Lipocalin-type prostaglandin D synthase is a powerful biomarker for severity of stable coronary artery disease.
Lipocalin-type prostaglandin D synthase (L-PGDS), which is responsible for the biosynthesis of prostaglandin (PG) D(2), has been found to be present in the atherosclerotic plaque of the human coronary artery and also to be detectable in human serum. This multicenter cooperative study was designed to establish the diagnostic value of measuring serum L-PGDS for coronary artery disease. The study included 1013 consecutive patients suspected of having stable coronary artery disease who underwent diagnostic coronary angiography. Peripheral blood was collected prior to angiography. The serum level of L-PGDS, as determined by a sandwich ELISA, was 58.1 +/- 2.2, 62.0 +/- 1.8 and 80.6 +/- 2.6 microg/dl for patients with no stenotic lesion (N, n=241), single-vessel coronary artery disease (S, n=351), and multi-vessel coronary artery disease (M, n=421), respectively (N vs. S; P<0.001, S vs. M; P<0.01, N vs. M; P<0.001). Multiple regression analysis indicated that the most powerful independent predictor of the coronary severity score (Gensini Score) was the L-PGDS level (R=0.55, P<0.0001). The serum L-PGDS level is suitable to evaluate the severity of coronary artery disease. The measurement of serum L-PGDS can be a strategy for screening of stable coronary artery disease prior to coronary angiography.
Inoue
Teruo
T
Department of Cardiovascular and Renal Medicine, Saga University Faculty of Medicine, Saga, Japan. inouete@med.saga-u.ac.jp
Eguchi
Yutaka
Y
Matsumoto
Tetsuya
T
Kijima
Yoshiyuki
Y
Kato
Yoji
Y
Ozaki
Yukio
Y
Waseda
Katsuhisa
K
Oda
Hiroshi
H
Seiki
Kosuke
K
Node
Koichi
K
Urade
Yoshihiro
Y
D000368:Aged; D050197:Atherosclerosis / Q000378:metabolism; D015415:Biomarkers / Q000097:blood*; D003324:Coronary Artery Disease / Q000378:metabolism*; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D019746:Intramolecular Oxidoreductases / Q000097:blood*; D054834:Lipocalins / Q000097:blood / Q000378:metabolism*; D008297:Male; D008875:Middle Aged; D015230:Prostaglandin D2 / Q000378:metabolism; D012372:ROC Curve; D012044:Regression Analysis; D012307:Risk Factors
D015415:Biomarkers; D054834:Lipocalins; D019746:Intramolecular Oxidoreductases; C022466:prostaglandin R2 D-isomerase; D015230:Prostaglandin D2