Coronary disease & ACS

Matrix metalloproteinase-9 might affect adaptive immunity in non-ST segment elevation acute coronary syndromes by increasing CD31 cleavage on CD4+ T-cells

Eur Heart JPublished Mechanistic study

Authors' conclusion

Our study suggest that enhanced MMP-9 release plays a key role in determining the cleavage and shedding of the functional CD31 domain 1-5 in CD4+ T-cells of ACS patients.

Study context

Population
Patients with acute coronary syndrome (ACS), stable angina and controls; CD4+ T-cells analysed by flow cytometry
Participants
30 / 25 / 28
Comparison
ACS vs stable angina (SA) vs controls
  • ACSn = 30
  • SAn = 25
  • Controls (CTRL)n = 28reference
Outcome
CD31 domain 1-5/domain 6 ratio on CD4+ T-cells (CD31 cleavage)

Main finding

As reported in the abstract

CD31 domain 1-5/6 ratio significantly lower in ACS vs SA
P = 0.002
CD31 domain 1-5/6 ratio significantly lower in ACS vs CTRL
P = 0.002
After anti-CD3/CD28 stimulation, 1-5/6 domain ratio significantly lower in ACS vs SA
P = 0.005
Higher MMP-9 production by TCR-stimulated CD4+ T-cells in ACS vs SA
P < 0.001
CD31 domain 1-5 expression in activated CD4+ T-cells from ACS increased after MMP-9 inhibitor
P = 0.042

Original publication

Matrix metalloproteinase-9 might affect adaptive immunity in non-ST segment elevation acute coronary syndromes by increasing CD31 cleavage on CD4+ T-cells. Eur Heart J. Published 2 December 2017. doi:10.1093/eurheartj/ehx684

Summarised from the published abstract; every number is checked against it

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