title: [Identification of the CD40 (CD154) ligand expression on the surface of conglomerate platelet-monocyte in children with the metabolic syndrome].
abstract: BACKGROUND
  The increased expression of the transmembrane protein CD40 on macrophages, endothelium, smooth muscle cells, platelet-monocyte conglomerate is connected with an enlarged risk of the occurrence of diseases of the cardiovascular system in the metabolic syndrome.
  
  
  OBJECTIVE
  was to establish whether metabolic syndrome in children can already be a precursor of cardiovascular diseases.
  
  
  METHODS
  The study was carried out on 35 children aged 10-18 years with the metabolic syndrome recognized according to the National Cholesterol Educational Program Adult Treatment Panel III (ATP III) criteria. The control group consisted of 26 healthy children without risk factors. In the examined children we evaluated BMI, the blood pressure, lipids, hsCRP, and the HOMA index. The analysis of the expression CD 40L (CD154) was performed with a three-color flow cytometer. The identification surrendered 104 cells. Statistical analysis was performed with use of U-Mann-Whitney test, for correlation analysis we used Spearman and Pearson tests.
  
  
  RESULTS
  We observed an elevated expression of CD40 ligand on the surface on platelet-monocyte conglomerate in patients with the metabolic syndrome compared to healthy children (12.7 vs. 4.95%, p=0.0036). In addition, we found a statistically significant correlation between the expression of the CD40L and HOMA index (r = -0.33, p<0.028).
  
  
  CONCLUSIONS
  Enlarged expression of the transmembrane protein CD40L not only initiates and influences the progression of the atherosclerosis, but modulates the architecture of atherosclerotic plaque as well.
authors: II Klinika Chorob Dzieci AM w Bialymstoku, Bialystok, Poland. miroslawaurban@op.pl
authors: Mirosława
authors: M
authors: Urban
authors: Remigiusz
authors: R
authors: Urban
authors: Irena
authors: I
authors: Krasowska
authors: Barbara
authors: B
authors: Głowińska-Olszewska
authors: Anna
authors: A
authors: Stasiak-Barmuta
authors: Artur
authors: A
authors: Bossowski
authors: Alicja
authors: A
authors: Koput
mesh_terms: D000293:Adolescent; D001792:Blood Platelets / Q000378:metabolism*; D023201:CD40 Ligand / Q000097:blood*; D002318:Cardiovascular Diseases / Q000209:etiology / Q000378:metabolism; D002648:Child; D018450:Disease Progression; D004727:Endothelium / Q000378:metabolism; D006801:Humans; D024821:Metabolic Syndrome / Q000150:complications / Q000378:metabolism*; D009000:Monocytes / Q000378:metabolism*; D009130:Muscle, Smooth / Q000378:metabolism
chemical_list: D023201:CD40 Ligand