PMID- 31700919 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220411 IS - 2305-5839 (Print) IS - 2305-5847 (Electronic) IS - 2305-5839 (Linking) VI - 7 IP - 18 DP - 2019 Sep TI - Predicting significance of COX-2 expression of peripheral blood monocyte in patients with coronary artery disease. PG - 483 LID - 10.21037/atm.2019.08.75 [doi] LID - 483 AB - BACKGROUND: Cyclooxygenase-2 (COX-2) plays an important role in the monocyte-platelet aggregate (MPA)-medicated inflammatory response and possible coronary artery disease (CAD). This study aimed to assess the predicting significance of COX-2 expression in peripheral blood monocyte for CAD. METHODS: A total of 66 patients with CAD including stable angina (SA) and unstable angina (UA) were enrolled. The inflammatory indexes including white blood cell (WBC) count, high-sensitive C reactive protein (hs-CRP), serum monocyte chemoattractant protein-1 (MCP-1) and MPA levels were measured. The western-blotting assay and reverse transcription-polymerase chain reaction (RT-PCR) analysis were used to detect the COX-2 expression in peripheral blood monocytes. Furthermore, the correlation between COX-2 expression and MPA levels, and the association of COX-2 expression with CAD risk were assessed. RESULTS: The UA patients demonstrated higher levels of inflammatory indexes than the SA patients (P<0.001). Simultaneously, higher MPA levels and enhanced COX-2 expression were observed in the UA patients (P<0.01). The patients with enhanced COX-2 expression exhibited higher MPA than those without (P<0.01), and patients with increased MPA also demonstrated enhanced COX-2 expression (P<0.001). Moreover, the levels of COX-2 protein expression was positively related to the MPA formation rates (R(2)=0.4933, P<0.01), and enhanced COX-2 expression was independently associated with CAD risk [odds ratio (OR): 6.322, 95% confidence interval (CI): 4.544-8.978 ]. CONCLUSIONS: The COX-2 expression of peripheral blood monocytes can be used as an independent predictor for CAD. CI - 2019 Annals of Translational Medicine. All rights reserved. FAU - Huang, Qinghua AU - Huang Q AD - Department of Endocrinology, Zhejiang Provincial People's Hospital and People's Hospital of Hangzhou Medical College, Hangzhou 310014, China. FAU - Fei, Xianming AU - Fei X AD - Center for Laboratory Medicine, Zhejiang Provincial People's Hospital and People's Hospital of Hangzhou Medical College, Hangzhou 310014, China. FAU - Li, Shengbing AU - Li S AD - Department of Laboratory Medicine, The Second Jiaxing Hospital, Jiaxing 314000, China. FAU - Xu, Chan AU - Xu C AD - Department of Laboratory Medicine, Zhejiang Provincial Zhongshan Hospital, Hangzhou 330106, China. FAU - Tu, Chunping AU - Tu C AD - Department of Laboratory Medicine, Nanxun People's Hospital of Huzhou, Huzhou 313009, China. FAU - Jiang, Lei AU - Jiang L AD - Center for Laboratory Medicine, Zhejiang Provincial People's Hospital and People's Hospital of Hangzhou Medical College, Hangzhou 310014, China. FAU - Wo, Mingyi AU - Wo M AD - Center for Laboratory Medicine, Zhejiang Provincial People's Hospital and People's Hospital of Hangzhou Medical College, Hangzhou 310014, China. LA - eng PT - Journal Article PL - China TA - Ann Transl Med JT - Annals of translational medicine JID - 101617978 PMC - PMC6803216 OTO - NOTNLM OT - Coronary artery disease (CAD) OT - cyclooxygenase-2 (COX-2) OT - monocyte OT - predictor COIS- Conflicts of Interest: The authors have no conflicts of interest to declare. EDAT- 2019/11/09 06:00 MHDA- 2019/11/09 06:01 PMCR- 2019/09/01 CRDT- 2019/11/09 06:00 PHST- 2019/11/09 06:00 [entrez] PHST- 2019/11/09 06:00 [pubmed] PHST- 2019/11/09 06:01 [medline] PHST- 2019/09/01 00:00 [pmc-release] AID - atm-07-18-483 [pii] AID - 10.21037/atm.2019.08.75 [doi] PST - ppublish SO - Ann Transl Med. 2019 Sep;7(18):483. doi: 10.21037/atm.2019.08.75.