Potential pathological roles for oxidized low-density lipoprotein and scavenger receptors SR-AI, CD36, and LOX-1 in aortic valve stenosis

2014 ◽  
Vol 235 (2) ◽  
pp. 398-407 ◽  
Author(s):  
Suvi Syväranta ◽  
Mervi Alanne-Kinnunen ◽  
Katariina Öörni ◽  
Riina Oksjoki ◽  
Markku Kupari ◽  
...  

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Tomotaka Yoshiyama ◽  
Kei Yunoki ◽  
Ryushi Komatsu ◽  
Kazuo Haze ◽  
Takahiko Naruko ◽  
...  

Background: The development of aortic valve stenosis (AS) involves multiple events, including inflammation and lipid deposition and oxidation. Circulating levels of soluble lectin-like oxidized low-density lipoprotein receptor-1 (sLOX-1) play an important role in the development and progression of atherosclerosis. The aims of this study were to investigate the serum levels of sLOX-1 in patients with AS and also examine the expression of LOX-1 immunohistochemically in aortic valve specimens from these patients. Methods: Serum sLOX-1 levels were measured in patients with AS (n=128), stable angina pectoris (SAP, n=343) and in 53 control subjects using a sandwich ELISA method. Frozen aortic valve samples were also obtained surgically from a cohort of 20 AS patients. In addition, frozen aortic valve specimens were obtained at autopsy from individuals who died of non-cardiovascular causes (n = 11, mean age 68 yr) as a reference. Immunostaining of the samples was performed using antibodies against smooth muscle cells, macrophages, T-lymphocytes, neutrophils, microvessels, and LOX-1. Results: Serum sLOX-1 levels were significantly higher in AS patients compared with SAP patients ( P <0.0005) or control subjects ( P <0.0001). There were no differences in serum sLOX-1 levels between AS patients with or without coronary artery disease. Immunohistochemical staining showed that the LOX-1-positive area, as a percentage of the total area, was significantly (P<0.01) higher in AS patients compared with reference cases. Double immunostaining for LOX-1 and macrophages revealed that the vast majority of LOX-1-positive cells were macrophages. Conclusions: This study demonstrates for the first time that serum sLOX-1 levels are elevated in patients with AS, and AS lesions contain a significantly higher percentage of LOX-1-positive macrophages. These findings suggest that LOX-1, a marker of oxidative stress, may play an important role in the development of aortic valve stenosis.





2013 ◽  
Vol 54 (11) ◽  
pp. 3206-3214 ◽  
Author(s):  
Erica N. Montano ◽  
Agnès Boullier ◽  
Felicidad Almazan ◽  
Christoph J. Binder ◽  
Joseph L. Witztum ◽  
...  










2019 ◽  
Vol 4 (11) ◽  
pp. 1156 ◽  
Author(s):  
Liv J. Mundal ◽  
Anders Hovland ◽  
Jannicke Igland ◽  
Marit B. Veierød ◽  
Kirsten B. Holven ◽  
...  




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