Coronary disease & ACS

Endothelial Microparticles From Acute Coronary Syndrome Patients Induce Premature Coronary Artery Endothelial Cell Aging and Thrombogenicity: Role of the Ang II/AT1 Receptor/NADPH Oxidase-Mediated Activation of MAPKs and PI3-Kinase Pathways

CirculationPublished Mechanistic study

Authors' conclusion

These findings indicate that endothelial-derived MPs from ACS patients induce premature endothelial senescence under atheroprone low shear stress and thrombogenicity through angiotensin II-induced redox-sensitive activation of mitogen-activated protein kinases and phosphoinositide 3-kinase/Akt.

Study context

Population
Primary porcine coronary artery endothelial cells (ECs) exposed to microparticles (MPs) from senescent ECs or from acute coronary syndrome (ACS) patients
Participants
30 vs 4
Comparison
MPs from senescent ECs or ACS patients vs healthy volunteers
  • ACSn = 30
  • Healthy volunteersn = 4reference
Outcome
Endothelial senescence and thrombogenicity

Main finding

As reported in the abstract

  • Passaging P1 to P4 induced senescence with progressive shedding of procoagulant MPs
  • MPs from senescent P3 cells or ACS patients increased SA-β-gal activity, oxidative stress, MAPK and Akt phosphorylation, and p53, p21, p16 upregulation in P1 ECs
  • Prosenescent effect of ACS MPs ex vivo only under low shear stress
  • Depletion of endothelial-derived MPs from ACS patients reduced senescence induction
  • Prosenescent MPs promoted EC thrombogenicity: tissue factor upregulation, procoagulant MP shedding, eNOS downregulation, reduced NO-mediated inhibition of platelet aggregation
  • MPs had ACE activity and upregulated AT1 receptors and ACE in P1 ECs
  • Losartan and MAPK or PI3-kinase inhibitors prevented MP-induced senescence

Original publication

Endothelial Microparticles From Acute Coronary Syndrome Patients Induce Premature Coronary Artery Endothelial Cell Aging and Thrombogenicity: Role of the Ang II/AT1 Receptor/NADPH Oxidase-Mediated Activation of MAPKs and PI3-Kinase Pathways. Circulation. Published 7 November 2016. doi:10.1161/circulationaha.116.017513

Summarised from the published abstract; every number is checked against it

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