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. 2007 Aug;93(8):1001–1007. doi: 10.1136/hrt.2006.088211

Table 4 Adhesion molecules in atherosclerosisw2.

Adhesion molecule Ligands Role Comments Clinical predictive value of soluble form
Selectins
P‐selectin CD24, PSGL‐1, Lewis X Rolling and tethering Present on endothelial cells and platelets. ELISA kits for soluble forms commercially available Weak predictor in healthy individuals, high risk patients and patients with CAD, moderate predictor for patients with acute coronary events
E‐selectin L‐set, PSGL‐1, ESL‐1, Lewis X Rolling and tethering Present in endothelial cells. ELISA kits for soluble form commercially available Weak predictor in healthy individuals, high‐risk subjects, and patients with CAD or ACS
L‐selectin CD34, PSGL‐1, Lewis X, GlyCAM Rolling and tethering Present in leucocytes. ELISA kit for soluble form commercially available
Immunoglobulin‐like molecules
ICAM‐1 αMβ2, αLβ2, αXβ2 Present in endothelial cells and leucocytes. ELISA kits for soluble‐form commercially available Moderate predictor for healthy individuals, high‐risk subjects and CAD patients. Weak predictive value for ACS
Firm adhesion
ICAM‐2 αMβ2, αLβ2 Firm adhesion Present in endothelial cells, leucocytes and platelets. ELISA kits for soluble form commercially available
ICAM‐3 αLβ2, αDβ2, DC‐SIGN Firm adhesion Present in endothelial cells and leucocytes. ELISA kits for soluble form commercially available
VCAM‐1 α4β1, α4β7, αDβ2 Firm adhesion Present in endothelial cells. ELISA kits for soluble form commercially available No predictive value for healthy individuals. Strong predictor for high risk subjects, CAD patients and patients with ACS
PECAM‐1 PECAM1, αVβ3 Leucocyte extravasation Maintains endothelial integrity. Present in endothelial cells, leucocytes and platelets. ELISA kits for soluble forms commercially available

ACS, acute coronary syndromes; CAD, coronary artery disease; ELISA, enzyme‐linked immunosorbent assay; ICAM, intercellular adhesion molecule; PECAM, platelet endothelial cell adhesion molecule; VCAM, vascular cells adhesion molecule.