Autor: |
Daskalopoulou, Stella S. Daskalopoulos, Marios E. Theocharis, Starnatios Kavantzas, Nicolaos Perrea, Despina Karandrea, Despoina Constantinides, Anthony G. Mikhailidis, Dimitri P. and Nicolaides, Andrew N. Liapis, Christos D. |
Jazyk: |
angličtina |
Rok vydání: |
2007 |
Popis: |
Objective: Metallothioneins (MTs) are antioxidant proteins expressed in response to injury. We evaluated MT immunoreactivity in carotid plaques obtained from asymptomatic and symptomatic patients. We also assessed the relationship between ultrasonic plaque echodensity, histological grading, computed tomography findings and MT expression. Methods and results: In this ongoing prospective study, patients (n = 123, mean age (+/- SD) 68.4 +/- 7.7 years, 97 men) with high-grade carotid stenosis underwent carotid endarterectomy. Specimens were assessed histologically and immunohistochemically. Echolucent plaques (types 1+2) were more common in symptomatic patients (p < 0.0001) and had more advanced histological lesions (p < 0.0001). Echolucent plaques expressed MTs (in macrophages, fibroblasts and T-lymphocytes) significantly more than echogenic plaques (types 3+4) (all p < 0.0001). MT expression was mainly related to carotid plaque echolucency rather than the presence of symptoms. MT expression was significantly more common in advanced histological lesions. Plaques from asymptomatic or symptomatic patients with abnormal computed tomography findings also showed increased MT expression. There was a time-dependent fall in MT expression after cerebrovascular events (p |
Databáze: |
OpenAIRE |
Externí odkaz: |
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