PMID- 23906492 OWN - NLM STAT- MEDLINE DCOM- 20140313 LR - 20191112 IS - 1488-2353 (Electronic) IS - 0147-958X (Linking) VI - 36 IP - 4 DP - 2013 Aug 1 TI - Decreased plasma apolipoprotein A-IV levels in patients with acute coronary syndrome. PG - E207-15 AB - PURPOSE: The purpose of this study was to evaluate the relationship between apolipoprotein A-IV (apoA-IV) plasma concentrations and acute coronary syndrome (ACS). METHODS: Plasma apoA-IV concentrations were measured in 115 patients with different types of ACS and in 68 gender- and age-matched control subjects using Enzyme-Linked Immunosorbent Assay (ELISA) kits. The clinical data were collected by an internist, who was blinded to plasma apoA-IV concentrations. RESULTS: Plasma apoA-IV levels in ACS patients were significantly decreased compared to the levels in control subjects (437.0+/-157.5 mug/mL vs. 590.2+/-183.7 mug/mL, P<0.001). An statistically significant decreasing trend of plasma apoA-IV levels from the control subjects, to patients with unstable angina pectoris (UAP) (457.3+/-152.9 mug/mL), to patients with acute myocardial infarction (AMI) (311.7+/-127.8 mug/mL), was observed. Moreover, plasma apoA-IV level was negatively associated with New York Heart Association (NYHA) functional class. NYHA class II (467.2+/-142.1 mug/mL, P<0.001) and class III/IV (368.1+/-170.8 mug/mL, P<0.001) patients had statistically decreased levels of plasma apoA-IV when compared to the control subjects. A stepwise multivariate regression analysis identified types of ACS, NYHA classes, and plasma fibrinogen levels as the most important determinants of plasma apoA-IV levels in ACS patients. CONCLUSIONS: Low plasma apoA-IV levels are associated with ACS, and plasma apoA-IV levels may be a potential treatment target for ACS patients. FAU - Li, Jiabei AU - Li J AD - Institute of Cardiovascular Medicine, Xinqiao Hospital, Third Military Medical University, Chongqing, China FAU - Song, Mingbao AU - Song M FAU - Qian, Dehui AU - Qian D FAU - Lu, Wei AU - Lu W FAU - Wang, Juan AU - Wang J FAU - Jiang, Guoyan AU - Jiang G FAU - Jin, Jun AU - Jin J FAU - Wu, Xiaojing AU - Wu X FAU - Huang, Lan AU - Huang L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130801 PL - Canada TA - Clin Invest Med JT - Clinical and investigative medicine. Medecine clinique et experimentale JID - 7804071 RN - 0 (Apolipoproteins A) RN - 0 (apolipoprotein A-IV) SB - IM MH - Acute Coronary Syndrome/*blood MH - Aged MH - Apolipoproteins A/*blood MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Male MH - Middle Aged EDAT- 2013/08/03 06:00 MHDA- 2014/03/14 06:00 CRDT- 2013/08/03 06:00 PHST- 2013/08/01 00:00 [received] PHST- 2013/08/03 06:00 [entrez] PHST- 2013/08/03 06:00 [pubmed] PHST- 2014/03/14 06:00 [medline] AID - 10.25011/cim.v36i4.19954 [doi] PST - epublish SO - Clin Invest Med. 2013 Aug 1;36(4):E207-15. doi: 10.25011/cim.v36i4.19954.