PMID- 15932730 OWN - NLM STAT- MEDLINE DCOM- 20051129 LR - 20181201 IS - 0376-2491 (Print) IS - 0376-2491 (Linking) VI - 85 IP - 10 DP - 2005 Mar 16 TI - [The effect of carvedilol on apoptosis gene PDCD5 expression in chronic heart failure patients]. PG - 676-8 AB - OBJECTIVE: To observe the changes of serum PDCD5 antibody in chronic ischemic heart failure patients and the effect of carvedilol treatment. METHODS: Twenty chronic ischemic heart failure patients, 11 males and 9 females, aged 58 +/- 13, with the left ventricular ejection fraction (LVEF) < 45% by echocardiography and New York Heart Association (NYHA) cardiac function classification II-III, were treated with carvedilol for 6 months with a target dosage of 50 mg/d. The serum PDCD5 antibody was tested by ELISA before and after carvedilol treatment and compared with those of 20 healthy persons. RESULTS: The A value of PDCD5 antibody in the heart failure patients was 3.5 +/- 1.4, significantly higher that in than healthy persons (1.9 +/- 1.0, P < 0.01). After treatment of carvedilol, the A value of PDCD5 antibody in the heart failure patients decreased to 2.5 +/- 1.2 (P < 0.05). In 6 months maintenance treatment, 14 (70%) patients reached the dosage 50 mg/d, 4 (20%) reached 25 mg/d, and 2 (10%) reached 12.5 mg/d. Five patients (25%) had side effect such as dizziness, nausea and cough, one patient (5%) was hospitalized for 3 weeks because of heart failure, no patient died. After treatment of carvedilol, the NYHA degree increased by 0.3 (P < 0.05), LVEF increased from 35.5% +/- 7.8% to 42.7% +/- 9.6% (P < 0.05), left ventricular end-diastolic diameter decreased 5.3 mm (P < 0.05), and left ventricular end-systolic diameter decreased by 8.1 mm (P < 0.01). CONCLUSION: The titer of apoptosis gene PDCD5 antibody in the serum of chronic ischemic heart failure patients are higher, which shows apoptosis and treatment of carvedilol significantly decreases its titer. FAU - Wu, Yan AU - Wu Y AD - People's Hospital, Peking University, Beijing 100044, China. FAU - Nie, Xiao-Yun AU - Nie XY FAU - Hu, Da-Yi AU - Hu DY FAU - Lu, Pi-Neng AU - Lu PN FAU - Zhang, Guo-Qiang AU - Zhang GQ FAU - Luo, Lan AU - Luo L LA - chi PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Zhonghua Yi Xue Za Zhi JT - Zhonghua yi xue za zhi JID - 7511141 RN - 0 (Adrenergic alpha-Antagonists) RN - 0 (Adrenergic beta-Antagonists) RN - 0 (Apoptosis Regulatory Proteins) RN - 0 (Carbazoles) RN - 0 (Neoplasm Proteins) RN - 0 (PDCD5 protein, human) RN - 0 (Propanolamines) RN - 0K47UL67F2 (Carvedilol) SB - IM MH - Adrenergic alpha-Antagonists/therapeutic use MH - Adrenergic beta-Antagonists/therapeutic use MH - Adult MH - Aged MH - *Apoptosis MH - Apoptosis Regulatory Proteins/*biosynthesis/genetics MH - Carbazoles/*therapeutic use MH - Carvedilol MH - Female MH - Heart Failure/*drug therapy/genetics/pathology MH - Humans MH - Male MH - Middle Aged MH - Neoplasm Proteins/*biosynthesis/genetics MH - Propanolamines/*therapeutic use MH - Prospective Studies EDAT- 2005/06/04 09:00 MHDA- 2005/12/13 09:00 CRDT- 2005/06/04 09:00 PHST- 2005/06/04 09:00 [pubmed] PHST- 2005/12/13 09:00 [medline] PHST- 2005/06/04 09:00 [entrez] PST - ppublish SO - Zhonghua Yi Xue Za Zhi. 2005 Mar 16;85(10):676-8.