The aim of this study is measurement of expression and activity of RBC eNOS in different clinical cohorts of patients with coronary artery disease and acute coronary syndrome and to investigate the importance of the NO-stimulated reaction cascade in terms of sGC and PKG.
Study Type
OBSERVATIONAL
Enrollment
300
University Hospital Duesseldorf
Düsseldorf, Germany
Determination of red cell endothelial nitric oxide-synthase (eNOS)-expression and - activity
Time frame: baseline, 3 hours and 3 month
Deformability and stability of red blood cell membrane
by Laser assisted Optical Rotational Cell Analyzer (LORCA)
Time frame: baseline, 3 hours and 3 month
Microvascular function
Determination of microvascular function with Laser-Doppler Perfusion Imaging
Time frame: baseline, 3 hours and 3 month
Peripheral and central hemodynamic measurement
Time frame: baseline, 3 hours and 3 month
Determination of arterial stiffness
Determination of arterial stiffness with pulse wave analysis during blood pressure measurement or echocardiography.
Time frame: baseline, 3 hours and 3 month
determination of flow-mediated dilation
Time frame: baseline, 3 hours and 3 month
Determination of nitrate and nitrite in blood plasma and red blood cells (RBC)
Time frame: baseline, 3 hours and 3 month
Determination of nitric oxide and cyclic guanosine monophosphate (cGMP) in blood plasma and in red blood cells
Time frame: baseline, 3 hours and 3 month
Determination of endothelial microparticles
Time frame: baseline, 3 hours and 3 month
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Electrocardiogram
Time frame: baseline, 3 hours and 3 month
Aging and turnover of red blood cells
Time frame: baseline, 3 hours and 3 month
Redox status of red blood cells
Determination of redox status of red blood cells will be measured on free thiole with thioltracker and reactive oxygen species( ROS) by dihydrodichlorofluorescein
Time frame: baseline, 3 hours and 3 month
Aggregation of red blood cells
Determination of aggregation of red blood cells with LORCA
Time frame: baseline, 3 hours and 3 month
Platelet aggregometry
Time frame: baseline, 3 hours and 3 month
Expression and function of soluble guanylyl cyclase (sGC) in red blood cells
measurement of enzyme expression and activity
Time frame: baseline, 3 hours and 3 month
Expression and activity of Protein Kinase G (PKG)
measurement of enzyme expression and activity
Time frame: baseline, 3 hours and 3 month
Determination of leucocyte populations and leucocyte function
flow-cytometry
Time frame: baseline, 3 hours and 3 month
Changes of tetrahydrobiopterin-metabolism
Time frame: baseline, 3 hours and 3 month