Document Detail


Connective tissue growth factor is associated with a stable atherosclerotic plaque phenotype and is involved in plaque stabilization after stroke.
MedLine Citation:
PMID:  20966418     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Carotid plaques remodel toward a more stable phenotype after stroke, but not after TIA. Connective tissue growth factor (CTGF) is involved in extracellular matrix production and is expressed in atherosclerotic plaques. We studied the role of CTGF in plaque remodeling after stroke and TIA.
METHODS: Atherosclerotic plaques from carotid endarterectomy of asymptomatic patients (n = 16) and patients who experienced stroke (n = 15) or TIA (n = 33) were analyzed for CTGF levels, markers of plaque stability (collagen, smooth muscle cells, macrophage content, and lipid core), and levels of matrix metalloproteinase (MMP)-8, MMP-9, IL-4, IL-5, and IL-10.
RESULTS: CTGF levels were higher in stroke patients compared to TIA patients. Plaques with a high level of CTGF revealed more collagen and smooth muscle cell content, whereas macrophage content and lipid core size were not different. The amount of CTGF was negatively associated with MMP-8 and MMP-9 activity and showed a positive correlation with the anti-inflammatory cytokines IL-4, IL-5, and IL-10.
CONCLUSIONS: CTGF levels are associated with a more stable plaque phenotype. CTGF is increased in plaques after stroke compared to TIA, suggesting a role for CTGF in plaque stabilization after stroke.
Authors:
Jan Willem Leeuwis; Tri Q Nguyen; Maarten G J Theunissen; Wouter Peeters; Roel Goldschmeding; Gerard Pasterkamp; Aryan Vink
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-10-21
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  41     ISSN:  1524-4628     ISO Abbreviation:  Stroke     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-30     Completed Date:  2010-12-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2979-81     Citation Subset:  IM    
Affiliation:
Department of Pathology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands. a.vink@umuctrecht.nl
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Biological Markers
Cell Proliferation
Collagen / metabolism
Connective Tissue Growth Factor / metabolism*
Endarterectomy, Carotid
Extracellular Matrix / metabolism
Female
Humans
Interleukins / metabolism
Male
Matrix Metalloproteinases / metabolism
Middle Aged
Myocytes, Smooth Muscle / physiology
Plaque, Atherosclerotic / metabolism*,  pathology*
Risk Factors
Stroke / metabolism*,  pathology*
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Interleukins; 139568-91-5/Connective Tissue Growth Factor; 9007-34-5/Collagen; EC 3.4.24.-/Matrix Metalloproteinases

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