AI Article Synopsis

  • In patients without acute coronary syndrome (ACS), higher levels of soluble CD40 ligand (sCD40L) were linked to a lower risk of developing coronary artery disease (CAD) and experiencing cardiac events.
  • The study involved 909 patients who underwent angiography, and they were categorized into three groups based on their CAD status and cardiac events within one year.
  • The results indicated that non-CAD patients had significantly higher sCD40L levels compared to CAD patients, and higher sCD40L levels correlated with a reduced risk of CAD and related events, suggesting a complex role of sCD40L in heart disease development.

Article Abstract

Background: In patients with acute coronary syndrome (ACS), elevated levels of soluble CD40 ligand (sCD40L) are associated with increased risk of cardiovascular events. We evaluated sCD40L levels and future cardiovascular events in patients not experiencing ACS.

Methods: Serum sCD40L levels were measured in 909 patients undergoing angiography. A three-way matching scheme (age, gender and catheterization time period) identified 303 patients with coronary artery disease (CAD) who experienced a cardiac event within 1 year (CAD/event), 303 patients with CAD free of events (CAD/no event) and 303 patients without CAD and free of events (no CAD).

Results: Average age was 64 +/- 11 years; 74% were males. Median (+/- SE) sCD40L levels were higher for no CAD patients (335 +/- 60 pg/ml) compared to CAD (248 +/- 65 pg/ml, p = 0.01) and to CAD/event (233 +/- 63 pg/ml, p < 0.001). There was no significant difference in median sCD40L levels between CAD/no event and CAD/event patients. Higher sCD40L quartiles were associated with a significant decrease in the risk of CAD/event versus no CAD (quartile 4 versus quartile 1: odds ratio = 0.59, p = 0.03). There was a nonsignificant trend towards a decreased risk of CAD as compared to no CAD, and for CAD/event versus CAD.

Conclusions: In non-ACS patients, higher sCD40L levels were associated with a decreased risk of CAD. This novel interaction of sCD40L raises interesting questions for CAD pathogenesis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3245966PMC
http://dx.doi.org/10.1159/000106683DOI Listing

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