title: Increased adrenomedullin immunoreactivity and mRNA expression in coronary plaques obtained from patients with unstable angina.
abstract: OBJECTIVE
  To examine the expression and localisation of adrenomedullin in human coronary atherosclerotic lesions from patients with unstable angina (UAP) and stable angina (SAP), and to study the relation between adrenomedullin expression and plaque instability.
  
  
  METHODS
  A retrospective observational study.
  
  
  METHODS
  Directional coronary atherectomy samples were obtained from 15 patients with UAP and 12 with SAP.
  
  
  METHODS
  The localisation of adrenomedullin was examined by immunohistochemistry, and adreno-medullin mRNA expression was measured by quantitative polymerase chain reaction.
  
  
  RESULTS
  Adrenomedullin immunoreactivity was preferentially localised in macrophages, intimal smooth muscle cells, and proliferated microvessels. The mean number of adrenomedullin positive cells in five high power fields (x 400) per specimen was higher in patients with UAP than in those with SAP (mean (SEM), 110 (13) v 76 (7); p < 0.05); and the ratio of adrenomedullin positive to total cells was higher in patients with UAP (43.0 (2.2)% v 34.2 (2.0)%; p < 0.01). More adrenomedullin mRNA was expressed in the plaque of patients with UAP than in those with SAP (60.4 (16.9)% v 9.7 (3.3)%; p < 0.01).
  
  
  CONCLUSIONS
  The findings suggest that adrenomedullin is involved in the development of atherosclerosis and plaque instability in human coronary arteries, in an autocrine or paracrine manner.
authors.affiliation: First Department of Internal Medicine, Miyazaki Medical College, University of Miyazaki, Miyazaki, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Ishikawa
authors.forename: K
authors.initials: K
authors.lastname: Hatakeyama
authors.forename: T
authors.initials: T
authors.lastname: Imamura
authors.forename: K
authors.initials: K
authors.lastname: Ito
authors.forename: S
authors.initials: S
authors.lastname: Hara
authors.forename: H
authors.initials: H
authors.lastname: Date
authors.forename: Y
authors.initials: Y
authors.lastname: Shibata
authors.forename: Y
authors.initials: Y
authors.lastname: Hikichi
authors.forename: Y
authors.initials: Y
authors.lastname: Asada
authors.forename: T
authors.initials: T
authors.lastname: Eto
mesh_terms: D053607:Adrenomedullin; D000368:Aged; D000787:Angina Pectoris / Q000378:metabolism / Q000473:pathology / Q000601:surgery; D000789:Angina, Unstable / Q000378:metabolism* / Q000473:pathology / Q000601:surgery; D017225:Atherectomy, Coronary; D005260:Female; D006801:Humans; D007150:Immunohistochemistry / Q000379:methods; D008264:Macrophages / Q000737:chemistry; D008297:Male; D008833:Microcirculation; D008875:Middle Aged; D009131:Muscle, Smooth, Vascular / Q000737:chemistry; D010455:Peptides / Q000032:analysis* / Q000235:genetics; D012333:RNA, Messenger / Q000032:analysis*; D012189:Retrospective Studies; D020133:Reverse Transcriptase Polymerase Chain Reaction; D017539:Tunica Intima / Q000473:pathology
chemical_list: D010455:Peptides; D012333:RNA, Messenger; D053607:Adrenomedullin