Single-cell profiling reveals inflammatory polarization of human carotid versus femoral plaque leukocytes.

Single-cell profiling reveals inflammatory polarization of human carotid versus femoral plaque leukocytes.
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DOI:
10.1172/jci.insight.171359
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发表时间:
2023-09-08
期刊:
影响因子:
8
通讯作者:
Feinstein, Matthew J.
Feinstein, Matthew J.
中科院分区:
医学1区
文献类型:
--
作者:
Slysz, Joshua;Sinha, Arjun;Deberge, Matthew;Singh, Shalini;Avgousti, Harris;Lee, Inhyeok;Glinton, Kristofor;Nagasaka, Reina;Dalal, Prarthana;Alexandria, Shaina;Wai, Ching Man;Tellez, Ricardo;Vescovo, Mariavittoria;Sunderraj, Ashwin;Wang, Xinkun;Schipma, Matthew;Sisk, Ryan;Gulati, Rishab;Vallejo, Jenifer;Saigusa, Ryosuke;Lloyd-Jones, Donald M.;Lomasney, Jon;Weinberg, Samuel;Ho, Karen;Ley, Klaus;Giannarelli, Chiara;Thorp, Edward B.;Feinstein, Matthew J.

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Femoral atherosclerotic plaques are less inflammatory than carotid plaques histologically, but limited cell-level data exist regarding comparative immune landscapes and polarization at these sites. We investigated intraplaque leukocyte phenotypes and transcriptional polarization in 49 patients undergoing femoral (n = 23) or carotid (n = 26) endarterectomy using single-cell RNA-Seq (scRNA-Seq; n = 13), flow cytometry (n = 24), and IHC (n = 12). Comparative scRNA-Seq of CD45+-selected leukocytes from femoral (n = 9; 35,265 cells) and carotid (n = 4; 30,655 cells) plaque revealed distinct transcriptional profiles. Inflammatory foam cell–like macrophages and monocytes comprised higher proportions of myeloid cells in carotid plaques, whereas noninflammatory foam cell–like macrophages and LYVE1-overexpressing macrophages comprised higher proportions of myeloid cells in femoral plaque (P < 0.001 for all). A significant comparative excess of CCR2+ macrophages in carotid versus plaque was observed by flow cytometry in a separate validation cohort. B cells were more prevalent and exhibited a comparatively antiinflammatory profile in femoral plaque, whereas cytotoxic CD8+ T cells were more prevalent in carotid plaque. In conclusion, human femoral plaques exhibit distinct macrophage phenotypic and transcriptional profiles as well as diminished CD8+ T cell populations compared with human carotid plaques
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