PMID- 32967202 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201028 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 9 IP - 9 DP - 2020 Sep 21 TI - Monocyte Chemoattractant Protein-1 Is an Independent Predictor of Coronary Artery Ectasia in Patients with Acute Coronary Syndrome. LID - 10.3390/jcm9093037 [doi] LID - 3037 AB - Our purpose was to assess a possible association of inflammatory, lipid and mineral metabolism biomarkers with coronary artery ectasia (CAE) and to determine a possible association of this with acute atherotrombotic events (AAT). We studied 270 patients who underwent coronary angiography during an acute coronary syndrome 6 months before. Plasma levels of several biomarkers were assessed, and patients were followed during a median of 5.35 (3.88-6.65) years. Two interventional cardiologists reviewed the coronary angiograms, diagnosing CAE according to previously published criteria in 23 patients (8.5%). Multivariate binary logistic regression analysis was used to search for independent predictors of CAE. Multivariate analysis revealed that, aside from gender and a diagnosis of dyslipidemia, only monocyte chemoattractant protein-1 (MCP-1) (OR = 2.25, 95%CI = (1.35-3.76) for each increase of 100 pg/mL, p = 0.001) was independent predictor of CAE, whereas mineral metabolism markers or proprotein convertase subtilisin/kexin type 9 were not. Moreover, CAE was a strong predictor of AAT during follow-up after adjustment for other clinically relevant variables (HR = 2.67, 95%CI = (1.22-5.82), p = 0.013). This is the first report showing that MCP-1 is an independent predictor of CAE, suggesting that CAE and coronary artery disease may share pathogenic mechanisms. Furthermore, CAE was associated with an increased incidence of AAT. FAU - Franco-Pelaez, Juan Antonio AU - Franco-Pelaez JA AUID- ORCID: 0000-0001-5360-7066 AD - Department of Cardiology, Instituto de Investigacion Sanitaria-Fundacion Jimenez Diaz, 28040 Madrid, Spain. AD - Department of Medicine, Autonoma University, 28049 Madrid, Spain. FAU - Martin-Reyes, Roberto AU - Martin-Reyes R AD - Department of Cardiology, Hospital La Luz, 28003 Madrid, Spain. FAU - Pello-Lazaro, Ana Maria AU - Pello-Lazaro AM AUID- ORCID: 0000-0002-5699-3422 AD - Department of Cardiology, Instituto de Investigacion Sanitaria-Fundacion Jimenez Diaz, 28040 Madrid, Spain. AD - Department of Medicine, Autonoma University, 28049 Madrid, Spain. FAU - Acena, Alvaro AU - Acena A AD - Department of Cardiology, Instituto de Investigacion Sanitaria-Fundacion Jimenez Diaz, 28040 Madrid, Spain. AD - Department of Medicine, Autonoma University, 28049 Madrid, Spain. FAU - Lorenzo, Oscar AU - Lorenzo O AD - Department of Medicine, Autonoma University, 28049 Madrid, Spain. AD - Laboratory of Vascular Pathology, Instituto de Investigacion Sanitaria-Fundacion Jimenez Diaz, 28040 Madrid, Spain. FAU - Martin-Ventura, Jose Luis AU - Martin-Ventura JL AD - Department of Medicine, Autonoma University, 28049 Madrid, Spain. AD - Laboratory of Vascular Pathology, Instituto de Investigacion Sanitaria-Fundacion Jimenez Diaz, 28040 Madrid, Spain. AD - Centro de Investigacion Biomedica en Red (CiberCV), 28029 Madrid, Spain. AD - Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas (CIBERDEM), 28029 Madrid, Spain. FAU - Blanco-Colio, Luis AU - Blanco-Colio L AUID- ORCID: 0000-0002-1560-6609 AD - Laboratory of Vascular Pathology, Instituto de Investigacion Sanitaria-Fundacion Jimenez Diaz, 28040 Madrid, Spain. AD - Centro de Investigacion Biomedica en Red (CiberCV), 28029 Madrid, Spain. FAU - Gonzalez-Casaus, Maria Luisa AU - Gonzalez-Casaus ML AD - Laboratory of Nephrology and Mineral Metabolism, Hospital Gomez-Ulla, 28047 Madrid, Spain. FAU - Hernandez-Gonzalez, Ignacio AU - Hernandez-Gonzalez I AD - Department of Cardiology, Hospital Universitario Rio Hortega, 47012 Valladolid, Spain. FAU - Carda, Rocio AU - Carda R AD - Department of Cardiology, Instituto de Investigacion Sanitaria-Fundacion Jimenez Diaz, 28040 Madrid, Spain. AD - Department of Medicine, Autonoma University, 28049 Madrid, Spain. FAU - Martin-Mariscal, Maria Luisa AU - Martin-Mariscal ML AD - Department of Cardiology, Hospital Ruber Juan Bravo, 28006 Madrid, Spain. FAU - Egido, Jesus AU - Egido J AD - Department of Medicine, Autonoma University, 28049 Madrid, Spain. AD - Laboratory of Vascular Pathology, Instituto de Investigacion Sanitaria-Fundacion Jimenez Diaz, 28040 Madrid, Spain. AD - Centro de Investigacion Biomedica en Red de Diabetes y Enfermedades Metabolicas Asociadas (CIBERDEM), 28029 Madrid, Spain. AD - Department of Nephrology, Instituto de Investigacion Sanitaria-Fundacion Jimenez Diaz, 28040 Madrid, Spain. FAU - Tunon, Jose AU - Tunon J AUID- ORCID: 0000-0002-1373-0999 AD - Department of Cardiology, Instituto de Investigacion Sanitaria-Fundacion Jimenez Diaz, 28040 Madrid, Spain. AD - Department of Medicine, Autonoma University, 28049 Madrid, Spain. AD - Laboratory of Vascular Pathology, Instituto de Investigacion Sanitaria-Fundacion Jimenez Diaz, 28040 Madrid, Spain. AD - Centro de Investigacion Biomedica en Red (CiberCV), 28029 Madrid, Spain. LA - eng GR - RD06/0014/0035/RECAVA/ GR - PI05/0451, PI05/1497, PI05/52475, PI05/1043, PS09/01405, and PI10/00072, PI14/01567, PI17/01615/Instituto de Investigaciones Sanitarias/ GR - RD09/0076/ 00101/Instituto de Salud Carlos III FEDER/ PT - Journal Article DEP - 20200921 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC7563376 OTO - NOTNLM OT - acute atherotrombotic events OT - coronary artery disease OT - coronary artery ectasia OT - low-density lipoprotein OT - monocyte chemoattractant protein-1 COIS- J. Egido is lecturer for AbbVie laboratories. J. Tunon is lecturer and has participated in advisory boards for Sanofi. The remaining authors have no conflicts of interest. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. EDAT- 2020/09/25 06:00 MHDA- 2020/09/25 06:01 PMCR- 2020/09/21 CRDT- 2020/09/24 01:01 PHST- 2020/09/08 00:00 [received] PHST- 2020/09/14 00:00 [revised] PHST- 2020/09/17 00:00 [accepted] PHST- 2020/09/24 01:01 [entrez] PHST- 2020/09/25 06:00 [pubmed] PHST- 2020/09/25 06:01 [medline] PHST- 2020/09/21 00:00 [pmc-release] AID - jcm9093037 [pii] AID - jcm-09-03037 [pii] AID - 10.3390/jcm9093037 [doi] PST - epublish SO - J Clin Med. 2020 Sep 21;9(9):3037. doi: 10.3390/jcm9093037.