Abstract |
We used proteomics to identify systematic changes in the plasma proteins of patients undergoing coronary artery bypass grafting (CABG) by means of cardiopulmonary bypass surgery. It is known that, after CABG, a complex systemic inflammatory responses ensues that favors the occurrence of adverse postoperative complications frequently recognizing inflammation itself and/or thrombosis as the underlying mechanism. We found a marked and persistent postoperative increase in the levels of the serpin- protease inhibitor alpha(1)-antichymotrypsin (alpha(1)-ACT) that fully maintains the inhibitory activity blunting its protease substrate cathepsin G. An intraoperative increase followed by a rapid decline in proteases activation was documented, accompanied by a substantial induction of leucine-rich-alpha-2-glycoprotein, a protein involved in neutrophilic granulocyte differentiation. Finally, a time-dependent alteration in the expression of haptoglobin, transthyretin, clusterin, and apoE was observed. In conclusion, we showed that after CABG, a protease/ antiprotease imbalance occurs with early cathepsin G activation and a more delayed increase in alpha(1)-ACT. As cathepsin G is a serpin involved both in inflammation and coagulation activation, this confirms and expands the concept of a marked dysregulation of both inflammatory and hemostatic balances occurring after CABG. The pharmacologic modulation of this imbalance may be a new therapeutic target to reduce postoperative complications.
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Authors | Cristina Banfi, Alessandro Parolari, Maura Brioschi, Simona Barcella, Claudia Loardi, Chiara Centenaro, Francesco Alamanni, Luciana Mussoni, Elena Tremoli |
Journal | Journal of proteome research
(J Proteome Res)
Vol. 9
Issue 5
Pg. 2347-57
(May 07 2010)
ISSN: 1535-3907 [Electronic] United States |
PMID | 20302328
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Apolipoproteins E
- Clusterin
- Glycoproteins
- Haptoglobins
- LRG1 protein, human
- Prealbumin
- alpha 1-Antichymotrypsin
- Peptide Hydrolases
- Cathepsin G
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Topics |
- Amino Acid Sequence
- Analysis of Variance
- Apolipoproteins E
(blood)
- Cathepsin G
(blood)
- Clusterin
(blood)
- Coronary Artery Bypass
- Glycoproteins
(blood)
- Haptoglobins
(metabolism)
- Humans
- Immunoelectrophoresis
- Male
- Middle Aged
- Molecular Sequence Data
- Peptide Hydrolases
(blood)
- Prealbumin
(metabolism)
- Proteomics
(methods)
- Reproducibility of Results
- alpha 1-Antichymotrypsin
(blood, metabolism)
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