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A promising marker for carotid artery disease: Monocyte to high-density lipoprotein ratio (MHR)

Year 2020, , 93 - 98, 16.03.2020
https://doi.org/10.31832/smj.644699

Abstract

Objectives: The aim of our study
was to evaluate the relation between monocyte/high-density lipoprotein(HDL)
ratio value and carotid artery stenosis in patients who underwent carotid
angiography.

Methods: To our study, 94
participants were enrolled (68 patients, 26 healthy individuals) who attended
the cardiovascular surgery policlinic and had carotid angiography in between
January 2017 and June 2018. Participants were divided into two groups, who have
carotid artery disease and who don't. Peripheral venous blood results, taken
from all patients before angiography for hematologic examination, were
evaluated. Groups were compared according to their monocyte/high-density
lipoprotein(HDL)  values and other
hematologic results.

Results: Monocyte/high-density
lipoprotein(HDL) ratio values were found to be higher in the group with a
carotid artery disease compared to the group with a normal carotid angiography
(72±10 ver 68±11  p=0.063). Yet again
when the two groups were compared, there were differences with respect to
existing hypertension, existing diabetes and gender (p=0.034, p=0.043, p=0.035
respectively).







Conclusion: In our study, it was
shown that high monocyte/high-density lipoprotein(HDL) ratio value can be a
predictor for the diagnosis of carotid artery disease.

References

  • 1. Brott TG, Halperin JL, Abbara S, Bacharach JM, Barr JD, Bush RL, et al. 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/ SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, and Society for Vascular Surgery. Circulation 2011;124:e54-130.
  • 2. Tendera M, Aboyans V, Bartelink ML, Baumgartner I, Clement D, Collet JP, et al. ESC Guidelines on the diagnosis and treatment of peripheral artery diseases: Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: the Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC). Eur Heart J 2011;32:2851-2906.
  • 3. Hansson GK, Libby P, Schonbeck U, Yan ZQ. Innate and adaptive immunity in the pathogenesis of atherosclerosis. Circ Res 2002;91:281–291.
  • 4. Hansson G. Inflammatory mechanisms in atherosclerosis. J Thromb Haemost 2009;7:328–331.
  • 5. Aşkın L, Çetin M, Türkmen S, Taşolar H, Aktürk E. The relationship between monocyte/high-density lipoprotein ratio and Selvester QRS score in patients with STEMI. Turk Kardiyol Dern Ars. 2018 Jun;46(4):260-267. doi:10.5543/tkda.2018.36151.
  • 6. Olivares R, Ducimetière P, Claude JR. Monocyte count: a risk factor for coronary heart disease? Am J Epidemiol 1993;137 (1):49–53.
  • 7. Hafiane A, Genest J. High density lipoproteins: measurement techniques and potential biomarkers of cardiovascular risk. BBA Clin 2015;3:175–188.
  • 8. Zhang Y, Li S, Guo YL, Wu NQ, Zhu CG, Gao Y, et al. Is monocyte to HDL ratio superior to monocyte count in predicting the cardiovascular outcomes: evidence from a large cohort of Chinese patients undergoing coronary angiography. Ann Med 2016;48(5):305–312.
  • 9. Bernstein RK. 2008 American Diabetes Association Clinical Guidelines Comments. Avaible from: http://www.diabetesbook.com/cms/articles/9-diabetes-in-control/5576-richardk-bernstein-md-face-facn-fccws- Last access: 16th May 2011.
  • 10. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation 2002;106:3143-3421.
  • 11. Helgeland A, Hjermann I, Leren P, Enger S, Holme I. HDL cholesterol and antihypertensive drugs: the Oslo Study. Br Med J 1978;2:403
  • 12. Ruiz-Sandoval JL, Romero-Vargas S, Chiquete E, et al. Hypertensive Intracerebral Hemorrhage in Young People, Previously Unnoticed Age-Related Clinical Differences. Stroke 2006; 37: 2946–2950.
  • 13. Woodward M, Huxley H, Lam TH, et al. A comparison of the associations between risk factors and cardiovascular disease in Asia and Australasia. Eur J Cardiovasc Prev Rehabil. 2005; 12: 484–491.
  • 14. Ren H, Liu X, Wang L,Gao Y. Lymphocyte-to-monocyte ratio: a novel predictor of the prognosis of acute ischemic stroke. Journal of Stroke And Cerebrovascular Diseases 2017; 26(11): 2595–2602
  • 15. Ancuta P, Wang J, Gabuzda D. CD 16 monocytes produce IL-6,CCL2 and matrix metalloproteinase -9 upon interaction with CX3 CL1- expressing endoteial cells. J Leukoc Biol 2006;80:1156-1164.
  • 16. Urra X, Villamor N, Amaro S, et al. Monocyte subtypes predict clinical course and prognosis in human stroke. J Cereb Blood Flow Metab 2009;29:994-1002.
  • 17. Qiao JH, Tripathi J, Mishra NK, Cai Y, Tripathi S, Wang XP, et al. Role of macrophage colony-stimulating factor in atherosclerosis: studies of osteopetrotic mice. Am J Pathol 1997;150:1687–1699.
  • 18. Murphy AJ, Woollard KJ. High-density lipoprotein: a potent inhibitor of inflammation. Clin Exp Pharmacol Physiol 2010;37:710–718.
  • 19. Murphy AJ, Woollard KJ, Hoang A, Mukhamedova N, Stirzaker RA, McCormick SPA, et al. High-density lipoprotein reduces the human monocyte inflammatory response. Arterioscler Thromb Vasc Biol 2008; 28:2071–2077.
  • 20. Westerterp M, Gourion-Arsiquaud S, Murphy AJ, Shih A, Cremers S, Levine RL, et al. Regulation of hematopoietic stem and progenitor cell mobilization by cholesterol efflux pathways. Cell Stem Cell 2012;11: 195–206.
  • 21. Wang N, Lan D, Chen W, Matsuura F, Tall AR. ATP-binding cassette transporters G1 and G4 mediate cellular cholesterol efflux to highdensity lipoproteins. Proc Natl Acad Sci U S A 2004;101:9774–9779.
  • 22. Kanbay M, Solak Y, Unal HU, Kurt YG, Gok M, Cetinkaya H, et al. Monocyte count/HDL cholesterol ratio and cardiovascular events in patients with chronic kidney disease. Int Urol Nephrol 2014;46:1619–1625.
  • 23. Tekkesin AI, Hayiroglu MI, Zehir R, Turkkan C, Keskin M, Cinier G, Alper AT. The use of monocyte to HDL ratio to predict postoperative atrial fibrillation after aortocoronary bypass graft surgery. North Clin Istanb. 2017 Aug 26;4(2):145-150. doi: 10.14744/nci.2017.53315.
  • 24. Bolayir A, Gokce SF, Cigdem B, Bolayir HA, Yildiz OK, Bolayir E, Topaktas SA. Monocyte/high-density lipoprotein ratio predicts the mortality in ischemic stroke patients. Neurol Neurochir Pol. 2018 Mar;52(2):150-155. doi: 10.1016/j.pjnns.2017.08.011. Epub 2017 Aug 24.
  • 25. Zhang Y, Li S, Guo YL, Wu NQ, Zhu CG, Gao Y, Xu RX, Dong Q, Liu G, Sun J, Li JJ. Is monocyte to HDL ratio superior to monocyte count in predicting the cardiovascular outcomes: evidence from a large cohort of Chinese patients undergoing coronary angiography. Ann Med. 2016 Aug;48(5):305-312. doi: 10.3109/07853890.2016.1168935. Epub 2016 Apr 17.

Karotis Arter Hastalığı İçin Ümit Verici Bir Marker: Monositin High Density Lipoproteine Oranı (MHR)

Year 2020, , 93 - 98, 16.03.2020
https://doi.org/10.31832/smj.644699

Abstract

Giriş:
Çalışmamızın amacı karotis arter angiografisi yapılan hastalarda MHR
(monosit/HDL ratio) değerlerinin karotis arter stenozu ile ilişkisini
retrospektif olarak araştırmaktı.

Gereç ve Yöntemler:
Çalışmamıza ocak 2017 ile haziran 2018 yılları arasında kardiyoloji ve kalp ve
damar cerrahisi polikliniğine başvuran karotis arter angiografisi yapılan 94
(68 hasta, 26 sağlıklı) hasta dahil edildi. Karotis arter hastalığı olanlar ve
olmayanlar diye iki gruba ayrıldı. Tüm hastaların hematolojik değerlerine
bakılması için angiografi öncesi alınan periferik venöz kan sonuçları tarandı.
Gruplar MHR değeri ve diğer hematolojik sonuçlar açısından karşılaştırıldı.

Bulgular:
MHR değeri karotis arter hastalığı olanlar grubunda karotis arter angiografisi
normal çıkan gruba göre anlamlı olarak yüksek bulundu (68±11 ver 721±10,
p=0.063). Yine iki grup kıyaslandığında hipertansiyon, diabetus mellitus
varlığı ve cinsiyet açısından gruplar arasında farklılk vardı (
p=0,034,p=0,043,p=0,035,sırası ile).







Sonuç:
Çalışmamızda yüksek MHR değerinin karotis arter hastalığı tanısında bir öngördürücü
olabileceği gösterildi.

References

  • 1. Brott TG, Halperin JL, Abbara S, Bacharach JM, Barr JD, Bush RL, et al. 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/ SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease. A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, and the American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, and Society for Vascular Surgery. Circulation 2011;124:e54-130.
  • 2. Tendera M, Aboyans V, Bartelink ML, Baumgartner I, Clement D, Collet JP, et al. ESC Guidelines on the diagnosis and treatment of peripheral artery diseases: Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: the Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC). Eur Heart J 2011;32:2851-2906.
  • 3. Hansson GK, Libby P, Schonbeck U, Yan ZQ. Innate and adaptive immunity in the pathogenesis of atherosclerosis. Circ Res 2002;91:281–291.
  • 4. Hansson G. Inflammatory mechanisms in atherosclerosis. J Thromb Haemost 2009;7:328–331.
  • 5. Aşkın L, Çetin M, Türkmen S, Taşolar H, Aktürk E. The relationship between monocyte/high-density lipoprotein ratio and Selvester QRS score in patients with STEMI. Turk Kardiyol Dern Ars. 2018 Jun;46(4):260-267. doi:10.5543/tkda.2018.36151.
  • 6. Olivares R, Ducimetière P, Claude JR. Monocyte count: a risk factor for coronary heart disease? Am J Epidemiol 1993;137 (1):49–53.
  • 7. Hafiane A, Genest J. High density lipoproteins: measurement techniques and potential biomarkers of cardiovascular risk. BBA Clin 2015;3:175–188.
  • 8. Zhang Y, Li S, Guo YL, Wu NQ, Zhu CG, Gao Y, et al. Is monocyte to HDL ratio superior to monocyte count in predicting the cardiovascular outcomes: evidence from a large cohort of Chinese patients undergoing coronary angiography. Ann Med 2016;48(5):305–312.
  • 9. Bernstein RK. 2008 American Diabetes Association Clinical Guidelines Comments. Avaible from: http://www.diabetesbook.com/cms/articles/9-diabetes-in-control/5576-richardk-bernstein-md-face-facn-fccws- Last access: 16th May 2011.
  • 10. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation 2002;106:3143-3421.
  • 11. Helgeland A, Hjermann I, Leren P, Enger S, Holme I. HDL cholesterol and antihypertensive drugs: the Oslo Study. Br Med J 1978;2:403
  • 12. Ruiz-Sandoval JL, Romero-Vargas S, Chiquete E, et al. Hypertensive Intracerebral Hemorrhage in Young People, Previously Unnoticed Age-Related Clinical Differences. Stroke 2006; 37: 2946–2950.
  • 13. Woodward M, Huxley H, Lam TH, et al. A comparison of the associations between risk factors and cardiovascular disease in Asia and Australasia. Eur J Cardiovasc Prev Rehabil. 2005; 12: 484–491.
  • 14. Ren H, Liu X, Wang L,Gao Y. Lymphocyte-to-monocyte ratio: a novel predictor of the prognosis of acute ischemic stroke. Journal of Stroke And Cerebrovascular Diseases 2017; 26(11): 2595–2602
  • 15. Ancuta P, Wang J, Gabuzda D. CD 16 monocytes produce IL-6,CCL2 and matrix metalloproteinase -9 upon interaction with CX3 CL1- expressing endoteial cells. J Leukoc Biol 2006;80:1156-1164.
  • 16. Urra X, Villamor N, Amaro S, et al. Monocyte subtypes predict clinical course and prognosis in human stroke. J Cereb Blood Flow Metab 2009;29:994-1002.
  • 17. Qiao JH, Tripathi J, Mishra NK, Cai Y, Tripathi S, Wang XP, et al. Role of macrophage colony-stimulating factor in atherosclerosis: studies of osteopetrotic mice. Am J Pathol 1997;150:1687–1699.
  • 18. Murphy AJ, Woollard KJ. High-density lipoprotein: a potent inhibitor of inflammation. Clin Exp Pharmacol Physiol 2010;37:710–718.
  • 19. Murphy AJ, Woollard KJ, Hoang A, Mukhamedova N, Stirzaker RA, McCormick SPA, et al. High-density lipoprotein reduces the human monocyte inflammatory response. Arterioscler Thromb Vasc Biol 2008; 28:2071–2077.
  • 20. Westerterp M, Gourion-Arsiquaud S, Murphy AJ, Shih A, Cremers S, Levine RL, et al. Regulation of hematopoietic stem and progenitor cell mobilization by cholesterol efflux pathways. Cell Stem Cell 2012;11: 195–206.
  • 21. Wang N, Lan D, Chen W, Matsuura F, Tall AR. ATP-binding cassette transporters G1 and G4 mediate cellular cholesterol efflux to highdensity lipoproteins. Proc Natl Acad Sci U S A 2004;101:9774–9779.
  • 22. Kanbay M, Solak Y, Unal HU, Kurt YG, Gok M, Cetinkaya H, et al. Monocyte count/HDL cholesterol ratio and cardiovascular events in patients with chronic kidney disease. Int Urol Nephrol 2014;46:1619–1625.
  • 23. Tekkesin AI, Hayiroglu MI, Zehir R, Turkkan C, Keskin M, Cinier G, Alper AT. The use of monocyte to HDL ratio to predict postoperative atrial fibrillation after aortocoronary bypass graft surgery. North Clin Istanb. 2017 Aug 26;4(2):145-150. doi: 10.14744/nci.2017.53315.
  • 24. Bolayir A, Gokce SF, Cigdem B, Bolayir HA, Yildiz OK, Bolayir E, Topaktas SA. Monocyte/high-density lipoprotein ratio predicts the mortality in ischemic stroke patients. Neurol Neurochir Pol. 2018 Mar;52(2):150-155. doi: 10.1016/j.pjnns.2017.08.011. Epub 2017 Aug 24.
  • 25. Zhang Y, Li S, Guo YL, Wu NQ, Zhu CG, Gao Y, Xu RX, Dong Q, Liu G, Sun J, Li JJ. Is monocyte to HDL ratio superior to monocyte count in predicting the cardiovascular outcomes: evidence from a large cohort of Chinese patients undergoing coronary angiography. Ann Med. 2016 Aug;48(5):305-312. doi: 10.3109/07853890.2016.1168935. Epub 2016 Apr 17.
There are 25 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Mehmet Kirişçi 0000-0002-9618-4283

Publication Date March 16, 2020
Submission Date November 9, 2019
Published in Issue Year 2020

Cite

AMA Kirişçi M. A promising marker for carotid artery disease: Monocyte to high-density lipoprotein ratio (MHR). Sakarya Tıp Dergisi. March 2020;10(1):93-98. doi:10.31832/smj.644699

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