Increased expression of IL-20 is associated with ischemic cardiomyopathy and acute myocardial infarction

2021 ◽  
Author(s):  
Jishou Zhang ◽  
Yao Xu ◽  
Wen Ding ◽  
Mengmeng Zhao ◽  
Jianfang Liu ◽  
...  

Background: The expression and clinical significance of IL-20 in coronary artery diseases need to be analyzed. Methods: IL-20 and its receptors were analyzed in coronary artery tissues. In a separate study, plasma IL-20 was also evaluated. Results: IL-20 and its receptors were significantly higher in coronary artery stenosis tissues from ischemic cardiomyopathy patients than that from controls. T lymphocytes and macrophages were the main source of IL-20 and expressed its receptors abundantly. Plasma IL-20 was significantly higher in acute myocardial infarction patients than that in controls. Conclusion: IL-20 was closely associated with the presence of acute myocardial infarction. IL-20 may participate in the progression of coronary artery stenosis and plaque vulnerability via regulating T lymphocytes and macrophages.

2019 ◽  
Vol 7 (2) ◽  
pp. 69-75 ◽  
Author(s):  
Gianluca Rigatelli ◽  
Marco Zuin ◽  
Tra T. Ngo ◽  
Hung T. Nguyen ◽  
Aravinda Nanjundappa ◽  
...  

Abstract Background and Objectives Significant rather than moderate coronary artery stenosis has been postulated to be the main substrate of plaque rupture in acute myocardial infarction (AMI). We evaluate if cavitation could influence the coronary artery plaque rupture contributing to the progression of thrombotic process. Methods We reconstructed a 3D model of the left anterior descending coronary artery (LAD) after reviewing the intravascular ultrasound (IVUS) data of 30 consecutive patients with mild to severe coronary artery disease. Results Turbulent flow or cavitation occurs in both concentric and eccentric coronary artery stenosis (≥ 75% for the former and ≥ 50% for the latter). The analysis of vapor phase demonstrated that cavitation propagated downstream, creating microbubbles, which exploded when the fluid pressure was lower than the vapor pressure at a local thermodynamic state. The relative higher vorticity magnitude (as turbulent flow in vivo angiogram) observed on the distal cap of the atherosclerotic plaque created a higher turbulence, probably able to destabilize the plaque through a micro-erosion process. Conclusions Cavitation seems to be able to promote the thrombotic occlusion within the coronary vessels due the ‘constant injuries’ created by the micro-explosion of bubbles.


2020 ◽  
Vol 21 (11) ◽  
pp. 91-93
Author(s):  
Bassim El-Sabawi ◽  
Ilya S. Shadrin ◽  
Gurpreet S. Sandhu ◽  
Juan A. Crestanello ◽  
Allan S. Jaffe

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