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Molecular imaging allows detection of plaques likely to rupture

Diagnostic strategies at the molecular level are being developed that "should be able to detect atherosclerotic plaques likely to rupture in the arteries that supply blood to the heart and brain," according to a study in the December issue of the Journal of Nuclear Medicine.

This is important news for about 14 million people in the United States who suffer from coronary artery disease and the 1.1 million who could experience heart attacks and death, noted Artiom Petrov, Ph.D., co-author of "Resolution of Apoptosis in Atherosclerotic Plaque by Dietary Modification and Statin Therapy." Atherosclerosis is the slow, progressive buildup of deposits called plaques on the inner walls of arteries, which carry oxygen-rich blood to the heart, brain and other parts of the body. Over time, plaques--deposits of fat, cholesterol and calcium--can narrow coronary arteries, allowing less blood to flow to the heart muscle. Rupture of these plaques may result in acute (sudden) events, such as heart attack and death.

More than two-thirds of acute coronary events result from rupture of coronary plaques, said Petrov, a researcher in the division of cardiology at the University of California at Irvine. These plaques are likely to have large lipid (fat) collections, which are often associated with hemorrhages and harbor significant inflammation, said Petrov, explaining that inflamed cells often undergo apoptosis or suicidal death. An international team of researchers used the radiolabeled protein annexin A5 for the noninvasive imaging of atherosclerotic plaques in experimental rabbit models, binding it to the cell membrane surfaces of dying cells. By using a nuclear medicine procedure and exploring the role of diet modification and use of statins, which are cholesterol-lowering drugs, researchers found that "the radiotracer uptake demonstrated a significant correlation with inflammatory cell prevalence and the magnitude of cell death in plaques," said Petrov.

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Contact: Maryann Verrillo
mverrillo@snm.org
703-708-9000
Society of Nuclear Medicine
21-Dec-2005


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