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Verfasst von:Kristen, Arnt [VerfasserIn]   i
 Schnabel, Philipp Albert [VerfasserIn]   i
 Winter, Bettina [VerfasserIn]   i
 Helmke, Burkhard Maria [VerfasserIn]   i
 Longerich, Thomas [VerfasserIn]   i
 Hardt, Stefan [VerfasserIn]   i
 Koch, Achim [VerfasserIn]   i
 Sack, Falk-Udo [VerfasserIn]   i
 Katus, Hugo [VerfasserIn]   i
 Linke, Reinhold P. [VerfasserIn]   i
 Dengler, Thomas [VerfasserIn]   i
Titel:High prevalence of amyloid in 150 surgically removed heart valves - a comparison of histological and clinical data reveals a correlation to atheroinflammatory conditions
Verf.angabe:Arnt V. Kristen, Philipp A. Schnabel, Bettina Winter, Burkhard M. Helmke, Thomas Longerich, Stefan Hardt, Achim Koch, Falk-Udo Sack, Hugo A. Katus, Reinhold P. Linke, Thomas J. Dengler
E-Jahr:2010
Jahr:8 June 2009
Umfang:8 S.
Fussnoten:Gesehen am 03.03.2023
Titel Quelle:Enthalten in: Cardiovascular pathology
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1992
Jahr Quelle:2010
Band/Heft Quelle:19(2010), 4, Seite 228-235
ISSN Quelle:1879-1336
Abstract:Introduction - The prevalence, pathophysiology, and clinical indicators of valvular amyloid deposition have not been clarified yet. - Methods - One hundred fifty surgically resected heart valve specimens [67.4±1.0 years; aortic stenosis (AS), n=100; aortic regurgitation, n=19; mitral stenosis, n=7; mitral regurgitation, n=24] were qualitatively, semiquantitatively, and immunohistochemically analyzed and correlated with clinical data. - Results - Amyloid was found in 83/150 specimens with highest prevalence in AS (74/100), intermediate prevalence in mitral stenosis (2/7) and regurgitation (7/24), and lowest prevalence in aortic regurgitation (2/19). Severe and polymorphic amyloid deposits were almost exclusively found in AS (35/100). Filamentous cloudy amyloid patterns occurred with the same frequency in AS (29/100). A combination of both was found only in AS (n=7/100). By immunohistochemistry, none of the most common amyloid proteins was identified except for a weak staining by the apolipoprotein AI antibody, but more intense adjacent to amyloid deposits. Amyloid correlated with valvular thickening (P<.05), hyperlipidemia (P=.07), coronary artery disease (P=.084), and obesity (P=.082). - Conclusions - Localized valvular amyloid is predominantly found in stenotic aortic valves. It appears to depend on atheroinflammatory conditions and high shear-stress hemodynamics. Further studies are needed to identify the underlying protein.
DOI:doi:10.1016/j.carpath.2009.04.005
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.carpath.2009.04.005
 Volltext: https://www.sciencedirect.com/science/article/pii/S1054880709000350
 DOI: https://doi.org/10.1016/j.carpath.2009.04.005
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Amyloid
 Apolipoprotein AI
 Atherosclerosis
 Heart valves
 Hyperlipidemia
 Immunohistochemistry
K10plus-PPN:1838118373
Verknüpfungen:→ Zeitschrift

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