Oxidative stress in children late after Kawasaki disease: relationship with carotid atherosclerosis and stiffness.
BACKGROUND
Persistent arterial dysfunction in patients with a history of Kawasaki disease (KD) and an integral role of oxidative stress in the development of cardiovascular disease are increasingly recognized. We sought to test the hypothesis that oxidative stress is increased in KD patients and related to carotid atherosclerotic changes and stiffness.


METHODS
We compared the serum levels of oxidative stress biomarkers, carotid intima-media thickness (IMT), and carotid stiffness index among KD patients with coronary aneurysms (n = 32), those without coronary complications (n = 19), and controls (n = 32).


RESULTS
Compared with controls, patients with coronary aneurysms had significantly higher serum levels of malonaldehyde (2.62 +/- 0.12 microM vs 2.22 +/- 0.07 microM, p = 0.014) and hydroperoxides (26.50 +/- 1.13 microM vs 22.50 +/- 0.62 microM, p = 0.008). A linear trend of the magnitude of oxidative stress in relation to inflammatory damage was observed for malonaldehyde (p = 0.018) and hydroperoxides (p = 0.014) levels. Serum malonaldehyde and hydroperoxide levels correlated positively with carotid IMT (p < 0.001 and p = 0.034, respectively) and stiffness index (p = 0.001 and p = 0.021, respectively). Multiple linear regression analysis identified serum malonaldehyde level as a significant determinant of carotid IMT (beta = 0.31, p = 0.006) and stiffness (beta = 0.27, p = 0.008).


CONCLUSIONS
Our findings suggest oxidative stress is increased in KD patients with coronary aneurysms and is associated with carotid intima-media thickening and stiffening.
Cheung
Yiu-fai
YF
Division of Paediatric Cardiology, Department of Paediatrics and Adolescent Medicine, Grantham Hospital, The University of Hong Kong, Hong Kong, China. xfcheung@hkucc.hku.hk
O
Karmin
K
Woo
Connie W H
CW
Armstrong
Stephanie
S
Siow
Yaw L
YL
Chow
Pak-cheong
PC
Cheung
Eddie W Y
EW
D000293:Adolescent; D000704:Analysis of Variance; D015415:Biomarkers / Q000097:blood; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology*; D017536:Carotid Artery, Common / Q000000981:diagnostic imaging / Q000503:physiopathology*; D016022:Case-Control Studies; D003323:Coronary Aneurysm / Q000097:blood / Q000209:etiology / Q000503:physiopathology*; D004548:Elasticity; D005260:Female; D006801:Humans; D006861:Hydrogen Peroxide / Q000097:blood*; D016014:Linear Models; D008297:Male; D008315:Malondialdehyde / Q000097:blood*; D009080:Mucocutaneous Lymph Node Syndrome / Q000097:blood / Q000150:complications / Q000503:physiopathology*; D018384:Oxidative Stress; D017539:Tunica Intima / Q000000981:diagnostic imaging / Q000503:physiopathology; D017540:Tunica Media / Q000000981:diagnostic imaging / Q000503:physiopathology; D014463:Ultrasonography
D015415:Biomarkers; D008315:Malondialdehyde; D006861:Hydrogen Peroxide