Elevated plasma protein carbonylation increases the risk of ischemic cerebrovascular events in patients with atrial fibrillation: association with a prothrombotic state.

Atrial fibrillation Endogenous thrombin potential Fibrin clot Protein carbonylation Stroke

Journal

Journal of thrombosis and thrombolysis
ISSN: 1573-742X
Titre abrégé: J Thromb Thrombolysis
Pays: Netherlands
ID NLM: 9502018

Informations de publication

Date de publication:
04 Jul 2024
Historique:
accepted: 07 05 2024
medline: 5 7 2024
pubmed: 5 7 2024
entrez: 4 7 2024
Statut: aheadofprint

Résumé

Plasma protein carbonylation that reflects oxidative stress has been demonstrated to be associated with the prothrombotic fibrin clot phenotype. However, the role of protein carbonyls (PC) in predicting ischemic stroke in atrial fibrillation (AF) is largely unknown. This study aimed to investigate whether PC increase the risk of stroke in anticoagulated AF patients during follow-up. In 243 AF patients on anticoagulation (median age 69 years; median CHA Plasma PC levels (median, 3.16 [2.54-3.99] nM/mg protein) at baseline showed positive associations with age (P < 0.001), CHA Our findings suggest that in patients with AF enhanced protein carbonylation is associated with increased "residual" risk of stroke despite anticoagulation, which is at least in part due to unfavorably altered fibrin clot phenotype.

Identifiants

pubmed: 38965130
doi: 10.1007/s11239-024-03003-z
pii: 10.1007/s11239-024-03003-z
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Wydział Lekarski, Uniwersytet Jagielloński Collegium Medicum
ID : N41/DBS/000906

Informations de copyright

© 2024. The Author(s).

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Auteurs

Karol Nowak (K)

Department of Thromboembolic Disorders, Institute of Cardiology, Jagiellonian University Medical College, Pradnicka 80 St, 31-202, Kraków, Poland.
Department of Coronary Artery Disease and Heart Failure, John Paul II Hospital, Pradnicka 80 St, 31-202, Kraków, Poland.

Michal Zabczyk (M)

Department of Thromboembolic Disorders, Institute of Cardiology, Jagiellonian University Medical College, Pradnicka 80 St, 31-202, Kraków, Poland.
Krakow Centre for Medical Research and Technologies, John Paul II Hospital, Pradnicka 80 St, 31-202, Kraków, Poland.

Joanna Natorska (J)

Department of Thromboembolic Disorders, Institute of Cardiology, Jagiellonian University Medical College, Pradnicka 80 St, 31-202, Kraków, Poland.
Krakow Centre for Medical Research and Technologies, John Paul II Hospital, Pradnicka 80 St, 31-202, Kraków, Poland.

Jaroslaw Zalewski (J)

Department of Coronary Artery Disease and Heart Failure, John Paul II Hospital, Pradnicka 80 St, 31-202, Kraków, Poland.
Department of Coronary Artery Disease and Heart Failure, Institute of Cardiology, Jagiellonian University Medical College, Pradnicka 80 St, 31-202, Kraków, Poland.

Anetta Undas (A)

Department of Thromboembolic Disorders, Institute of Cardiology, Jagiellonian University Medical College, Pradnicka 80 St, 31-202, Kraków, Poland. mmundas@cyf-kr.edu.pl.
Krakow Centre for Medical Research and Technologies, John Paul II Hospital, Pradnicka 80 St, 31-202, Kraków, Poland. mmundas@cyf-kr.edu.pl.

Classifications MeSH