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The relationship between the high-density lipoprotein (HDL)-associated sphingosine-1-phosphate (S1P) and coronary in-stent restenosis

High-density lipoprotein (HDL)-associated sphingosine-1-phosphate (S1P) contributed to several beneficial effects in the cardiovascular system. We explored the relationship between the HDL-S1P concentrations and coronary in-stent restenosis (ISR). Fifty consecutive patients with ISR and 50 normal co...

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Published in:Clinica chimica acta 2015-06, Vol.446, p.248-252
Main Authors: Jing, Xiao-Dong, Wei, Xiao-Ming, Deng, Song-Bai, Du, Jian-Lin, Liu, Ya-Jie, She, Qiang
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container_title Clinica chimica acta
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description High-density lipoprotein (HDL)-associated sphingosine-1-phosphate (S1P) contributed to several beneficial effects in the cardiovascular system. We explored the relationship between the HDL-S1P concentrations and coronary in-stent restenosis (ISR). Fifty consecutive patients with ISR and 50 normal control subjects were included. The serum S1P, HDL-S1P and clinical data were collected to explore the relationships between these parameters and ISR. The patients with ISR had significantly lower concentrations of serum S1P (96.10±26.33 vs. 113.40±32.72; P=0.004) and HDL-S1P (32.81±10.02 vs. 42.72±11.75; P
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We explored the relationship between the HDL-S1P concentrations and coronary in-stent restenosis (ISR). Fifty consecutive patients with ISR and 50 normal control subjects were included. The serum S1P, HDL-S1P and clinical data were collected to explore the relationships between these parameters and ISR. The patients with ISR had significantly lower concentrations of serum S1P (96.10±26.33 vs. 113.40±32.72; P=0.004) and HDL-S1P (32.81±10.02 vs. 42.72±11.75; P&lt;0.001). All included patients were divided into four quartiles based on their concentrations of HDL-S1P: Quartile 1 (18.63–28.51ng/ml), Quartile 2 (28.62–37.28ng/ml), Quartile 3 (37.35–45.27ng/ml), and Quartile 4 (45.59–79.36ng/ml). The rates of ISR were 84%, 48%, 40% and 28%, respectively. The patients in Quartile 1 exhibited significantly higher rates of ISR compared with the other groups (P=0.001). 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We explored the relationship between the HDL-S1P concentrations and coronary in-stent restenosis (ISR). Fifty consecutive patients with ISR and 50 normal control subjects were included. The serum S1P, HDL-S1P and clinical data were collected to explore the relationships between these parameters and ISR. The patients with ISR had significantly lower concentrations of serum S1P (96.10±26.33 vs. 113.40±32.72; P=0.004) and HDL-S1P (32.81±10.02 vs. 42.72±11.75; P&lt;0.001). All included patients were divided into four quartiles based on their concentrations of HDL-S1P: Quartile 1 (18.63–28.51ng/ml), Quartile 2 (28.62–37.28ng/ml), Quartile 3 (37.35–45.27ng/ml), and Quartile 4 (45.59–79.36ng/ml). The rates of ISR were 84%, 48%, 40% and 28%, respectively. The patients in Quartile 1 exhibited significantly higher rates of ISR compared with the other groups (P=0.001). A multivariate stepwise logistic regression analysis indicated that HDL-S1P (OR=0.846, 95% CI=0.767–0.932, P=0.001) was an independent predictor of ISR. An ROC analysis indicated that HDL-S1P=30.37ng/ml and had a 90% sensitivity and a 52% specificity in predicting ISR. HDL-S1P is an independent predictor of ISR, and patients with higher concentrations of HDL-S1P have a low risk of ISR. •Detection of S1P and HDL-S1P in human serum by Liquid Chromatograph Mass Spectrometer•Patients with ISR have significantly lower levels of serum S1P and HDL-S1P.•HDL-S1P is an independent predictor of ISR, and patients with higher levels of HDL-S1P have a low risk of ISR.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>25958848</pmid><doi>10.1016/j.cca.2015.04.038</doi><tpages>5</tpages></addata></record>
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ispartof Clinica chimica acta, 2015-06, Vol.446, p.248-252
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1873-3492
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source Elsevier
subjects Aged
Biomarkers - blood
Case-Control Studies
Coronary Artery Disease - blood
Coronary Artery Disease - pathology
Coronary Artery Disease - surgery
Coronary Restenosis - blood
Coronary Restenosis - diagnosis
Coronary Restenosis - pathology
Female
High-density lipoprotein
Humans
In-stent restenosis
Inflammation
Lipoproteins, HDL - blood
Logistic Models
Lysophospholipids - blood
Male
Middle Aged
Risk Factors
ROC Curve
Sphingosine - analogs & derivatives
Sphingosine - blood
Sphingosine-1-phosphate
Stents
title The relationship between the high-density lipoprotein (HDL)-associated sphingosine-1-phosphate (S1P) and coronary in-stent restenosis
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