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Immunohistochemical study of apparently intact coronary artery in a child after Kawasaki disease.

Immunohistochemical study of apparently intact coronary artery in a child after Kawasaki disease. Research Abstract Details 

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  • Immunohistochemical study of apparently intact coronary artery in a child after Kawasaki disease. Abstract Text:

    BACKGROUND: Coronary arterial lesions (CAL) due to Kawasaki disease (KD) often show progressive intimal hyperplasia even many years after the disease. However, most patients have no CAL after the acute phase, and it is an important issue whether or not coronary arteries without CAL have significant intimal hyperplasia, and whether or not there is the potential for this to progress to stenosis and/or atherosclerosis. METHODS: The authors examined formalin-fixed specimens of the coronary arteries immunohistochemically, using antibodies against vascular growth factors (GFs), the receptors of transforming growth factor-beta (TbetaRs) and inducible nitric oxid synthesis (iNOS) in a KD patient without CAL, and also in four control patients: two with CAL due to KD and two without a history of KD. RESULTS: Vascular endothelial GFs, Platelet-derived growth factor-A (PDGF-A) and TbetaRs were expressed in the vascular smooth muscle cells of all patients. PDGF-A, transforming Gfbeta1 and iNOS were expressed in the intimal smooth muscle cells of the KD but not the normal coronary artery without a history of KD. The number of TbetaR-II-positive cells were fewer than TbetaR-I-positive cells in the intima of CAL due to KD, but the number was of both almost same in the intima of coronary artery without CAL after KD and in the normal coronary. CONCLUSION: The intact coronary artery 13 months after KD still showed the influence of the inflammation of KD. Although the authors speculate that the intimal proliferation will not continue beyond the acute phase, those patients may have a risk factor for atherosclerosis.

    Immunohistochemical study of apparently intact coronary artery in a child after Kawasaki disease. Publishing Authors By Initials

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    Immunohistochemical study of apparently intact coronary artery in a child after Kawasaki disease. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Pediatrics international : official journal of the

    VOLUME: 46

    Page Numbers: 590-6

    Journal Abbreviation: Pediatr Int

    ISSN: 1328-8067

    DAY: 21

    MONTH: Oct

    YEAR: 2004

    Immunohistochemical study of apparently intact coronary artery in a child after Kawasaki disease. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 100886002

    Immunohistochemical study of apparently intact coronary artery in a child after Kawasaki disease. Keywords Mesh Terms:

    KEYWORDS: Vascular Endothelial Growth Factor A

    MESH TERMS: analysis

    Chemical & Substance for Abstract: Immunohistochemical study of apparently intact coronary artery in a child after Kawasaki disease. Information

    Substance Name: Nitric Oxide Synthase Type II

    Registry Number: EC 1.14.13.39

    Grant and Affiliation Information for Immunohistochemical study of apparently intact coronary artery in a child after Kawasaki disease.

    AFFILIATION: Department of Pediatrics, Tokyo Postal Services Agency Hospital, Tokyo, Japan. asuzuki@tth-japanpost.jp

    Country: Australia

    Australia Research PublicationAustralia Research Publication

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    MEDLINETA: Pediatr Int

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