Sex-dependent aortic valve pathology in patients with rheumatic heart disease.
<h4>Background</h4>Rheumatic heart disease is an autoimmune disease caused by group A streptococci infection and frequently affects the aortic valve. Sex differences are common in the disease progression, treatment, and outcome. However, little is known about the sex differences in the p...
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| Format: | Article |
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Public Library of Science (PLoS)
2017-01-01
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| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0180230&type=printable |
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| author | Feng Xiao Rui Zheng Di Yang Kejiang Cao Shijiang Zhang Bingruo Wu Yongfeng Shao Bin Zhou |
| author_facet | Feng Xiao Rui Zheng Di Yang Kejiang Cao Shijiang Zhang Bingruo Wu Yongfeng Shao Bin Zhou |
| author_sort | Feng Xiao |
| collection | DOAJ |
| description | <h4>Background</h4>Rheumatic heart disease is an autoimmune disease caused by group A streptococci infection and frequently affects the aortic valve. Sex differences are common in the disease progression, treatment, and outcome. However, little is known about the sex differences in the pathology of aortic valves in rheumatic heart disease.<h4>Design</h4>We studied the end-stage calcific aortic valves from male versus female patients to reveal the sex-dependent pathology differences and molecular changes associated with requiring valve replacement.<h4>Methods</h4>Aortic valves from 39 patients with rheumatic heart disease (19 males and 20 females) were collected at the time of aortic valve replacement for comparative pathology, immunohistochemistry, and gene expression analyses. Clinical characteristics were also analyzed and compared between the two groups.<h4>Results</h4>Aortic valves from female patients exhibited increased expression of collagens, infiltration of monocytes/macrophages and neovascularization. Aortic valves from female patients also had increased expression of inflammatory genes involved in the NFKB pathway (phosphorylated NFKB p65 subunit, IL8, and NOS3) and Th1 cytokine genes (IFNA and IL12B). The severe valve pathology in female patients was correlated with a higher serum level of anti-streptolysin O antibodies.<h4>Conclusion</h4>Inflammation is more prominent in aortic valves of female patients with rheumatic heart disease. This sex difference may contribute to the severe valve pathology and worse outcome of female patients. |
| format | Article |
| id | doaj-art-8f5773bdb8344e459f75801d623f8176 |
| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-8f5773bdb8344e459f75801d623f81762025-08-20T02:45:24ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01126e018023010.1371/journal.pone.0180230Sex-dependent aortic valve pathology in patients with rheumatic heart disease.Feng XiaoRui ZhengDi YangKejiang CaoShijiang ZhangBingruo WuYongfeng ShaoBin Zhou<h4>Background</h4>Rheumatic heart disease is an autoimmune disease caused by group A streptococci infection and frequently affects the aortic valve. Sex differences are common in the disease progression, treatment, and outcome. However, little is known about the sex differences in the pathology of aortic valves in rheumatic heart disease.<h4>Design</h4>We studied the end-stage calcific aortic valves from male versus female patients to reveal the sex-dependent pathology differences and molecular changes associated with requiring valve replacement.<h4>Methods</h4>Aortic valves from 39 patients with rheumatic heart disease (19 males and 20 females) were collected at the time of aortic valve replacement for comparative pathology, immunohistochemistry, and gene expression analyses. Clinical characteristics were also analyzed and compared between the two groups.<h4>Results</h4>Aortic valves from female patients exhibited increased expression of collagens, infiltration of monocytes/macrophages and neovascularization. Aortic valves from female patients also had increased expression of inflammatory genes involved in the NFKB pathway (phosphorylated NFKB p65 subunit, IL8, and NOS3) and Th1 cytokine genes (IFNA and IL12B). The severe valve pathology in female patients was correlated with a higher serum level of anti-streptolysin O antibodies.<h4>Conclusion</h4>Inflammation is more prominent in aortic valves of female patients with rheumatic heart disease. This sex difference may contribute to the severe valve pathology and worse outcome of female patients.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0180230&type=printable |
| spellingShingle | Feng Xiao Rui Zheng Di Yang Kejiang Cao Shijiang Zhang Bingruo Wu Yongfeng Shao Bin Zhou Sex-dependent aortic valve pathology in patients with rheumatic heart disease. PLoS ONE |
| title | Sex-dependent aortic valve pathology in patients with rheumatic heart disease. |
| title_full | Sex-dependent aortic valve pathology in patients with rheumatic heart disease. |
| title_fullStr | Sex-dependent aortic valve pathology in patients with rheumatic heart disease. |
| title_full_unstemmed | Sex-dependent aortic valve pathology in patients with rheumatic heart disease. |
| title_short | Sex-dependent aortic valve pathology in patients with rheumatic heart disease. |
| title_sort | sex dependent aortic valve pathology in patients with rheumatic heart disease |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0180230&type=printable |
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