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Korean Journal of Pediatrics 2005;48(5):539-544.
Published online May 15, 2005.
The Change of Serum Soluble E-selectin in Kawasaki Disease
Jae-Ho Jeong1, Eun-Young Cho1, Jae-Woo Lim1, Eun-Jeong Cheon1, Kyong-Og Ko1, Kyung-Il Lee2
1Department of Pediatrics, College of Medicine, Konyang University, Daejon, Korea
2Department of Pediatrics, College of Medicine, The Catholic of University Korea, Daejon, Korea
가와사끼병에서의 혈청 Soluble E-selectin의 변화
정재호1, 조은영1, 임재우1, 천은정1, 고경옥1, 이경일2
1건양대학교 의과대학 소아과학교실
2가톨릭대학교 의과대학 소아과학교실
Correspondence:  Eun-Jeong Cheon,
Email: kcm1000@kyuh.co.kr
Abstract
Purpose
: The aim of this study was to investigate the pathophysiologic role of serum E-selectin, vascular endothelial growth factor(VEGF)-induced cell adhesion mollecule in Kawasaki disease(KD) and to look for the evidence of direct relationship between the plasma levels of soluble E-selectin and the incidence of coronary artery lesion(CAL).
Methods
: Changes in plasma levels of sE-selectin(n=98) over time were measured by enzyme-linked immunosorbent assay(ELISA) in 23 patients with acute KD and 25 age-matched febrile children.
Results
: Compared with control values, the peak levels of plasma sE-selectin were significantly elevated(mean켚.E. : 22.89?2.53 ng/mL vs 10.65?.42 ng/mL, P=0.01) in KD. 5 patients with CAL, plasma sE-selectin levels before treatment were higher than in 18 patients without CAL(mean켚.E. : 39.43?5.08 ng/mL and 19.00?.32 ng/mL, respectively; P=0.01). Plasma sE-selectin declined rapidly in the majority of KD patients regardless of the presence of CAL. Plasma sE-selectin levels after treatment and convalesent period were similar in KD patients with and without CAL. The plasma levels sE-selectin were correlated with those of white blood cell count(r=0.299, P<0.05), CRP(r=0.430, P<0.05), serum albumin(r=-0.483, P<0.05), serum protein(r=-0.502, P<0.05) and hemoglobin(r=-0.372, P<0.05) not with those of ESR, platelet, or duration of fever. There were significant differences in the initial level of serum sE-selectin between KD with and without CAL(mean켚.E. : 39.44?5.08 ng/mL vs. 19.00?7.18 ng/mL) in multivariated linear tests.
Conclusion
: Plasma sE-selectin levels were significantly higher in KD than in other febrile illness. Higher plamsa levels of sE-selectin may have potential as a predictor of CAL in patients with KD.
Key Words: Kawasaki disease , E-selectin , Coronary artery lesion


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