Pregnancy-associated plasma protein A in non-cardiac conditions

被引:14
作者
Iversen, Kasper Karmark [1 ]
Teisner, Ane Sogaard [2 ]
Teisner, Borge [3 ]
Kliem, Anette [4 ]
Bay, Morten [1 ]
Kirk, Vibeke [1 ]
Nielsen, Henrik [2 ]
Boesgaard, Soren [1 ]
Grande, Peer [1 ]
Clernmensen, Peter [1 ]
机构
[1] Univ Copenhagen Hosp, Ctr Heart, Rigshosp, DK-2100 Copenhagen, Denmark
[2] Univ Copenhagen Hosp, Bispebjerg Hosp, DK-2100 Copenhagen, Denmark
[3] Gynaecol & Genet Ctr, London, England
[4] Univ So Denmark, Dept Immunol & Microbiol, Odense, Denmark
关键词
pregnancy-associated plasma protein A; specificity; coronary artery disease; non-cardiac conditions;
D O I
10.1016/j.clinbiochem.2008.01.012
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Objective: PAPP-A is a promising new marker in coronary heart disease. It is important to investigate its specificity in order to establish its clinical utility as a marker of coronary heart disease. Design and methods: PAPP-A was measured within 24 It following hospital admission in 1448 consecutive patients admitted with diagnoses other than acute coronary syndromes. Results: PAPP-A was detectable (>= 4.0 mIU/L) in 278 (19.2%) patients, among whom the mean level was 6.3 mIU/L (95% C.I., 6.1-6.5 mIU/L). The 95 and 99 percentiles for PAPP-A were 7.3 and 9.4 mIU/L, respectively. There was no difference in the mean PAPP-A of different diagnoses (p=0.33). None of the specific diagnoses known to influence established coronary markers appeared to influence the level of circulating PAPP-A. Conclusion: PAPP-A is low in patients without known coronary heart disease. PAPP-A levels seem to be a potentially highly specific marker for heart disease. (c) 2008 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:548 / 553
页数:6
相关论文
共 39 条
[1]   Elevation of troponin I in sepsis and septic shock [J].
Ammann, P ;
Fehr, T ;
Minder, EI ;
Günter, C ;
Bertel, O .
INTENSIVE CARE MEDICINE, 2001, 27 (06) :965-969
[2]   Production technologies for monoclonal antibodies and their fragments [J].
Andersen, DC ;
Reilly, DE .
CURRENT OPINION IN BIOTECHNOLOGY, 2004, 15 (05) :456-462
[3]   High prevalence of human anti-bovine IgG antibodies as the major cause of false positive reactions in two-site Immunoassays based on monoclonal antibodies [J].
Andersen, DC ;
Koch, C ;
Jensen, CH ;
Skjodt, K ;
Brandt, J ;
Teisner, B .
JOURNAL OF IMMUNOASSAY & IMMUNOCHEMISTRY, 2004, 25 (01) :17-30
[4]   Elevated pregnancy-associated plasma protein-A in sera from type 2 diabetic patients with hypercholesterolemia: Associations with carotid atherosclerosis and toe-brachial index [J].
Aso, Y ;
Okumura, K ;
Wakabayashi, S ;
Takebayashi, K ;
Taki, S ;
Inukai, T .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2004, 89 (11) :5713-5717
[5]  
Bassand JP, 2007, EUR HEART J, V28, P1598, DOI 10.1093/eurheartj/ehm161
[6]   NT-proBNP: a new diagnostic screening tool to differentiate between patients with normal and reduced left ventricular systolic function [J].
Bay, M ;
Kirk, V ;
Parner, J ;
Hassager, C ;
Nielsen, H ;
Krogsgaard, K ;
Trawinski, J ;
Boesgaard, S ;
Aldershvile, J .
HEART, 2003, 89 (02) :150-154
[7]   Pregnancy-associated plasma protein a as a marker of acute coronary syndromes [J].
Bayes-Genis, A ;
Conover, CA ;
Overgaard, MT ;
Bailey, KR ;
Christiansen, M ;
Holmes, DR ;
Virmani, R ;
Oxvig, C ;
Schwartz, RS .
NEW ENGLAND JOURNAL OF MEDICINE, 2001, 345 (14) :1022-1029
[8]   PAPP-A, a novel marker of unstable plaque, is not influenced by hypolipidemic treatment in contrast to CRP [J].
Ceska, R ;
Stulc, T ;
Zima, T ;
Malbohan, I ;
Fialova, L .
ATHEROSCLEROSIS, 2003, 166 (01) :195-196
[9]   Pregnancy-associated plasma protein a as predictor of outcome in patients with suspected acute coronary syndromes [J].
Conti, E ;
Andreotti, F ;
Zuppi, C .
CIRCULATION, 2004, 109 (18) :E211-E211
[10]   Relationship among pregnancy associated plasma protein-A levels, clinical characteristics, and coronary artery disease extent in patients with chronic stable angina pectoris [J].
Cosin-Sales, J ;
Kaski, JC ;
Christiansen, M ;
Kaminski, P ;
Oxvig, C ;
Overgaard, MT ;
Cole, D ;
Holt, DW .
EUROPEAN HEART JOURNAL, 2005, 26 (20) :2093-2098