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Mueller et al. Vessel Plus 2018;2:13  I  http://dx.doi.org/10.20517/2574-1209.2018.19                                                   Page 5 of 10

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               Table 3. Inflammatory plasmatic biomarkers according to TBR values of  FDG-PET-CT in symptomatic or asymptomatic
               patients with carotid stenosis (median values)
                                        TBR ≥ 1.9                TBR < 1.9                 P value
                                      (n = 56), pg/mL          (n = 55), pg/mL
                MMP-9                   227,612                  253,273                   0.9014
                MMP-8                   10,263                   10,181                    0.83
                MMP-3                   22,183                   20,670                    0.8273
                MMP-2                   328,626                  365,796                   0.0268
                TNF-α                   4.8600                   5.5600                    0.1018
                ICAM-1                  276,728                  290,987                   0.85
                VCAM-1                  959,190                  1,020,700                 0.4242
                P-selectin              102,491                  87,460                    0.5672
                E-selectin              38,700                   38,744                    0.5514
                RANTES                  51,396                   41,367                    0.0387
                MCP-1                   283                      283                       1.0000
                MPO                     73                       88                        0.1969
                IL-6                    1.3500                   1.4900                    0.6376
                IL-1                    1742                     1934                      0.3514
                lp-PLA2                 130                      125                       0.6187
               MMP: matrix-metalloproteases; TNF: tumor necrosis factor; ICAM: intercellular adhesion molecule; VCAM: vascular cell adhesion
               molecule; MCP: monocyte chemoattractant protein; MPO: myeloperoxidase; IL: interleukin; lp-PLA2: lipoprotein-associated phospholipase;
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               TBR: target to background ratio;  FDG-PET-CT:  Fluorodoeoxyglucose positron emission tomography/computed tomography
                                           10 6




                                          PANTES pg/mL  10 5 4



                                           10




                                           10 3
                                             1.0       1.5       2.0       2.5       3.0       3.5       4.0
                                                                               TBR

                         Figure 1. Correlation between RANTES and target to background ratio (TBR) values, rho 0.249 (P = 0.008)

               We found a significant correlation between higher  FDG uptake (TBR ≥ 1.9) [Table 3] and the plasmatic
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               levels of chemokine RANTES (P = 0.03). The correlation between RANTES and TBR values was of rho 0.249
               (P = 0.008) [Figure 1].

               There were higher levels of ICAM-1 (P = 0.03) in MES+ patients [Table 4]. The correlation with the number
               of MES was of rho = 0.21 (P = 0.03).

               The predictive values of RANTES and ICAM-1 are shown on Table 5.


               MMP-2 levels were more important in patients with lower TBR values (P = 0.02) and MMP-3 and P-selectin
               in those who were MES- (respectively P = 0.001 and P = 0.009) [Tables 3 and 4]. There was an inverse
               correlation between number of MES and MMP-3 with rho = -0.319 (P = 0.0008) and number of MES and
               P-selectin with rho = -0.26 (P = 0.006).
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