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. 2012 May-Jun;64(3):290-4.
doi: 10.1016/S0019-4832(12)60089-3.

Levels of cathepsins in acute myocardial infarction

Affiliations

Levels of cathepsins in acute myocardial infarction

Kavita K Shalia et al. Indian Heart J. 2012 May-Jun.

Abstract

Aims/objective: Over expression of matrix degrading enzymes have been implicated in plaque destabilisation and rupture. Cathepsins associated with extracellular matrix breakdown make them intriguing suspects. The aim of the study was to analyse peripheral levels of cathepsin B and cathepsin K and their inhibitor cystatin C during acute myocardial infarction (AMI).

Materials and methods: Study population included AMI patients at acute event (AMI group, n=48), stable angina patients (stable angina group n = 17), and healthy individuals (Control group, n=31). Cathepsin B, cathepsin K, cystatin C, and matrix metalloproteinases (MMP)-9 were analysed by enzyme-linked immunosorbent assay (ELISA) method.

Results: Cathepsin B (45.9%) and cathepsin K (92.31%) at acute event of myocardial infarction (AMI group) increased (P=0.001) while cystatin C decreased marginally (12.5%) as compared to controls. Stable angina group, demonstrated only marginal reduction in all the parameters studied as compared to controls.

Conclusion: Cathepsin B and cathepsin K can be further evaluated as biomarkers in identifying high-risk individuals for AMI.

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Figures

Figure 1
Figure 1
Circulating levels of cathepsins, cystatin C, and MMP-9 in AMI group. AMI: acute myocardial infarction, MMP: matrix metalloproteinases.
Figure 2
Figure 2
Circulating levels of cathepsins, cystatin C, and MMP-9 in stable angina group. MMP: matrix metalloproteinases.

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