{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:50:57Z","timestamp":1781052657573,"version":"3.54.1"},"reference-count":20,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2013,7,1]],"date-time":"2013-07-01T00:00:00Z","timestamp":1372636800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The aim of our study was to determine neopterin levels in patients with acute coronary syndrome, in which the release of various cytokines activates the cellular immune system. There is an increase in the number and activity of T-cells in unstable atherosclerotic plaques, and of type 1 helper T-cells that produce interferon \u03b3, which in turn produces neopterin, a byproduct of the guanosine triphosphate-biopterin pathway and a marker for activated macrophages.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We studied 600 subjects consisting of healthy volunteers and patients with noncardiac chest pain, ST-segment elevation myocardial infarction, non-ST-segment elevation myocardial infarction, or unstable angina. Neopterin levels were determined by high-performance liquid chromatography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Mean serum neopterin levels in ST-segment elevation myocardial infarction (11.5\u2009\u00b1\u20093.2\u2009nmol\u00b7L\n                      <jats:sup>\u22121<\/jats:sup>\n                      ), non-ST-segment elevation myocardial infarction (9.8\u2009\u00b1\u20092.9\u2009nmol\u00b7L\n                      <jats:sup>\u22121<\/jats:sup>\n                      ), and unstable angina patients (9.4\u2009\u00b1\u20092.3\u2009nmol\u00b7L\n                      <jats:sup>\u22121<\/jats:sup>\n                      ) were significantly higher than those in noncardiac chest pain patients (7.4\u2009\u00b1\u20091.9\u2009nmol\u00b7L\n                      <jats:sup>\u22121<\/jats:sup>\n                      ) and healthy volunteers (7.2\u2009\u00b1\u20090.6\u2009nmol\u00b7L\n                      <jats:sup>\u22121<\/jats:sup>\n                      ; p\u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>These findings suggest that serum neopterin levels may be a useful marker of systemic inflammation, and measurement of serum neopterin may be helpful in assessing the risk of developing coronary heart disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0218492312458511","type":"journal-article","created":{"date-parts":[[2013,7,1]],"date-time":"2013-07-01T23:15:35Z","timestamp":1372720535000},"page":"426-431","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Estimation of serum neopterin in patients with acute coronary syndrome"],"prefix":"10.1177","volume":"21","author":[{"given":"Prema","family":"Gurumurthy","sequence":"first","affiliation":[{"name":"Department of Biochemistry, Frontier Lifeline Hospital and Dr KM Cherian Heart Foundation, Chennai, Tamilnadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sai Krishna","family":"Borra","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Frontier Lifeline Hospital and Dr KM Cherian Heart Foundation, Chennai, Tamilnadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rama Krishna Reddy","family":"Yeruva","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Frontier Lifeline Hospital and Dr KM Cherian Heart Foundation, Chennai, Tamilnadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sai","family":"Babu","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Frontier Lifeline Hospital and Dr KM Cherian Heart Foundation, Chennai, Tamilnadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joy","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Frontier Lifeline Hospital and Dr KM Cherian Heart Foundation, Chennai, Tamilnadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kotturathu Mammen","family":"Cherian","sequence":"additional","affiliation":[{"name":"Department of Biochemistry, Frontier Lifeline Hospital and Dr KM Cherian Heart Foundation, Chennai, Tamilnadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,7,1]]},"reference":[{"key":"bibr1-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(00)70006-0"},{"key":"bibr2-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199901143400207"},{"key":"bibr3-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8651(05)70274-5"},{"key":"bibr4-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1016\/j.ehj.2004.04.026"},{"key":"bibr5-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1159\/000236491"},{"key":"bibr6-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1084\/jem.160.1.310"},{"key":"bibr7-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(97)00172-1"},{"key":"bibr8-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(98)00905-9"},{"key":"bibr9-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(99)00640-3"},{"key":"bibr10-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1002\/bmc.325"},{"key":"bibr11-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)62447-6"},{"key":"bibr12-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1136\/heart.83.3.346"},{"key":"bibr13-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000142664.18739.92"},{"key":"bibr14-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2003.07.031"},{"key":"bibr15-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehi111"},{"key":"bibr16-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1157\/13045655"},{"key":"bibr17-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.95.7.1806"},{"key":"bibr18-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2005.03.040"},{"key":"bibr19-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1006\/jmcc.2000.1160"},{"key":"bibr20-0218492312458511","doi-asserted-by":"publisher","DOI":"10.1373\/clinchem.2009.127084"}],"container-title":["Asian 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