Abstract | OBJECTIVE: This study was undertaken to analyze the relation between serum activity of chitotriosidase enzyme, a protein synthesized exclusively by activated macrophages, and atherosclerotic lesion extent in subjects with atherothrombotic stroke (ATS) and in subjects with ischemic heart disease (IHD). METHODS AND RESULTS: We assayed the serum chitotriosidase activity and a common chitotriosidase gene polymorphism that causes deficiency in chitotriosidase activity in 3 Spanish populations, ATS (n=153), IHD (n=124), and control (n=148) subjects. Statistical differences were found in serum chitotriosidase activity between ATS (88.1+/-4.6 nmol/mL. h, P<0.0001) and IHD subjects (79.0+/-6.3, P=0.002) versus control group (70.9+/-5.2). These observed differences were not attributable to a distinct allelic or genotype distribution. The extension of the atherosclerotic lesion in carotids of ATS subjects was measured by duplex sonography. Chitotriosidase activities were 66.9+/-9.6, 88.7+/-8.3, and 107.7+/-11.8 for subjects with carotid stenosis <or=30%, 31% to 60%, and >60%, respectively. Statistical differences were observed between subjects with major and intermediate stenosis grade compared with subjects with minor stenosis, P=0.005 and P=0.016, respectively. CONCLUSIONS: Serum chitotriosidase activity is significantly increased in individuals suffering from atherosclerosis disease and is related to the severity of the atherosclerotic lesion, suggesting a possible role as atherosclerotic extent marker.
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Authors | Marta Artieda, Ana Cenarro, Alberto Gañán, Ivonne Jericó, Carmen Gonzalvo, Juan M Casado, Isabel Vitoria, José Puzo, Miguel Pocoví, Fernando Civeira |
Journal | Arteriosclerosis, thrombosis, and vascular biology
(Arterioscler Thromb Vasc Biol)
Vol. 23
Issue 9
Pg. 1645-52
(Sep 01 2003)
ISSN: 1524-4636 [Electronic] United States |
PMID | 12893688
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- C-Reactive Protein
- Hexosaminidases
- chitotriosidase
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Topics |
- Aged
- Arteriosclerosis
(blood, enzymology, genetics)
- Body Mass Index
- Brain Ischemia
(blood, enzymology, genetics)
- C-Reactive Protein
(metabolism)
- Hexosaminidases
(blood, genetics, metabolism)
- Humans
- Polymorphism, Genetic
(genetics)
- Predictive Value of Tests
- Sensitivity and Specificity
- Severity of Illness Index
- Spain
- Stroke
(blood, enzymology, genetics)
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