Endothelial dysfunction and inflammatory process in transfusion-dependent patients with beta-thalassemia major

Autor: Christos Pitsavos, Christine Chrysohoou, Markisia Karageorga, Dimitris Tousoulis, Constadina Cosma, Vasilios Ladis, Christodoulos Stefanadis, Constadina Aggeli, Charalambos Antoniades
Rok vydání: 2005
Předmět:
Zdroj: International Journal of Cardiology. 105:80-84
ISSN: 0167-5273
Popis: BACKGROUND: Beta-thalassemia major is associated with increased cardiovascular risk, although the underlying mechanisms remain unclear. We examined endothelial function and serum levels of inflammatory mediators in transfusion-dependent patients with beta-thalassemia major. METHODS: The study population consisted of 67 patients with homozygous beta-thalassemia major, (aged 24.6+/-0.7 years) and 71 healthy age and sex matched controls. Forearm blood flow was measured with gauge-strain plethysmography. Forearm vasodilatory response to reactive hyperemia (RH%) or to nitrate (NTG%) was expressed as the percentage change of forearm blood flow from baseline to the maximum flow during reactive hyperemia or sublingual nitroglycerin, respectively. Serum levels of interleukin 6 (IL-6), soluble vascular cell adhesion molecule (sVCAM-1) and soluble intercellular adhesion molecule (sICAM-1) were determined with ELISA. RESULTS: Patients had significantly lower levels of total cholesterol (125+/-4.5 vs. 207+/-7 mg/ml, p
Databáze: OpenAIRE