PMID- 32719228 OWN - NLM STAT- MEDLINE DCOM- 20210324 LR - 20210324 IS - 0971-5916 (Print) IS - 0975-9174 (Electronic) IS - 0971-5916 (Linking) VI - 151 IP - 6 DP - 2020 Jun TI - Pathogenic gene expression of epicardial adipose tissue in patients with coronary artery disease. PG - 554-561 LID - 10.4103/ijmr.IJMR_1374_18 [doi] AB - BACKGROUND & OBJECTIVES: Coronary artery disease (CAD), a leading cause of mortality and morbidity worldwide has multifactorial origin. Epicardial adipose tissue (EAT) has complex mechanical and thermogenic functions and paracrine actions via various cytokines released by it, which can have both pro- and anti-inflammatory actions on myocardium and adjacent coronaries. The alteration of EAT gene expression in CAD is speculated, but poorly understood. This study was undertaken to find out the difference in gene expression of epicardial fat in CAD and non-CAD patients. METHODS: Twenty seven patients undergoing coronary artery bypass graft (CABG) and 16 controls (non-CAD patients undergoing valvular heart surgeries) were included in the study and their EAT samples were obtained. Gene expressions of uncoupling protein-1, monocyte chemoattractant protein-1 (MCP-1), adiponectin, adenosine A1 receptor (ADORA-1), vascular cell adhesion molecule-1 (VCAM-1) and tumour necrosis factor-alpha (TNF-alpha) were studied by real-time reverse transcription-polymerase chain reaction. Glucose, insulin, lipid profile, high-sensitivity C-reactive protein, homocysteine, vitamin D, TNF-alpha and leptin levels were estimated in fasting blood samples and analyzed. RESULTS: Leptin levels were significantly higher in CABG group as compared to controls (P <0.05), whereas other metabolic parameters were not significantly different between the two groups. MCP-1, VCAM-1 and TNF-alpha were upregulated in the CABG group as compared to controls. Further, multivariate analysis showed significantly reduced adjusted odds ratio for MCP-1 [0.27; 95% confidence interval: 0.08-0.91] in the CABG group as compared to controls (P <0.05). INTERPRETATION & CONCLUSIONS: Our findings showed an alteration in EAT gene expression in CAD patients with significant upregulation of MCP-1. Further studies with a large sample need to be done to confirm these findings. FAU - Sahasrabuddhe, Anagha Vinay AU - Sahasrabuddhe AV AD - Department of Physiology, NKP Salve Institute of Medical Sciences & Research Center, Nagpur, Maharashtra, India. FAU - Pitale, Shailesh U AU - Pitale SU AD - Department of Medicine, Dew Medicare & Trinity Hospital, Nagpur, Maharashtra, India. FAU - Sivanesan, Saravana Devi AU - Sivanesan SD AD - Environmental Health Division, CSIR-National Environmental Engineering Research Institute, Nagpur, Maharashtra, India. FAU - Deshpande, Purushottam K AU - Deshpande PK AD - Department of Cardiothoracic Surgery, Dr. K.G. Deshpande Memorial Centre, Nagpur, Maharashtra, India. FAU - Deshpande, Swapnil P AU - Deshpande SP AD - Department of Cardiothoracic Surgery, Dr. K.G. Deshpande Memorial Centre, Nagpur, Maharashtra, India. FAU - Daiwile, Atul AU - Daiwile A AD - Environmental Health Division, CSIR-National Environmental Engineering Research Institute, Nagpur, Maharashtra, India. LA - eng PT - Journal Article PL - India TA - Indian J Med Res JT - The Indian journal of medical research JID - 0374701 SB - IM CIN - Indian J Med Res. 2020 Jun;151(6):509-512. PMID: 32719222 MH - Adipose Tissue MH - Adult MH - Aged MH - Coronary Artery Bypass MH - *Coronary Artery Disease/genetics MH - Female MH - Gene Expression MH - Humans MH - Male MH - Middle Aged MH - Pericardium PMC - PMC7602934 OTO - NOTNLM OT - Adiponectin OT - CAD OT - EAT OT - MCP-1 - paracrine OT - inflammatory biomarkers COIS- None EDAT- 2020/07/29 06:00 MHDA- 2021/03/25 06:00 PMCR- 2020/06/01 CRDT- 2020/07/29 06:00 PHST- 2020/07/29 06:00 [entrez] PHST- 2020/07/29 06:00 [pubmed] PHST- 2021/03/25 06:00 [medline] PHST- 2020/06/01 00:00 [pmc-release] AID - IndianJMedRes_2020_151_6_554_290289 [pii] AID - IJMR-151-554 [pii] AID - 10.4103/ijmr.IJMR_1374_18 [doi] PST - ppublish SO - Indian J Med Res. 2020 Jun;151(6):554-561. doi: 10.4103/ijmr.IJMR_1374_18.