IgM anti-malondialdehyde low density lipoprotein antibody levels indicate coronary heart disease and necrotic core characteristics in the Nordic Diltiazem (NORDIL) study and the Integrated Imaging and Biomarker Study 3 (IBIS-3)

Background: Certain immunoglobulins (Ig) are proposed to have protective functions in atherosclerosis. Objectives: We tested whether serum levels of IgG and IgM autoantibodies against malondialdehyde low density lipoprotein (MDA-LDL) are associated with clinical coronary heart disease (CHD) and unfavorable plaque characteristics. Methods: NORDIL was a prospective study investigating adverse cardiovascular outcomes in hypertensive patients. IBIS-3 analyzed lesions in a non-culprit coronary artery with <50% stenosis using radiofrequency intravascular ultrasound (RF-IVUS) and near-infrared spectroscopy (NIRS). Imaging was repeated after a median of 386 days on rosuvastatin. Associations of antibodies with incident CHD and imaging parameters were assessed in the two sub-studies respectively. Findings: From 10,881 NORDIL patients, 87 had serum sampled at baseline and developed CHD over 4.5 years, matched to 227 controls. Higher titers of IgM anti-MDA-LDL had a protective effect on adverse outcomes, with odds ratio 0.29 (0.11, 0.76; p = 0.012; p = 0.016 for trend). Therefore, the effect was explored at the lesional level in IBIS-3. 143 patients had blood samples and RF-IVUS measurements available, and NIRS was performed in 90 of these. At baseline, IgM anti-MDA-LDL levels had a strong independent inverse relationship with lesional necrotic core volume (p = 0.027) and percentage of plaque occupied by necrotic core (p = 0.011), as well as lipid core burden index (p = 0.024) in the worst 4 mm segment. Interpretation: Our study supports the hypothesis that lower circulating levels of IgM anti-MDA-LDL are associated with clinical CHD development, and for the first time relates these findings to atherosclerotic plaque characteristics that are linked to vulnerability

Fotossíntese em alfafa (Medicago sativa L.) sob supressão e ressuprimento de fosfato Photosynthesis in alfalfa (Medicago sativa L.) under phosphate suppression and ressuply

Neste estudo, foram avaliados os efeitos da supressão e do ressuprimento de fosfato (Pi) sobre a fotossíntese e eficiência fotoquímica de plantas de Medicago sativa cv. Flórida 77, em diferentes estádios do desenvolvimento vegetativo (V3, V4) e reprodutivo (R6, R8). O ensaio foi conduzido em casa de vegetação e as plantas cultivadas na solução nutritiva de HOAGLAND & ARNON (1950), contendo 0,14mmol L-1 de Pi. A supressão de Pi por dez dias reduziu os teores de fósforo nas folhas amostradas, em todos os estádios do desenvolvimento. Entretanto, com o ressuprimento, somente nos estádios vegetativos, os valores foram semelhantes ao tratamento controle. A fotossíntese por área foliar, em todos os estádios do desenvolvimento diminuiu com a supressão de Pi. De modo geral, o ressuprimento de Pi à solução nutritiva resultou em recuperação na fotossíntese, excetuando-se as plantas no estádio V3, uma indicação de que o período de supressão não causou danos permanentes no aparato fotossintético. Os teores dos pigmentos fotossintéticos e a eficiência fotoquímica do fotossistema II (FS II), avaliada pela relação Fv/Fm, não foram alterados quando as plantas foram submetidas à supressão de Pi. Esse resultado demonstra que o transporte de elétrons através do FS II não limitou a fotossíntese nas folhas amostradas, sob supressão de Pi, sugerindo que a supressão causou efeito mais pronunciado na etapa bioquímica da fotossíntese.<br>This work evaluated the phosphate (Pi) suppression and ressupply on photosynthesis and photochemical efficiency from Medicago sativa plants cv. Florida 77, in different growth stages (V3 and V4) and reproductive (R6 and R8). The experiment was performed in a greenhouse, the plants being cultivated in HOAGLAND & ARMOND (1950) nutritive solution containing 0,14mmol L-1 of Pi. Pi suppression for ten days reduced Pi levels in sampled leaves, in all growth stages. However, with the re-supply only in the vegetative stages the values were similar to the control treatments. Photosynthesis per foliar area in all growth stages decreased with Pi suppression. In general, Pi ressupply into the nutritive solution resulted in recovery of photosynthesis, except for V3 plants, indicating that the suppression period did not cause permanent damage to the photosynthetic apparatus. Levels of photosynthetic pigments and the photosystem II (PS-II) photochemical efficiency evaluated as the Fv/Fm ratio were not altered when plants were submitted to Pi suppression. These results show that electons transport through PS-II did not limit photosynthesis in the sampled leaves under Pi supression, suggesting that Pi suppression caused a more pronunciated effect in the biochemical step of photosynthesis