XVIII Congress of the Italian Society for Hemostasis and Thrombosis Research, Rome, Sept. 30-Oct. 3, <strong>2004</strong>49inflammatory stimulus in vivo and in vitro, a phe<strong>no</strong>me<strong>no</strong>nprobably related to the interaction of IgEwith platelets.CO-0564G/5G POLYMORPHISM OF PAI-1 GENE AS A RISK FACTOR FORTHE DEVELOPMENT OF IgE-MEDIATED ASTHMAPampuch A,*° Di Castelnuovo A,* Kowal K,°Bodzenta-Lukaszyk A,° Donati MB,* Iacoviello L**Center for High Tech<strong>no</strong>logy Research andEducation in Biomedical Sciences,CatholicUniversity, Campobasso, Italy and °Department ofAllergology and Internal Medicine, Bialystok, PolandBackground. Bronchial asthma is a complex diseaseinvolving genetic an environmental risk. Theinflammatory process observed in the course ofbronchial asthma may affect the fibry<strong>no</strong>lysis system.Plasmi<strong>no</strong>gen activator inhibitor-1 (PAI-1) plays anessential role in tissue remodeling and regulation ofthe fibry<strong>no</strong>lytic pathway. PAI-1 gene is an importantfactor in the regulation of plasma levels of PAI-1 inresponse to different stimuli and can be consideredas a candidate in the genetic predisposition to developasthma. Aims. In the present study we investigatedwhether the risk of asthma could be geneticallydetermined by PAI-1 polymorhism and PAI-1ge<strong>no</strong>types relationships with PAI-1 antigen and IgElevels. Methods. This study was performed in 127house dust mite sensitive allergic asthmatics, 73allergic rhinitis patients. Control group consisted of<strong>89</strong> healthy <strong>no</strong>natopic subjects. PAI-1 ge<strong>no</strong>type wasdetermined by an allele specific PCR. Plasma PAI-1antigen, total IgE and specific IgE concentration wereevaluated using ELISA and UniCap system respectivly.Bronchial challenge tests with histamine and Dermatphagoidespteronyssinus(Dp) allergen were performedaccording to the methods of Ryan and Cockroftrespectively. Results. The frequency of 4G allelewas significantly higher in allergic asthma patients(0.688 95%CI 0.62-0.75) than in healthy controls(0.55 95%CI 0.477-0.623; p = 0.003) and in allergicrhinitis patients (0.554 95% CI 0.474-0.635; p =0.007). In univariate analysis, PAI-1 polymorphismwas associated with an increased risk of asthma;odds ratio (OR) for 4G/5G ge<strong>no</strong>type compared withthe 5G/5G was 1.8 (95%CI 0.77-4.19), while comparisonbetween 5G/5G and 4G/4G ge<strong>no</strong>typesshowed an OR of 2.55 (95%CI 1.10-5.93). Afteradjustment for sex and age, the association was evenstronger [(OR for 4G/5G (2.59; 1.03-6.50) and for4G/4G (2.80; 1.13-6.98)]. IgE levels were associatedwith PAI-1 ge<strong>no</strong>type in cases. Indeed, cases carryingthe ge<strong>no</strong>type 4G/4G showed significantly higher levelsof IgE (547.1±341 kU/L) than 5G/5G homozygotes(318.9±310.5 kU/L; p = 0.0128) Preliminarydata on PAI-1 antigen show that in both controlsand cases, 4G/4G ge<strong>no</strong>type was associated withhigher levels of PAI-1. Both <strong>no</strong>nspecific bronchialreactivity in response to histamine challenge andspecific bronchial reactivity in response to Dp challengewere higher in homozygotes for 4G/4G allelethan in homozygos for 5G/5G allele. Morning plasmaPAI-1 concentration correlated significantly withPC20(r=-0,3913; p=0,0001) and with total serumIgE(r=0,3037; p=0,0018). In patients challenged withDp allergen significant increase in plasma PAI-1 antigenconcentration was seen at EAR, which continuedto be increased even 24 hours after the challenge inthose who developed a LAR. Conclusion. The resultsobtained in this study support the hypothesis thatthe 4G/4G PAI-1 ge<strong>no</strong>type is associated with anincreased risk of allergic asthma and bronchialhyperreactivity.CO-057PPAR α AND γ ACTIVATORS DIFFERENTLY AFFECT THEINFLAMMATORY RESPONSE BY HUMAN VASCULARENDOTHELIUM. POSSIBLE ANTI-ANGIOGENIC EFFECTS OFROSIGLITAZONEMassaro M, # *Scoditti E,* Zampolli A,*Carluccio MA,* Storelli C, # Distante A,*De Caterina R°*#University of Lecce, Lecce, Italy, *C.N.R. Institute ofClinical Physiology, Pisa and Lecce, Italy,°d’ Annunzio University, Chieti, ItalyPeroxisome proliferator-activated receptors (PPA-Rα and γ) are highly expressed in the atheroscleroticintima, and likely involved in inflammation, cellularproliferation and differentiation. Both PPARs mayregulate the expression of cyclooxygenase(COX)-2,which was found increased in atherosclerotic lesions,colocalizing with matrix metalloproteinase(MMP)-9in the endothelium of vasa vasorum, thus probablyfavoring plaque neo-vascularization, progression andinstability. Because of the involvement of a prostaglandin(PG)E/cAMP-dependent pathway in MMP-9 activation, we investigated the effects of thePPARgamma agonist rosiglitazone (0.1-50 mmol/Land of the PPARα agonist clofibrate (1-500 mmol/L),on the stimulated expression of COX-2 and MMP-9protein and activity in human umbilical veinendothelial cells (HUVEC) stimulated by phorbolmyristate acetate (PMA). Results. In the absence ofany toxicity, rosiglitazone, at ⁄10 mmol/L, but <strong>no</strong>tclofibrate, significantly (*p
50Oral Communicationsthe Table, as% of stimulated controls (PMA). Theinhibitory effect by rosiglitazone was completelyreverted by the PPARγ antagonist bisphe<strong>no</strong>l A diglycydilether (BADGE; 50 mmol/L) which, in the sameexperimental conditions, did <strong>no</strong>t affect the PMAmediatedinduction of COX-2. In parallel, only rosiglitazonereduced the release of MMP-9 without affectingthe activity of other MMPs investigated (MMP-1and 2 and 3) at gelatin zimography and enzymeimmu<strong>no</strong>assay. Rosiglitazone reduces the inducedexpression of COX-2 as well as the stimulated releaseof MMP-9 in HUVEC. This effect occurs through aPPARγ-dependent mechanism since it is completelyreverted in the presence of BADGE. These antiinflammatoryand anti-angiogenic effects may contributeto vasculoprotection by PPARγ agonists invivo.CO-058PREVALENCE OF INFLAMMATORY GENE POLYMORPHISMS INNONVALVULAR ATRIAL FIBRILLATION PATIENTSGori AM, Gensini F, # Cecchi E, In<strong>no</strong>centi D, Poli D,°Sticchi E, # Michelucci A, Padeletti L, Porciani MC,Prisco D, Abbate R, Gensini GFDepartment of Medical and Surgical Critical Area,University of Florence; °Dipartimento Cardiologicoe dei Vasi, Azienda Ospedaliera Universitaria, Florence;# Department of Clinical Pathophysiology,University of Florence, ItalyNonvalvular atrial fibrillation (NVAF) is the mostcommon arrhythmia in clinical practice and is apotential cause of thromboembolic events. Recently,the involvement of inflammatory processes inNVAF has been suggested, but <strong>no</strong> data are availableon genetic polymorphisms of the inflammatorymarkers in NVAF. We investigated the prevalence ofC-Reactive Protein (CRP) 1059G/C polymorphism,Interleukin 6 (IL-6) -174G/C promoter polymorphism,and Interleukin 1β (IL-1β) -511 C/T promoter polymorphismin 195 patients with AF (mean age 73±8;107 males and 88 females) and in 390 apparentlyhealthy subjects. One hundred and six NVAF patientshad history of ischemic event(s): ischemic stroke(n=67), and transient ischemic attack (TIA) (n=39). In<strong>89</strong> NVAF patients <strong>no</strong> history of arterial ischemia wasregistered. CRP 1059G/C, IL-6 -174G/C and IL-1β -511 C/T polymorphisms were analyzed by PCR and bymicroarray tech<strong>no</strong>logy using electronic chip (Na<strong>no</strong>gentech<strong>no</strong>logy). Both in patients with NVAF and incontrol subjects the analyzed ge<strong>no</strong>type distributionswere in Hardy-Weinberg equilibrium. The analysis ofCRP 1059G/C and IL-6 -174G/C polymorphismsshowed <strong>no</strong> significant differences in ge<strong>no</strong>type distributionbetween NVAF patients and control subjects.The prevalence of IL-1Beta -511 TT and CTge<strong>no</strong>types in NVAF patients was lower (62.0%) but<strong>no</strong>t significantly (p=0.051) different than that foundin control subjects (69.2%). No significance differencesin ge<strong>no</strong>type distribution of CRP 1059G/C, IL-6-174 G/C and IL-1β -511 C/T polymorphismsbetween NVAF patients with history of ischemicevents and NVAF patients without history of arterialischemia were observed. Similarly, the ge<strong>no</strong>typedistribution of the inflammatory gene polymorphismsdid <strong>no</strong>t differ between patients with chronic(n=142) or paroxysmal (n=53) NVAF. The percentageof AF patients with more than two rare variantsof inflammatory genes was significantly (p