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Delayed-Type Hypers...
Delayed-Type Hypersensitivity to Metals of Environmental Burden in Patients with Takotsubo Syndrome - Is There a Clinical Relevance?
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Manousek, Jan (author)
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- Stejskal, Vera (author)
- Stockholms universitet,Institutionen för molekylär biovetenskap, Wenner-Grens institut,Masaryk University, Czech Republic
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Kubena, Petr (author)
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Jarkovsky, Jiri (author)
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Nemec, Petr (author)
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Lokaj, Petr (author)
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Dostalova, Ludmila (author)
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Zadakova, Andrea (author)
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Pavlusova, Marie (author)
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Benesova, Klara (author)
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Kala, Petr (author)
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Miklik, Roman (author)
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Spinar, Jindrich (author)
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Parenica, Jiri (author)
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(creator_code:org_t)
- 2016-11-08
- 2016
- English.
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In: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 11:11
- Related links:
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https://doi.org/10.1...
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https://journals.plo...
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https://urn.kb.se/re...
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Abstract
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- Objective Takotsubo syndrome (TS) is a heart condition characterised by a sudden transient left ventricular dysfunction; its pathophysiology is probably associated with elevated levels of catecholamines but the exact mechanism is not known as yet. Literature and clinical experience suggest that TS affects persons with various comorbidities. This pilot work aims to evaluate the frequency of comorbidities with potential pathological immune reactivity, and to evaluate the potential association between TS and hypersensitivity to metals assessed by LTT-MELISA (R). Methodology, Results A total of 24 patients (23 women, 1 man) with a history of TS attack and 27 healthy controls were evaluated. Hypersensitivity was evaluated by a lymphocyte transformation test (LTT-MELISA (R)); a questionnaire of environmental burden was used to select evaluated metals. A total of 19 patients (79%) had at least one condition that might potentially be associated with pathological immune reactivity (autoimmune thyroid disease, drug allergy, bronchial asthma, cancer, contact dermatitis, rheumatoid arthritis). Hypersensitivity to metals was identified significantly more frequently in TS patients than in healthy controls (positive reaction to at least one metal was identified in 95.8% of TS patients and in 59.3% of controls; p = 0.003); the difference was statistically significant for mercury (45.8% and 14.8%, respectively; p = 0.029). Conclusion Our work shows that conditions with pathological immune reactivity occur frequently in TS patients, and our data suggest a possible association between TS and hypersensitivity tometals (mercury in particular) evaluated by LTT-MELISA (R). We also suggest that apart from the triggering stress factor, potential existence of other serious conditions should be considered when taking medical history of TS patients.
Subject headings
- NATURVETENSKAP -- Annan naturvetenskap (hsv//swe)
- NATURAL SCIENCES -- Other Natural Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Manousek, Jan
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Stejskal, Vera
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Kubena, Petr
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Jarkovsky, Jiri
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Nemec, Petr
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Lokaj, Petr
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show more...
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Dostalova, Ludmi ...
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Zadakova, Andrea
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Pavlusova, Marie
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Benesova, Klara
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Kala, Petr
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Miklik, Roman
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Spinar, Jindrich
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Parenica, Jiri
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show less...
- About the subject
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- NATURAL SCIENCES
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NATURAL SCIENCES
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and Other Natural Sc ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
- Articles in the publication
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PLOS ONE
- By the university
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Stockholm University