PMID- 21751895 OWN - NLM STAT- MEDLINE DCOM- 20111128 LR - 20161125 IS - 1205-7541 (Electronic) IS - 0008-4212 (Linking) VI - 89 IP - 6 DP - 2011 Jun TI - In-stent restenosis after revascularization of myocardium with drug-eluting stents is accompanied by elevated level of blood plasma eosinophil cationic protein. PG - 413-8 LID - 10.1139/y11-038 [doi] AB - The aim of this study was to assess the involvement of eosinophil cationic protein, a marker of eosinophil activation, in the development of in-stent restenosis after drug-eluting stent implantation. Follow-up angiography at 6 to 12 months was performed in 32 patients who were treated with percutaneous coronary intervention and implantation of sirolimus-eluting stents. Blood plasma levels of eosinophil cationic protein (ECP) and total immunoglobulin E (IgE) were measured by enzyme-linked immunosorbent assay and the level of C-reactive protein (hs-CRP) by high-sensitivity nephelometry. According to angiography data, in-stent restenosis occurred in 13 patients, while 19 patients did not develop it. There were no differences between the hs-CRP and IgE levels in patients with or without restenosis. In contrast, ECP level was higher in patients with restenosis compared with that in patients without restenosis [17.7 ng/mL (11.2-24.0) vs. 9.0 ng/mL (6.4-12.9), p = 0.017]. The incidence of in-stent restenoses was 63% in patients with ECP level higher than or equal to 11 ng/mL, and 19% in patients with an ECP level lower than 11 ng/mL (p = 0.019). These findings suggest that elevated eosinophil activation may play an important role in the pathogenesis of in-stent restenosis after implantation of drug-eluting stents. FAU - Gabbasov, Zufar A AU - Gabbasov ZA AD - Cardiology Research Center, 3rd Cherepkovskaya Street, 15A, Moscow, 121 552, Russia. gabbasov@cardio.ru FAU - Kozlov, Sergei G AU - Kozlov SG FAU - Imaeva, Asiya E AU - Imaeva AE FAU - Saburova, Olga S AU - Saburova OS FAU - Zykov, Kirill A AU - Zykov KA FAU - Masenko, Valery P AU - Masenko VP FAU - Smirnov, Vladimir N AU - Smirnov VN LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110713 PL - Canada TA - Can J Physiol Pharmacol JT - Canadian journal of physiology and pharmacology JID - 0372712 RN - 0 (Biomarkers) RN - 0 (Immunosuppressive Agents) RN - 37341-29-0 (Immunoglobulin E) RN - 9007-41-4 (C-Reactive Protein) RN - EC 3.1.27.- (Eosinophil Cationic Protein) RN - W36ZG6FT64 (Sirolimus) SB - IM MH - Aged MH - Biomarkers/blood MH - C-Reactive Protein/analysis MH - Coronary Angiography MH - Coronary Restenosis/blood/diagnostic imaging/*etiology MH - *Drug-Eluting Stents MH - Eosinophil Cationic Protein/*blood MH - Female MH - Follow-Up Studies MH - Humans MH - Immunoglobulin E/blood MH - Immunosuppressive Agents/*therapeutic use MH - Male MH - Middle Aged MH - Myocardial Revascularization/*methods MH - Sirolimus/*therapeutic use MH - Treatment Outcome EDAT- 2011/07/15 06:00 MHDA- 2011/12/13 00:00 CRDT- 2011/07/15 06:00 PHST- 2011/07/15 06:00 [entrez] PHST- 2011/07/15 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] AID - 10.1139/y11-038 [doi] PST - ppublish SO - Can J Physiol Pharmacol. 2011 Jun;89(6):413-8. doi: 10.1139/y11-038. Epub 2011 Jul 13.