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AIM To explore the possible mechanism of cathepsin C (CTSC) and tumor necrosis factor-α (TNF-α) in coronary heart disease (CHD) by detecting the protein expression of CTSC and TNF-α in human coronary artery tissue. METHODS The coronary artery tissues from 52 cases of CHD and 25 cases of accidental death without any heart disease in the Forensic Judicial Expertise Center of Guizhou Medical University from October 2018 to December 2019 were collected as CHD group and control group, respectively. The coronary artery stenosis and intimal plaque formation were examined by histopathology, the protein expression of CTSC and TNF-α was determined by Western blot, and the intracellular expression of CTSC and TNF-α was analyzed by immunohistochemical staining. RESULTS The results of HE staining showed that the intima of coronary artery in control group was smooth, and no thickening or stenosis was observed. In CHD group, the intima thickened irregularly, atherosclerotic plaques formed, the intima became thinner and the lumen showed eccentric stenosis in varying degrees (P<0.05). The results of Western blot showed that the expression of CTSC and TNF-α in CHD group was significantly higher than that in control group (P<0.05). Immunohistochemical staining showed that both CTSC and TNF-α were expressed in the cytoplasm of foam cells, and their positive expression was significantly higher than that in control group (P<0.05). The results of Pearson moment correlation analysis showed that there was positive correlation between the expression of CTSC and TNF-α in CHD (r2=0.743, P<0.05). CONCLUSION The up-regulated expression of CTSC in coronary artery tissue may promote the expression of TNF-α and affect the occurrence and development of CHD.  相似文献   
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