Alternative TitleSoluble LR11 is a novel biomarker for vascular lesions late after Kawasaki disease
川崎病遠隔期における血管障害の新たなバイオマーカー:可溶型LR11
Note (General)Objective : Coronary artery lesions (CALs)and a risk for early onset of atherosclerosis are major concerns following Kawasaki disease (KD).Intimal smooth muscle cells (SMCs) have an important role in vascular lesions in KD.It is known that soluble LR11 (sLR11) is a novel biomarker for vascular lesions and LR11 is markedly expressed in intimal SMCs in atherosclerotic lesions. In this study, we hypothesized that sLR11 reflects the presence of vascular lesions late after KD. Methods : Twenty-three age-matched controls (group 1) and 59patients with a history of KD were enrolled : 36 with KD had normal coronary arteries or regressed aneurysms (group 2) and 23 had CALs (group 3). Results : Serum sLR11 levels in group 3 (median, interquartile range(IQR):11.1ng/mL,9.3-13.9ng/mL)were significantly higher than those in groups 1(8.4ng/mL,7.1-10.2ng/mL,p<0.001) and 2 (9.0ng/mL,7.7-10.1ng/mL,p<0.001).Levels of sLR11were positively correlated with levels of high sensitivity C-reactive protein (r = 0.480, p < 0.01) and lipoprotein(a) (r = 0.486, p < 0.01). Conclusion : These findings suggest that sLR11 reflects the development of vascular lesions in patients with serious CALs.
学位の種類: 博士(医学). 報告番号: 甲第4211号. 学位記番号: 新大院博(医)甲第710号. 学位授与年月日: 平成28年9月20日
新大院博(医)甲第710号
Collection (particular)国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
Date Accepted (W3CDTF)2017-01-01T19:17:28+09:00
Data Provider (Database)国立国会図書館 : 国立国会図書館デジタルコレクション