Platelet P-selectin expression is associated with atherosclerotic wall thickness in carotid artery in humans

Recent genetic animal models reveal important roles of platelet P-selectin on progression of atherosclerosis. In the present study, we examine the relation between platelet P-selectin expression and atherosclerotic parameters in 517 subjects. Unrelated subjects (n=517; 235 male and 282 female), incl...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2003-08, Vol.108 (5), p.524-529
Hauptverfasser: Koyama, Hidenori, Maeno, Takaaki, Fukumoto, Shinya, Shoji, Takuhito, Yamane, Takahisa, Yokoyama, Hisayo, Emoto, Masanori, Shoji, Tetsuo, Tahara, Hideki, Inaba, Masaaki, Hino, Masayuki, Shioi, Atsushi, Miki, Takami, Nishizawa, Yoshiki
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container_issue 5
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container_title Circulation (New York, N.Y.)
container_volume 108
creator Koyama, Hidenori
Maeno, Takaaki
Fukumoto, Shinya
Shoji, Takuhito
Yamane, Takahisa
Yokoyama, Hisayo
Emoto, Masanori
Shoji, Tetsuo
Tahara, Hideki
Inaba, Masaaki
Hino, Masayuki
Shioi, Atsushi
Miki, Takami
Nishizawa, Yoshiki
description Recent genetic animal models reveal important roles of platelet P-selectin on progression of atherosclerosis. In the present study, we examine the relation between platelet P-selectin expression and atherosclerotic parameters in 517 subjects. Unrelated subjects (n=517; 235 male and 282 female), including 187 with type 2 diabetes, 184 with hypertension, and 366 with hyperlipidemia, were enrolled in the study. P-selectin expression was determined by whole-blood flow cytometry. Arterial stiffness (stiffness index beta) and arterial wall thickness (intima-media thickness [IMT]) were determined by carotid ultrasound. P-selectin expression was significantly and positively correlated with carotid IMT and stiffness index beta. Multiple regression analyses showed that the association of the percentage of P-selectin-positive platelets with carotid IMT was independent of other clinical factors. Moreover, the percentage of P-selectin-positive platelets was higher in subjects with carotid plaque and was an independent factor associated with occurrence of carotid plaque analyzed by multiple logistic regression analysis. Finally, the percentage of P-selectin-positive platelets was positively associated with age, body mass index, systolic and diastolic blood pressure, and HbA1c and inversely associated with HDL cholesterol. Platelet P-selectin is independently associated with atherosclerotic arterial wall changes in human subjects.
doi_str_mv 10.1161/01.CIR.0000081765.88440.51
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In the present study, we examine the relation between platelet P-selectin expression and atherosclerotic parameters in 517 subjects. Unrelated subjects (n=517; 235 male and 282 female), including 187 with type 2 diabetes, 184 with hypertension, and 366 with hyperlipidemia, were enrolled in the study. P-selectin expression was determined by whole-blood flow cytometry. Arterial stiffness (stiffness index beta) and arterial wall thickness (intima-media thickness [IMT]) were determined by carotid ultrasound. P-selectin expression was significantly and positively correlated with carotid IMT and stiffness index beta. Multiple regression analyses showed that the association of the percentage of P-selectin-positive platelets with carotid IMT was independent of other clinical factors. Moreover, the percentage of P-selectin-positive platelets was higher in subjects with carotid plaque and was an independent factor associated with occurrence of carotid plaque analyzed by multiple logistic regression analysis. Finally, the percentage of P-selectin-positive platelets was positively associated with age, body mass index, systolic and diastolic blood pressure, and HbA1c and inversely associated with HDL cholesterol. 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Moreover, the percentage of P-selectin-positive platelets was higher in subjects with carotid plaque and was an independent factor associated with occurrence of carotid plaque analyzed by multiple logistic regression analysis. Finally, the percentage of P-selectin-positive platelets was positively associated with age, body mass index, systolic and diastolic blood pressure, and HbA1c and inversely associated with HDL cholesterol. Platelet P-selectin is independently associated with atherosclerotic arterial wall changes in human subjects.</abstract><cop>United States</cop><pub>American Heart Association, Inc</pub><pmid>12860908</pmid><doi>10.1161/01.CIR.0000081765.88440.51</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; American Heart Association Journals; Journals@Ovid Complete - AutoHoldings; EZB-FREE-00999 freely available EZB journals
subjects Age Factors
Blood Platelets - metabolism
Blood Platelets - pathology
Blood Pressure
Body Mass Index
Carotid Arteries - diagnostic imaging
Carotid Artery Diseases - diagnosis
Carotid Artery Diseases - epidemiology
Carotid Artery Diseases - metabolism
Cholesterol, HDL - blood
Female
Flow Cytometry
Glycated Hemoglobin A - analysis
Glycated Hemoglobin A - metabolism
Humans
Japan - epidemiology
Male
Middle Aged
Odds Ratio
P-Selectin - analysis
P-Selectin - biosynthesis
Predictive Value of Tests
Regression Analysis
Tunica Intima - diagnostic imaging
Tunica Media - diagnostic imaging
Ultrasonography
title Platelet P-selectin expression is associated with atherosclerotic wall thickness in carotid artery in humans
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