Ischemic heart diseases in Egypt: role of xanthine oxidase system and ischemia-modified albumin
It is known that xanthine oxidoreductase contributes significantly to ischemia/reperfusion injury by generating reactive oxygen species. Ischemia-modified albumin (IMA) is a biomarker of acute myocardial ischemia with high sensitivity but moderate specificity. Our study aims to evaluate the xanthine...
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Published in | Heart and vessels Vol. 29; no. 5; pp. 629 - 637 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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Springer Japan
01.09.2014
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Abstract | It is known that xanthine oxidoreductase contributes significantly to ischemia/reperfusion injury by generating reactive oxygen species. Ischemia-modified albumin (IMA) is a biomarker of acute myocardial ischemia with high sensitivity but moderate specificity. Our study aims to evaluate the xanthine oxidase (XO) system and the IMA level in the serum of patients with ischemic heart disease, and their correlation with traditional cardiac markers. The study was conducted on 60 patients with ischemic heart disease and 22 healthy subjects (control group). Subjects were divided into three groups: group I (30 patients with ST-elevated myocardial infarction), group II (30 patients with chronic stable angina), and the control group (22 subjects). The patients and controls had laboratory tests performed including lipid profile, cardiac enzymes, XO, uric acid, and IMA. The serum levels of XO and IMA were significantly higher in group I (1.65 ± 0.29 U/ml and 0.58 ± 0.15 ABSU, respectively) than in group II (1.11 ± 0.20 U/ml and 0.29 ± 0.10 ABSU, respectively) and the control group (0.95 ± 0.16 U/ml and 0.24 ± 0.08 ABSU, respectively) (
P
< 0.001). There was a significant positive correlation between XO and IMA in group I. Also, there was significant positive correlation between XO or IMA and other cardiac markers, with the highest level of significance between IMA and creatine kinase (CK-MB). In group II only XO activity was significantly elevated in comparison with controls. These results confirm the role of XO enzyme in ischemic heart disease with involvement of IMA, at a detectable level, during the early necrotic phase. |
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AbstractList | It is known that xanthine oxidoreductase contributes significantly to ischemia/reperfusion injury by generating reactive oxygen species. Ischemia-modified albumin (IMA) is a biomarker of acute myocardial ischemia with high sensitivity but moderate specificity. Our study aims to evaluate the xanthine oxidase (XO) system and the IMA level in the serum of patients with ischemic heart disease, and their correlation with traditional cardiac markers. The study was conducted on 60 patients with ischemic heart disease and 22 healthy subjects (control group). Subjects were divided into three groups: group I (30 patients with ST-elevated myocardial infarction), group II (30 patients with chronic stable angina), and the control group (22 subjects). The patients and controls had laboratory tests performed including lipid profile, cardiac enzymes, XO, uric acid, and IMA. The serum levels of XO and IMA were significantly higher in group I (1.65 ± 0.29 U/ml and 0.58 ± 0.15 ABSU, respectively) than in group II (1.11 ± 0.20 U/ml and 0.29 ± 0.10 ABSU, respectively) and the control group (0.95 ± 0.16 U/ml and 0.24 ± 0.08 ABSU, respectively) (
P
< 0.001). There was a significant positive correlation between XO and IMA in group I. Also, there was significant positive correlation between XO or IMA and other cardiac markers, with the highest level of significance between IMA and creatine kinase (CK-MB). In group II only XO activity was significantly elevated in comparison with controls. These results confirm the role of XO enzyme in ischemic heart disease with involvement of IMA, at a detectable level, during the early necrotic phase. It is known that xanthine oxidoreductase contributes significantly to ischemia/reperfusion injury by generating reactive oxygen species. Ischemia-modified albumin (IMA) is a biomarker of acute myocardial ischemia with high sensitivity but moderate specificity. Our study aims to evaluate the xanthine oxidase (XO) system and the IMA level in the serum of patients with ischemic heart disease, and their correlation with traditional cardiac markers. The study was conducted on 60 patients with ischemic heart disease and 22 healthy subjects (control group). Subjects were divided into three groups: group I (30 patients with ST-elevated myocardial infarction), group II (30 patients with chronic stable angina), and the control group (22 subjects). The patients and controls had laboratory tests performed including lipid profile, cardiac enzymes, XO, uric acid, and IMA. The serum levels of XO and IMA were significantly higher in group I (1.65 ± 0.29 U/ml and 0.58 ± 0.15 ABSU, respectively) than in group II (1.11 ± 0.20 U/ml and 0.29 ± 0.10 ABSU, respectively) and the control group (0.95 ± 0.16 U/ml and 0.24 ± 0.08 ABSU, respectively) (P < 0.001). There was a significant positive correlation between XO and IMA in group I. Also, there was significant positive correlation between XO or IMA and other cardiac markers, with the highest level of significance between IMA and creatine kinase (CK-MB). In group II only XO activity was significantly elevated in comparison with controls. These results confirm the role of XO enzyme in ischemic heart disease with involvement of IMA, at a detectable level, during the early necrotic phase. |
Author | Ali, Ola Sayed El-Awady, Rehab Refaat Abdelgawad, Hanan Muhammad Mohammed, Makram Sayed |
Author_xml | – sequence: 1 givenname: Ola Sayed surname: Ali fullname: Ali, Ola Sayed organization: Biochemistry Department, Faculty of Pharmacy, Al-Azhar University – sequence: 2 givenname: Hanan Muhammad surname: Abdelgawad fullname: Abdelgawad, Hanan Muhammad email: hananabdelgawad@yahoo.com organization: Biochemistry Department, Faculty of Pharmacy, Cairo University – sequence: 3 givenname: Makram Sayed surname: Mohammed fullname: Mohammed, Makram Sayed organization: National Heart Institute – sequence: 4 givenname: Rehab Refaat surname: El-Awady fullname: El-Awady, Rehab Refaat organization: Biochemistry Department, Faculty of Pharmacy, Al-Azhar University |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24092361$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1080_13510002_2016_1238991 crossref_primary_10_1159_000508037 crossref_primary_10_1016_j_bios_2018_09_013 crossref_primary_10_3389_fphar_2021_725745 crossref_primary_10_1002_ehf2_13129 crossref_primary_10_1111_1756_185X_13673 crossref_primary_10_1253_circrep_CR_19_0116 crossref_primary_10_1016_j_ijcard_2016_11_077 crossref_primary_10_1007_s00393_016_0092_4 crossref_primary_10_1007_s00380_020_01608_x crossref_primary_10_1536_ihj_22_584 crossref_primary_10_1080_00450618_2017_1340519 crossref_primary_10_1177_0003319715595744 |
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Keywords | Ischemic heart disease Myocardial infarction Ischemia-modified albumin Xanthine oxidase Stable angina |
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SubjectTerms | Adult Aged Angina, Stable - blood Angina, Stable - diagnosis Angina, Stable - enzymology Angina, Stable - epidemiology Biomarkers - blood Biomedical Engineering and Bioengineering Cardiac Surgery Cardiology Case-Control Studies Creatine Kinase, MB Form - blood Egypt - epidemiology Female Humans Male Medicine Medicine & Public Health Middle Aged Myocardial Infarction - blood Myocardial Infarction - diagnosis Myocardial Infarction - enzymology Myocardial Infarction - epidemiology Original Article Serum Albumin Serum Albumin, Human Up-Regulation Vascular Surgery Xanthine Oxidase - blood |
Title | Ischemic heart diseases in Egypt: role of xanthine oxidase system and ischemia-modified albumin |
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