2004
DOI: 10.1136/hrt.2003.017327
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Up regulation of C3, C4, and soluble intercellular adhesion molecule-1 co-expresses with high sensitivity C reactive protein in familial hypoalphalipoproteinaemia: further evidence of inflammatory activation

Abstract: Objective: To test the working hypothesis that inflammation underlying precocious and severe coronary atherosclerotic disease in familial hypoalphalipoproteinaemia (FH) can be mediated by up regulation of the innate immune response. Conclusions: Increased concentrations of sICAM-1, C3c, and C4 co-express with high concentrations of CRP in FH. The lack of signs and symptoms of inflammation in these patients may suggest that the immune response is up regulated as part of the pro-inflammatory mechanisms that are … Show more

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Cited by 9 publications
(9 citation statements)
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“…It has been previously reported that in RA, as well as in other inflammatory conditions, the presence of abnormally, pathologically elevated complement C3 levels may reflect the presence of an underlining inflammatory process (23). We can suggest that the relatively high amount of plasma C3 could be due to spill over from the joints probably reflecting an in situ over-expression or even to an abnormal production of complement proteins due to inflammation (24)(25). This could explain the reduction in complement C3 and C4 levels in the absence of complement activating cleavage fragments observed by us after treatment with TNF antagonists.…”
Section: Complement Disease Activity and Anti-tnf Treatmentmentioning
confidence: 89%
“…It has been previously reported that in RA, as well as in other inflammatory conditions, the presence of abnormally, pathologically elevated complement C3 levels may reflect the presence of an underlining inflammatory process (23). We can suggest that the relatively high amount of plasma C3 could be due to spill over from the joints probably reflecting an in situ over-expression or even to an abnormal production of complement proteins due to inflammation (24)(25). This could explain the reduction in complement C3 and C4 levels in the absence of complement activating cleavage fragments observed by us after treatment with TNF antagonists.…”
Section: Complement Disease Activity and Anti-tnf Treatmentmentioning
confidence: 89%
“…As C3 is associated with smoking status (Engstrom et al, 2005a), risk factors of obesity (Engstrom et al, 2005a), type 2 diabetes (Engstrom et al, 2005b), cardiovascular diseases (Onat et al, 2005) and several complications associated with inflammation (Kriketos et al, 2004) and inflammatory biomarkers (Halkes et al, 2001;Sampietro et al, 2004), C3 should be a good candidate as a marker of inflammation. However, we could not directly correlate smoking status neither physical activity with C3 concentrations although an effect of those variables was evident in our trial.…”
Section: Discussionmentioning
confidence: 99%
“…Patients with familial hypoalphalipoproteinaemia, a condition marked by low plasma levels of apoA-I and HDL-C and associated with increased risk for atherosclerosis, have elevated plasma concentrations of complement proteins C3 and C4, as well as, C reactive protein and the soluble cell adhesion molecule ICAM-1 (106). Similarly, Tangier disease patients, who have a mutation in ATP binding cassette transporter A1 (ABCA1) and, therefore, also have low HDL (107), have increase complement activity (108).…”
Section: Potential Roles For Protease Regulation By Hdlmentioning
confidence: 99%