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Correlation between osteocalcin‐positive endothelial progenitor cells and spotty calcification in patients with coronary artery disease
Authors:He Zhang  Li‐jun Wang  Dong‐lei Si  Chuan Wang  Jing‐ci Yang  Ping Jiang  Chao Du  Jian‐jun Wang
Affiliation:1. Department of Cardiology, The Third Hospital of Shijiazhuang City, Shijiazhuang, China;2. Department of CT and MR, The Third Hospital of Shijiazhuang City, Shijiazhuang, China;3. Department of Pharmacology, Hebei Medical University, Shijiazhuang, China;4. Department of Hematology, The Second Hospital of Hebei Medical University, Shijiazhuang, China
Abstract:Immature endothelial progenitor cells (EPC) carrying osteocalcin (OCN) might mediate vascUlar calcification in coronary artery disease (CAD). Spotty calcification within atherosclerotic plaque is associated with cardiovascular events. The aim of the present study was to assess the correlation between immature EPC levels and spotty calcification in CAD patients. In the 224 CAD patients studied, 76 had acute myocardial infarction (AMI), 102 had unstable angina pectoris (UAP), and 46 had stable angina pectoris (SAP). The levels of OCN‐positive (OCN+) EPC were analysed by flow cytometry. The status of spotty calcification was determined by cardiac computed tomography angiography. OCN+ EPC and calcium deposits were significantly increased in acute coronary artery syndrome (ACS) when compared with those in SAP patients. Positive correlation was also revealed between the number of OCN+ EPC and the frequency of spotty calcification and levels of serum high‐sensitivity C‐reactive protein (hs‐CRP) and serum alkaline phosphatase in AMI and UAP patients. In summary, the number of OCN+ EPC is positively related to the frequency of spotty calcification in ACS patients. Serum hs‐CRP and serum alkaline levels are thought to contribute to the elevation of OCN+ EPC.
Keywords:atherosclerosis  calcification  endothelial progenitor cells  osteoblast  osteocalcin
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