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Gene Expression Profile of Circulating Mononuclear Cells in the Patients With Acute Coronary Syndrome : Searching for the Predictive Marker of Acute Coronary Syndrome

Research Project

Project/Area Number 15390248
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Circulatory organs internal medicine
Research InstitutionKumamoto University

Principal Investigator

OGAWA Hisao  Kumamoto University, Department of Cardiovascular Medicine, Graduate School of Medical Sciences, 大学院・医学薬学研究部, 教授 (50177135)

Co-Investigator(Kenkyū-buntansha) YOSHIMURA Michihiro  Kumamoto University, Department of Cardiovascular Medicine, Graduate School of Medical Sciences, 大学院・医学薬学研究部, 助教授 (30264295)
SAKAMOTO Tomohiro  Kumamoto University, Department of Cardiovascular Medicine, Graduate School of Medical Sciences, 医学部附属病院, 講師 (00301375)
SUGIYAMA Seigo  Kumamoto University, Department of Cardiovascular Medicine, Graduate School of Medical Sciences, 医学部附属病院, 助手 (90274711)
NAKAYAMA Masafumi  Kumamoto University, Department of Cardiovascular Medicine, Graduate School of Medical Sciences, 大学院・医学薬学研究部, 助手 (30346986)
Project Period (FY) 2003 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥8,600,000 (Direct Cost: ¥8,600,000)
Fiscal Year 2004: ¥4,000,000 (Direct Cost: ¥4,000,000)
Fiscal Year 2003: ¥4,600,000 (Direct Cost: ¥4,600,000)
KeywordsAcute Coronary Syndrome / Mononuclear Cells / Gene Chip Microarray Analysis / Class A Macrophage Scavenger Receptor / Ontology / Real Time RT-PCR / Directional Coronary Atherectomy / Predictive Marker
Research Abstract

Morbidity and mortality rates among patients with acute coronary syndrome(ACS) remain to be high. It is difficult to determine which patients will progress satisfactorily for acute coronary syndrome. In this study, we examined gene expression profile of mononuclear cells in the patients in acute and chronic phase of unstable angina to search for the prediction marker of ACS in the circulating mononuclear cells. In the gene chip microarray analysis, the study patients consisted of 2 women with unstable angina without coronary risk factors. We obtained the total RNA of mononuclear cells at the time of admission and three weeks after the admission. We compared the gene expression profile of mononuclear cells between an acute phase and a chronic phase. As a results of microarray, Class A macrophage scavenger receptor(SR-A) was the most strongly increased factor in the acute phase than in the chronic phase among the immune response factors according to the gene ontologic analysis. In larger … More population, we examined SR-A mRNA levels by using real time RT-PCR. The SR-A mRNA levels were 16 times higher in the acute phase than in the chronic phase(p<0.01). Subsequently, we examined the SR-A mRNA levels of circulating mononuclear cells in the consecutive patients who admitted to our institute because of chest pain : 12 control subjects without coronary stenosis, 10 patients with stable angina, and 16 patients with acute coronary syndrome. The SR-A mRNA levels in the control, the stable angina, and the acute coronary syndrome groups were 5.4±1.4,4.5±1.7, and 14.5±2.5, respectively. The SR-A mRNA levels of the peripheral circulating mononuclear cells were highest in the patients with acute coronary syndrome(p<0.01) : there was no significant difference between the control and the stable angina groups. Further, we examined the SR-A mRNA levels of atherosclerotic lesions obtained from directional coronary atherectomies : 11 consecutive patients with unstable angina and 13 consecutive patients with stable angina. The SR-A mRNA levels of the atherosclerotic lesions in the patients with stable angina and with unstable angina were 10.0±6.0 and 38.2±14.5,respectively. The mRNA levels of SR-A of the coronary atheroscrelotic lesions were significantly higher in the patients with unstable angina than in the patients with stable angina(p<0.03). Furthermore, immunohistochemistry revealed that SR-A was abundantly expressed on the macrophages in the atherosclerotic lesions. In conclusion, the SR-A gene expression level increases in the unstable atherosclerotic plaque, and in the peripheral circulating blood in the patients with acute coronary syndrome. Measuring the SR-A gene expression level, even in the peripheral circulating blood provides a marker for acute coronary syndrome. Less

Report

(3 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • Research Products

    (20 results)

All 2004 1999 1997 1993 1992 1990 1979 Other

All Journal Article (14 results) Publications (6 results)

  • [Journal Article] Hypochlorous acid, a macrophage product, induces endothelial apoptosis and tissue factor expression involvement of myeloperoxidase-mediated oxidant in plaque erosion and thrombogenesis.2004

    • Author(s)
      Sugiyama S., Ogawa H.et al.
    • Journal Title

      Arteriosclerosis, Thrombosis, and Vascular Biology 24

      Pages: 1309-1314

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Plasma levels of B-type natriuretic peptide as a prognostic marker after acute myocardial infarction : a long-term follow-up analysis.2004

    • Author(s)
      Suzuki S., Ogawa H.et al.
    • Journal Title

      Circulation 110

      Pages: 1387-1391

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Annual Research Report 2004 Final Research Report Summary
  • [Journal Article] Targeted deletion of CC chemokine receptor 2 attenuates left ventricular remodeling after experimental myocardial infarction.2004

    • Author(s)
      Kaikita K., Ogawa H.et al.
    • Journal Title

      American Journal of Pathology 165

      Pages: 439-447

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Annual Research Report 2004 Final Research Report Summary
  • [Journal Article] Prognostic value of remnant-like lipoprotein particles levels in patients with coronary artery disease and type 2 diabetes mellitus.2004

    • Author(s)
      Fukushima H., Ogawa H.et al.
    • Journal Title

      Journal of the American College of Cardiology 43

      Pages: 2219-2224

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Annual Research Report 2004 Final Research Report Summary
  • [Journal Article] Echolucent carotid plaques predict future coronary events in patients with coronary artery disease.2004

    • Author(s)
      Honda O., Ogawa H.et al.
    • Journal Title

      Journal of the American College of Cardiology 43

      Pages: 1177-1184

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Annual Research Report 2004 Final Research Report Summary
  • [Journal Article] The Japanese beta-blockers and Calcium Antagonists Myocardial Infarction (JBCMI).2004

    • Author(s)
      Ogawa H. et al.
    • Journal Title

      The American Journal of Cardiology 93

      Pages: 1017-1021

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Annual Research Report 2004 Final Research Report Summary
  • [Journal Article] Hypochlorous acid, a macrophage product, induces endothelial apoptosis and tissue factor expression : involvement of myeloperoxidase-mediated oxidant in plaque erosion and thrombogenesis.2004

    • Author(s)
      Sugiyama S, Ogawa H. et al.
    • Journal Title

      Arteriosclerosis, Thrombosis, and Vascular Biology 24

      Pages: 1309-1314

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Atherosclerosis - an inflammatory disease.1999

    • Author(s)
      Ross, R.
    • Journal Title

      N.Engl.J.Med. 340

      Pages: 115-126

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Tissue Factor Expression on Macrophages in Coronary Plaques in Patients with Unstable Angina.1997

    • Author(s)
      Kaikita, K., H.Ogawa, H.Yasue, M.Takeya, K.Takahashi, T.Saito, K.Hayasaki, K.Horiuchi, A.Takizawa, Y Kamikubo, S.Nakamura
    • Journal Title

      Atherosclerosis, Thrombosis, and Vascular Biology 17

      Pages: 2232-2237

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Atherosclerosis : defense mechanisms gone awry.1993

    • Author(s)
      Ross, R.
    • Journal Title

      Am.J.Pathol. 143

      Pages: 987-1002

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] The pathogenesis of atherosclerosis : a perspective for the 1990s.1993

    • Author(s)
      Ross, R.
    • Journal Title

      Nature. 362

      Pages: 801-809

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Coexpression of type I and type II human macrophage scavenger receptors in macrophages of various organs and foam cells in atherosclerotic lesions.1992

    • Author(s)
      Naito.M., K.Suzuki, T.Mori, A.Matsumoto, T.Kodama, K.Takahashi
    • Journal Title

      Am.J.Pathol. 141

      Pages: 591-599

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Type I macrophage scavenger receptor contains α-helical coil and collagen-like coiled coils.1990

    • Author(s)
      Kodama, T., M.Freeman, L.Rohrer, J.Zabrecky, P.Matsudaira, M.Krieger
    • Journal Title

      Nature 343

      Pages: 531-535

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Binding site on macrophages that mediates uptake and degradation of acetylated low density lipoprotein, producing massive cholesterol deposition.1979

    • Author(s)
      Goldstein, J.L., Y.K.Ho, S.K.Basu, M.S.Brown
    • Journal Title

      Proc.Natl.Acad.Sci.USA. 76

      Pages: 333-337

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Publications] Soejima H, Ogawa H. et al.: "Increased serum matrix metalloproteinase-Iconcentration advanced left-ventricular remodeling in patients with acute myocardial infarction."Circulation Journal. 67. 301-304 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Yamada Y, Ogawa H. et al.: "Neuropilin-1 on hematopoietic cells as a source of vascular development."Blood. 101. 1801-1809 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Soejima H, Ogawa H. et al.: "Preference toward a T-helper type 1 response in patients with coronary spastic angina."Circulation. 107. 2196-2200 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Miyamoto S, Ogawa H. et al.: "Plasma thioredoxin levels and platelet aggregability in patients with acute myocardial infarction"American Heart Journal. 146. 165-171 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Kosuge M, Ogawa H, et al.: "Effects of preinfarction angina pectoris on infarct size and in-hospital mortality after coronary intervention for acute myocardial infarction"American Journal of Cardiology. 92. 840-843 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Sakamoto T, Ogawa H. et al.: "Effects of activated protein C on plasma plasminogen activator inhibitor activity in patients with acute myocardial infarction treated with Aateplase : Comparison with unfractionated heparin"Journal of the American College of Cardiology. 42. 1390-1394 (2003)

    • Related Report
      2003 Annual Research Report

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Published: 2003-04-01   Modified: 2016-04-21  

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