - Disease Susceptibility MH - Endothelium, Vascular/metabolism/*pathology MH - Female MH - Humans MH - Inflammation MH - Interleukin-6/blood MH - Male MH - P-Selectin/*analysis MH - Pneumonia, Bacterial/blood/etiology/pathology/physiopathology MH - Pseudomonas Infections/blood/etiology/pathology/physiopathology MH - Recurrence MH - Respiratory Function Tests MH - Tissue Plasminogen Activator/*analysis MH - Tumor Necrosis Factor-alpha/analysis MH - von Willebrand Factor/*analysis EDAT- 2002/01/05 10:00 MHDA- 2002/07/13 10:01 CRDT- 2002/01/05 10:00 PHST- 2002/01/05 10:00 [pubmed] PHST- 2002/07/13 10:01 [medline] PHST- 2002/01/05 10:00 [entrez] AID - 01121363 [pii] PST - ppublish SO - Thromb Haemost. 2001 Dec;86(6):1363-7.