Oxidized LDL in human carotid plaques is related to symptomatic carotid disease and lesion instability  Fragiska Sigala, MD, PhD, Athanassios Kotsinas,

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Oxidized LDL in human carotid plaques is related to symptomatic carotid disease and lesion instability  Fragiska Sigala, MD, PhD, Athanassios Kotsinas, BSc, PhD, Paraskevi Savari, MD, Konstantinos Filis, MD, PhD, Sophia Markantonis, BSc, PhD, Efstathios K. Iliodromitis, MD, PhD, Vassilis G. Gorgoulis, MD, PhD, Ioanna Andreadou, BSc, PhD  Journal of Vascular Surgery  Volume 52, Issue 3, Pages 704-713 (September 2010) DOI: 10.1016/j.jvs.2010.03.047 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Oxidized LDL (ox-LDL) levels (ng/mL) in stable (noncomplicated) and unstable (complicated) plaques (A); symptomatic and asymptomatic lesions (B); ≥90% carotid stenosis and <90% carotid stenosis (C). *P < .05 versus control samples, **P < .05 versus stable and asymptomatic. Journal of Vascular Surgery 2010 52, 704-713DOI: (10.1016/j.jvs.2010.03.047) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Nitrotyrosine (NT) levels (nmol/mg protein) in stable (noncomplicated) and unstable (complicated) plaques (A); symptomatic and asymptomatic lesions (B); ≥90% carotid stenosis and <90% carotid stenosis (C). *P < .05 versus control samples, **P < .05 versus stable plaques. Journal of Vascular Surgery 2010 52, 704-713DOI: (10.1016/j.jvs.2010.03.047) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 Immunohistochemical (IHC) analysis of matrix metalloproteinase-9 (MMP-9) and nitrotyrosine (NT) in serial sections from stable and unstable plaques. MMP-9 and NT IHC co-localization in stable (A) and unstable (B) plaques at 200× and 400× magnification, respectively. Frames in 200× magnification pictures represent the areas of 400× magnification. Journal of Vascular Surgery 2010 52, 704-713DOI: (10.1016/j.jvs.2010.03.047) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 Correlation between the immunohistochemical (IHC) labeling indices (LI) of matrix metalloproteinase-9 (MMP-9) and nitrotyrosine (NT) in the examined cohort of human carotid plaques (r = 0.98, P < .05). Journal of Vascular Surgery 2010 52, 704-713DOI: (10.1016/j.jvs.2010.03.047) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 5 Analysis of matrix metalloproteinase-9 (MMP-9) protein expression in stable and unstable plaques. Western blot analysis of MMP-9 expression in representative samples of stable and unstable plaques. (A); Histogram showing the significantly increased MMP-9 protein expression levels in unstable plaques, compared with stable ones (P < .05) (B). Journal of Vascular Surgery 2010 52, 704-713DOI: (10.1016/j.jvs.2010.03.047) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 6 Malondialdehyde (MDA) levels (μmol/mg protein) in stable (noncomplicated) and unstable (complicated) plaques (A); symptomatic and asymptomatic lesions (B); ≥90% carotid stenosis and <90% carotid stenosis (C). *P < .05 versus control samples. Journal of Vascular Surgery 2010 52, 704-713DOI: (10.1016/j.jvs.2010.03.047) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 7 Protein carbonyls (PCs) levels (nmol/mg protein) in stable (noncomplicated) and unstable (complicated) plaques (A); symptomatic and asymptomatic lesions (B); ≥90% carotid stenosis and <90% carotid stenosis (C). *P < .05 versus control samples. Journal of Vascular Surgery 2010 52, 704-713DOI: (10.1016/j.jvs.2010.03.047) Copyright © 2010 Society for Vascular Surgery Terms and Conditions