Role of superoxide dismutase in vascular inflammation and in coronary artery disease

Superoxide dismutase (SOD) is reported to be the major enzymatic defence against free radicals and common oxidant. EC-SOD is the only extracellular form of SOD present at a high concentration in vascular intima. The aims of the present study were to elucidate the role of EC-SOD in patients with coronary artery disease (CAD) and evaluate its association with free radicals, inflammation and with the severity of the disease. The study included 36 consecutive subjects with CAD being treated in the Institute of Clinical Physiology (33 males, 3 females) and 19 controls (16 males, 2 females). Each subject, after cardiac catheterisation and coronariography was evaluated for serum EC-SOD activity, peroxy-radicals, high-sensitive interleukin-6 (hs-IL-6), high-sensitive tumor necrosis factor (hs-TNFalfa), and high-sensitive C-reactive protein (hs-CRP) serum levels. The analysis of EC-SOD serum activity did not show any particular difference between patients and controls, while the serum levels of peroxy radicals, hs-IL-6 and hs-CRP showed a significant difference between the two groups (respectively: p0.01, p0.001, p0.01). Moreover, enhancement of hs-IL-6 serum levels was also observed in severe disease (involvement of 3, 4 coronary arteries; p0.05) while EC-SOD activity showed a slight increment in association with the number of arteries involved. hs-IL-6 concentrations were statistically significantly associated with peroxy-radicals and CRP levels (respectively : p0.05, r2