PMID- 19944317 OWN - NLM STAT- MEDLINE DCOM- 20110216 LR - 20181201 IS - 1876-4738 (Electronic) IS - 0914-5087 (Linking) VI - 54 IP - 3 DP - 2009 Dec TI - Effect of edaravone on plasma monocyte chemoattractant protein-1 levels in patients with acute myocardial infarction. PG - 416-24 LID - 10.1016/j.jjcc.2009.07.001 [doi] AB - BACKGROUND: Monocyte chemoattractant protein-1 (MCP-1) plays an important role in the pathogenesis of acute coronary syndrome. We have recently demonstrated that the administration of edaravone before reperfusion attenuated reperfusion injury in patients with acute myocardial infarction (AMI). METHODS: Plasma MCP-1 levels were measured in 45 consecutive patients with AMI (edaravone group, n=25; control group, n=20). In the edaravone group, 30 mg edaravone was intravenously infused just before reperfusion. Plasma samples were obtained before and at 24h, 3, 5, 7, and 14 days after reperfusion. Cardiovascular events were defined as cardiac death, subacute thrombosis, or fatal arrhythmia. Heart failure requiring rehospitalization was evaluated at 12 months after reperfusion. RESULTS: Plasma MCP-1 levels were not different between the two groups before reperfusion. Compared with the placebo group, the edaravone group had statistically lower maximum creatine kinase-MB levels (218+/-31 IU/l versus 145+/-21 IU/l, p<0.05) and plasma MCP-1 levels on day 3 after reperfusion (873+/-118 pg/ml versus 516+/-66 pg/ml, p<0.05). Heart failure requiring rehospitalization occurred in four patients in the control group, but did not occur in the edaravone group (p<0.05). At 12 months after reperfusion, left ventricular ejection fraction was statistically higher in the edaravone group than in the control group (62+/-2% versus 54+/-3%, p<0.05). CONCLUSION: Edaravone suppressed plasma MCP-1, improved left ventricular ejection fraction, and reduced rehospitalization due to heart failure. Suppression of plasma MCP-1 level by edaravone might induce better prognosis for AMI patients. FAU - Nakamura, Yoshinori AU - Nakamura Y AD - Fukuoka Tokushukai Medical Center, 4-5 Sukukita, Kasuga, Fukuoka 816-0864, Japan. nakamurayoshi2004@yahoo.co.jp FAU - Yamada, Yoshihiro AU - Yamada Y FAU - Shimomura, Hideki AU - Shimomura H FAU - Nagayoshi, Yasuhiro AU - Nagayoshi Y FAU - Tsujita, Kenichi AU - Tsujita K FAU - Yamashita, Takuro AU - Yamashita T FAU - Fukuda, Masaya AU - Fukuda M FAU - Ohba, Keisuke AU - Ohba K FAU - Nako, Hisato AU - Nako H FAU - Ogura, Yuji AU - Ogura Y FAU - Chitose, Tadasuke AU - Chitose T FAU - Yamaguchi, Munetaka AU - Yamaguchi M FAU - Nagata, Takeshi AU - Nagata T FAU - Soejima, Hirofumi AU - Soejima H FAU - Kaikita, Koichi AU - Kaikita K FAU - Sugiyama, Seigo AU - Sugiyama S FAU - Ogawa, Hisao AU - Ogawa H LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20090820 PL - Netherlands TA - J Cardiol JT - Journal of cardiology JID - 8804703 RN - 0 (Biomarkers) RN - 0 (CCL2 protein, human) RN - 0 (Chemokine CCL2) RN - 0 (Free Radical Scavengers) RN - S798V6YJRP (Edaravone) RN - T3CHA1B51H (Antipyrine) SB - IM MH - Aged MH - Angioplasty, Balloon, Coronary MH - Antipyrine/administration & dosage/*analogs & derivatives MH - Biomarkers/blood MH - Chemokine CCL2/*blood/physiology MH - Edaravone MH - Female MH - Free Radical Scavengers/*administration & dosage MH - Heart Failure/prevention & control MH - Humans MH - Male MH - Middle Aged MH - Myocardial Infarction/etiology/physiopathology/*therapy MH - Myocardial Reperfusion Injury/*prevention & control MH - Patient Readmission/statistics & numerical data MH - Prognosis MH - Stroke Volume MH - Ventricular Function, Left EDAT- 2009/12/01 06:00 MHDA- 2011/02/17 06:00 CRDT- 2009/12/01 06:00 PHST- 2009/01/05 00:00 [received] PHST- 2009/06/21 00:00 [revised] PHST- 2009/07/07 00:00 [accepted] PHST- 2009/12/01 06:00 [entrez] PHST- 2009/12/01 06:00 [pubmed] PHST- 2011/02/17 06:00 [medline] AID - S0914-5087(09)00215-9 [pii] AID - 10.1016/j.jjcc.2009.07.001 [doi] PST - ppublish SO - J Cardiol. 2009 Dec;54(3):416-24. doi: 10.1016/j.jjcc.2009.07.001. Epub 2009 Aug 20.