Serum Levels of CRP, H-FABP, PCT, Lp-PLA2 and Cytokines in Relation to Weight, Blood Pressure and Glycemic State in Patients with Stable Angina


  • Amer Muayad Hussein Ibn El Jazzar Faculty of Medicine, University of Sousse, Tunisia
  • Al-Snafi Ali Esmail Department of Pharmacology, College of Medicine, University of Thi-Qar, Thi-Qar 64001, Iraq
  • Ernez Hajri Samia Department of Cardiology, Farhat Hached Hospital-Sousse, Ibn El Jazzar Faculty of Medicine, University of Sousse, Tunisia


Stable angina, IHD, Cytokines, Biomarkers, Lipid profile


Background: Ischemic heart disease (IHD) is one of the leading causes of death and disability
worldwide. It is an imbalance between oxygen demand and supply. The disease is caused by
decline of blood supply to the heart muscle as a result of coronary occlusion.
Objectives: This study was designed to determine the possible new biomarkers in diagnosis of
stable angina to facilitate faster therapeutic programs and also to study the cytokines roles in
pathophysiology of stable angina.
Methods: The current case-control research was performed on 86 stable angina patients, and 86
healthy subjects in Nasiriyah Heart Center. Serum Trop I, MYO, CK-MB, H-FABP, PCT, LpPLA2 and CRP hs, were assayed by immunoassay. Lipid profile and blood sugar and detected
by photometric assays. Serum IL-9, TNF-α and IL-1β were determined by ELISA and IL-6 by
Results: The study revealed that serum troponin I level was insignificantly changed in stable
angina. However, compared with control, significant increase in the level of myoglobin, CKMB, hsCRP, Lp-PLA2, PCT and H-FABP, were recorded in the stable angina patients. The
patients also showed significant increase in the serum levels of total cholesterol, triglycerides,
VLDL and LDL, while HDL was significantly decreased. Significantly elevation of serum levels
of TNF-α, IL-9, IL-6 and IL1β were also noted in the patients in comparison with healthy
control. According to these investigations, there were many variations in the levels of these
biomarkers when the patients of stable angina divided according to their weight, blood pressure
and glycemic state.
Conclusion: According to the results we conclude that, in addition to cTnI, CK-MB and MYO
several other markers such as Lp-PLA2, hs-CRP, PCT and H-FABP are sensitive, and can
utilized as indicators in diagnosis of stable angina.


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