PMID- 21416113 OWN - NLM STAT- MEDLINE DCOM- 20120716 LR - 20211020 IS - 1615-2573 (Electronic) IS - 0910-8327 (Linking) VI - 27 IP - 2 DP - 2012 Mar TI - Platelet and monocyte activity markers and mediators of inflammation in Takotsubo cardiomyopathy. PG - 186-92 LID - 10.1007/s00380-011-0132-6 [doi] AB - Patients with Takotsubo cardiomyopathy (TC) often present with symptoms similar to those of myocardial infarction (MI). We analyzed blood concentrations of mediators of inflammation and platelet- and monocyte-activity markers in patients with TC and MI for significant differences. Clinical data of patients with TC (n = 16) and acute MI (n = 16) were obtained. Serial blood samples were taken at the time of hospital admission (t(0)), after 2-4 days (t(1)) and after 4-7 weeks (t(2)), respectively. Plasma concentrations of interleukin (IL)-6, IL-7, soluble CD40 ligand (sCD40L), and monocyte chemotactic protein 1 (MCP-1) were determined with an ELISA. Tissue factor binding on monocytes, platelet-activation marker CD62P, platelet CD40-ligand (CD40L), and platelet-monocyte aggregates were measured using flow cytometry. Expression of CD62P on platelets and IL-6 plasma levels were significantly lower in patients with TC compared to MI at the time of hospital admission. IL-7 plasma levels were significantly elevated in patients with TC compared to patients with MI at 2-4 days after hospital admission. No significant differences were observed concerning sCD40L and MCP-1 plasma levels, tissue factor binding on monocytes, CD40L expression on platelets, and platelet-monocyte aggregates at any point in time. Our results indicate that inflammatory mediators and platelet-activity markers contribute to the differences in the pathogenesis of MI and TC. FAU - Pirzer, Rainer AU - Pirzer R AD - 1st Department of Medicine (Cardiology), University Medical Centre Mannheim, Medical Faculty Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany. FAU - Elmas, Elif AU - Elmas E FAU - Haghi, Dariusch AU - Haghi D FAU - Lippert, Christiane AU - Lippert C FAU - Kralev, Stefan AU - Kralev S FAU - Lang, Siegfried AU - Lang S FAU - Borggrefe, Martin AU - Borggrefe M FAU - Kalsch, Thorsten AU - Kalsch T LA - eng PT - Comparative Study PT - Journal Article DEP - 20110318 PL - Japan TA - Heart Vessels JT - Heart and vessels JID - 8511258 RN - 0 (Biomarkers) RN - 0 (Inflammation Mediators) SB - IM MH - Aged MH - Biomarkers/blood MH - Blood Platelets/*immunology MH - Chi-Square Distribution MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Flow Cytometry MH - Germany MH - Humans MH - Inflammation Mediators/*blood MH - Male MH - Middle Aged MH - Monocytes/*immunology MH - Myocardial Infarction/blood/*immunology MH - Patient Admission MH - *Platelet Activation MH - Prospective Studies MH - Takotsubo Cardiomyopathy/blood/*immunology MH - Thrombosis/blood/*immunology MH - Time Factors EDAT- 2011/03/19 06:00 MHDA- 2012/07/17 06:00 CRDT- 2011/03/19 06:00 PHST- 2010/11/14 00:00 [received] PHST- 2011/02/25 00:00 [accepted] PHST- 2011/03/19 06:00 [entrez] PHST- 2011/03/19 06:00 [pubmed] PHST- 2012/07/17 06:00 [medline] AID - 10.1007/s00380-011-0132-6 [doi] PST - ppublish SO - Heart Vessels. 2012 Mar;27(2):186-92. doi: 10.1007/s00380-011-0132-6. Epub 2011 Mar 18.