Increased expression of fatty acid binding protein 4 and leptin in resident macrophages characterises atherosclerotic plaque rupture.

Increased expression of fatty acid binding protein 4 and leptin in resident macrophages characterises atherosclerotic plaque rupture.
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DOI:
10.1016/j.atherosclerosis.2012.09.037
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发表时间:
2013-01
期刊:
影响因子:
5.3
通讯作者:
Keavney B
Keavney B
中科院分区:
医学2区
文献类型:
--
作者:
Lee K;Santibanez-Koref M;Polvikoski T;Birchall D;Mendelow AD;Keavney B

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Resident macrophages play an important role in atheromatous plaque rupture. The macrophage gene expression signature associated with plaque rupture is incompletely defined due to the complex cellular heterogeneity in the plaque. We aimed to characterise differential gene expression in resident plaque macrophages from ruptured and stable human atheromatous lesions. We performed genome-wide expression analyses of isolated macrophage-rich regions of stable and ruptured human atherosclerotic plaques. Plaques present in carotid endarterectomy specimens were designated as stable or ruptured using clinical, radiological and histopathological criteria. Macrophage-rich regions were excised from 5 ruptured and 6 stable plaques by laser micro-dissection. Transcriptional profiling was performed using Affymetrix microarrays. The profiles were characteristic of activated macrophages. At a false discovery rate of 10%, 914 genes were differentially expressed between stable and ruptured plaques. The findings were confirmed in fourteen further stable and ruptured samples for a subset of eleven genes with the highest expression differences (p < 0.05). Pathway analysis revealed that components of the PPAR/Adipocytokine signaling pathway were the most significantly upregulated in ruptured compared to stable plaques (p = 5.4 × 10−7). Two key components of the pathway, fatty-acid binding-protein 4 (FABP4) and leptin, showed nine-fold (p = 0.0086) and five-fold (p = 0.0012) greater expression respectively in macrophages from ruptured plaques. We found differences in gene expression signatures between macrophages isolated from stable and ruptured human atheromatous plaques. Our findings indicate the involvement of FABP4 and leptin in the progression of atherosclerosis and plaque rupture, and suggest that down-regulation of PPAR/adipocytokine signaling within plaques may have therapeutic potential. ► We examined gene expression in macrophages from stable and ruptured plaques. ► The PPAR/adipocytokine signaling pathway was upregulated in ruptured plaques. ► FABP4 and Leptin were highly expressed in ruptured atheromatous plaque macrophages. ► Down-regulation of PPAR/adipocytokine signaling may have therapeutic potential.
DOI: 10.1038/nm.2067
发表时间: 2009-12
期刊: NATURE MEDICINE
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