Circulating CD14+ and CD14highCD16− classical monocytes are reduced in patients with signs of plaque neovascularization in the carotid artery

Background and aims: Monocytes are known to play a key role in the initiation and progression of atherosclerosis and contribute to plaque destabilization through the generation of signals that promote inflammation and neoangiogenesis. In humans, studies investigating the features of circulating mono...

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Main Authors: Ammirati, E., Moroni, F., Magnoni, M., Di Terlizzi, S., Villa, C., Sizzano, F., Palini, A., Garlaschelli, K., Tripiciano, F., Scotti, I., Catapano, A., Manfredi, A., Norata, Giuseppe, Camici, P.
Format: Journal Article
Published: Elsevier Ireland 2016
Online Access:http://hdl.handle.net/20.500.11937/43415
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author Ammirati, E.
Moroni, F.
Magnoni, M.
Di Terlizzi, S.
Villa, C.
Sizzano, F.
Palini, A.
Garlaschelli, K.
Tripiciano, F.
Scotti, I.
Catapano, A.
Manfredi, A.
Norata, Giuseppe
Camici, P.
author_facet Ammirati, E.
Moroni, F.
Magnoni, M.
Di Terlizzi, S.
Villa, C.
Sizzano, F.
Palini, A.
Garlaschelli, K.
Tripiciano, F.
Scotti, I.
Catapano, A.
Manfredi, A.
Norata, Giuseppe
Camici, P.
author_sort Ammirati, E.
building Curtin Institutional Repository
collection Online Access
description Background and aims: Monocytes are known to play a key role in the initiation and progression of atherosclerosis and contribute to plaque destabilization through the generation of signals that promote inflammation and neoangiogenesis. In humans, studies investigating the features of circulating monocytes in advanced atherosclerotic lesions are lacking. Methods: Patients (mean age 69 years, 56% males) with intermediate asymptomatic carotid stenosis (40–70% in diameter) were evaluated for maximal stenosis in common carotid artery, carotid bulb and internal carotid artery, overall disease burden as estimated with total plaque area (TPA), greyscale and neovascularization in 244 advanced carotid plaques. Absolute counts of circulating CD14+ monocytes, of classical (CD14highCD16-), intermediate (CD14highCD16+) and non-classical (CD14lowCD16+) monocytes and HLA-DR+ median fluorescence intensity for each subset were evaluated with flow cytometry. Results: No correlation was found between monocytes and overall atherosclerotic burden, nor with high sensitivity C-reactive protein (hsCRP) or interleukin-6 (IL-6). In contrast, plaque signs of neovascularization were associated with significantly lower counts of circulating CD14+ monocytes (297 versus 350 cells/mm3, p = 0.039) and of classical monocytes (255 versus 310 cells/mm3, p = 0.029). Conclusions: Neovascularized atherosclerotic lesions selectively associate with lower blood levels of CD14+ and CD14highCD16- monocytes independently of systemic inflammatory activity, as indicated by normal hsCRP levels. Whether the reduction of circulating CD14+ and CD14highCD16- monocytes is due to a potential redistribution of these cell types into active lesions remains to be explored.
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publishDate 2016
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spelling curtin-20.500.11937-434152017-09-13T13:59:39Z Circulating CD14+ and CD14highCD16− classical monocytes are reduced in patients with signs of plaque neovascularization in the carotid artery Ammirati, E. Moroni, F. Magnoni, M. Di Terlizzi, S. Villa, C. Sizzano, F. Palini, A. Garlaschelli, K. Tripiciano, F. Scotti, I. Catapano, A. Manfredi, A. Norata, Giuseppe Camici, P. Background and aims: Monocytes are known to play a key role in the initiation and progression of atherosclerosis and contribute to plaque destabilization through the generation of signals that promote inflammation and neoangiogenesis. In humans, studies investigating the features of circulating monocytes in advanced atherosclerotic lesions are lacking. Methods: Patients (mean age 69 years, 56% males) with intermediate asymptomatic carotid stenosis (40–70% in diameter) were evaluated for maximal stenosis in common carotid artery, carotid bulb and internal carotid artery, overall disease burden as estimated with total plaque area (TPA), greyscale and neovascularization in 244 advanced carotid plaques. Absolute counts of circulating CD14+ monocytes, of classical (CD14highCD16-), intermediate (CD14highCD16+) and non-classical (CD14lowCD16+) monocytes and HLA-DR+ median fluorescence intensity for each subset were evaluated with flow cytometry. Results: No correlation was found between monocytes and overall atherosclerotic burden, nor with high sensitivity C-reactive protein (hsCRP) or interleukin-6 (IL-6). In contrast, plaque signs of neovascularization were associated with significantly lower counts of circulating CD14+ monocytes (297 versus 350 cells/mm3, p = 0.039) and of classical monocytes (255 versus 310 cells/mm3, p = 0.029). Conclusions: Neovascularized atherosclerotic lesions selectively associate with lower blood levels of CD14+ and CD14highCD16- monocytes independently of systemic inflammatory activity, as indicated by normal hsCRP levels. Whether the reduction of circulating CD14+ and CD14highCD16- monocytes is due to a potential redistribution of these cell types into active lesions remains to be explored. 2016 Journal Article http://hdl.handle.net/20.500.11937/43415 10.1016/j.atherosclerosis.2016.10.004 Elsevier Ireland restricted
spellingShingle Ammirati, E.
Moroni, F.
Magnoni, M.
Di Terlizzi, S.
Villa, C.
Sizzano, F.
Palini, A.
Garlaschelli, K.
Tripiciano, F.
Scotti, I.
Catapano, A.
Manfredi, A.
Norata, Giuseppe
Camici, P.
Circulating CD14+ and CD14highCD16− classical monocytes are reduced in patients with signs of plaque neovascularization in the carotid artery
title Circulating CD14+ and CD14highCD16− classical monocytes are reduced in patients with signs of plaque neovascularization in the carotid artery
title_full Circulating CD14+ and CD14highCD16− classical monocytes are reduced in patients with signs of plaque neovascularization in the carotid artery
title_fullStr Circulating CD14+ and CD14highCD16− classical monocytes are reduced in patients with signs of plaque neovascularization in the carotid artery
title_full_unstemmed Circulating CD14+ and CD14highCD16− classical monocytes are reduced in patients with signs of plaque neovascularization in the carotid artery
title_short Circulating CD14+ and CD14highCD16− classical monocytes are reduced in patients with signs of plaque neovascularization in the carotid artery
title_sort circulating cd14+ and cd14highcd16− classical monocytes are reduced in patients with signs of plaque neovascularization in the carotid artery
url http://hdl.handle.net/20.500.11937/43415