Heart Surgery
Conditions
Keywords
CAD, VHD, Thy-1
Brief summary
Atherosclerosis is an inflammatory process in which immune mechanisms interact with metabolic risk factors to initiate, propagate, and activate lesions in the arterial trees and is known as the main cause of coronary artery disease (CAD). Recently, there are more and more studies highlighted the potential importance of adipose tissue in relation to inflammation effects on CAD pathogenesis. However, it remains unclear whether Thy-1, adiponectin or any other inflammatory mediators in mediastinal adipose tissue contribute to CAD. In this study, we aim to analyze the expression of inflammatory mediators' expression via in vitro assay (3T3-L1 cell culture) and in vivo assay (human adipose tissues).
Detailed description
In addition, we'd like to investigate the association of the investigators' findings with clinical atherosclerotic risks, medications (statins or antiplatelet), and blood sugar. Now, we've established cell assay and successfully transformed mature adipocyte from 3T3-L1 cells. Besides, there were nighty-six patients enrolled into this study. Flow cytometry of Thy-1 and MCP-1 concentration in cultured medium by ELISA were also analyzed.
Interventions
Patients with CAD diseases proposed to have cardiac operations will be enrolled in this study, but those with congestive heart failure are excluded. Besides, those patients with valve diseases should have patent coronary arteries on coronary angiography.
Patients with valve diseases proposed to have cardiac operations will be enrolled in this study, but those with congestive heart failure are excluded. Besides, those patients with valve diseases should have patent coronary arteries on coronary angiography.
Sponsors
Study design
Eligibility
Inclusion criteria
* coronary artery bypass grafting surgery * valvular surgery
Exclusion criteria
* liver disease (GPT 2 times greater than normal limits) * chronic renal insufficiency (Creatinine \> 2.0 mg/dL) * neoplastic diseases * taking steroids * congestive heart failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| CD91 (Thy-1) | up to 24 months |
Secondary
| Measure | Time frame |
|---|---|
| CD45 | up to 24 months |
Countries
Taiwan