Complement C5 protein as a marker of subclinical atherosclerosis
Autor (es)
Martínez-López, Diego; Roldán-Montero, Raquel; García-Marqués, Fernando; Núñez, Estefanía; Jorge, Inmaculada; Camafeita, Emilio; Mínguez, Pablo; Rodriguez de Córdoba, Santiago; López-Melgar, Beatriz; Lara-Pezzi, Enrique; Fernández-Ortiz, Antonio; Ibáñez, Borja; Valdivielso, José Manuel; Fuster, Valentín; Michel, Jean-Baptiste; Blanco-Colio, Luis Miguel; Vázquez, Jesús; Martín Ventura, José LuisEntidad
UAM. Departamento de MedicinaEditor
Elsevier Inc.Fecha de edición
2020-04-28Cita
10.1016/j.jacc.2020.02.058
Journal of the American College of Cardiology (JACC) 75.16 (2020): 1926-1941
ISSN
0735-1097DOI
10.1016/j.jacc.2020.02.058Versión del editor
http://doi.org/10.1016/j.jacc.2020.02.058Materias
Biomarkers; Complement system; Proteomics; Subclinical atherosclerosis; MedicinaDerechos
© 2020 The AuthorsEsta obra está bajo una licencia de Creative Commons Reconocimiento-NoComercial-SinObraDerivada 4.0 Internacional.
Resumen
Background: The mechanisms underlying early atherosclerotic plaque formation are not completely understood. Moreover, plasma biomarkers of subclinical atherosclerosis are lacking.
Objectives: The purpose of this study was to analyze the temporal and topologically resolved protein changes taking place in human aortas with early atherosclerosis to find new potential diagnostic and/or therapeutic targets.
Methods: The protein composition of healthy aortas (media layer) or with early atheroma (fatty streak and fibrolipidic, media and intima layers) was analyzed by deep quantitative multiplexed proteomics. Further analysis was performed by Western blot, immunohistochemistry, real-time polymerase chain reaction, and enzyme-linked immunosorbent assay. Plasma levels of complement C5 were analyzed in relation to the presence of generalized (>2 plaques) or incipient (0 to 2 plaques) subclinical atherosclerosis in 2 independent clinical cohorts (PESA [Progression of Early Subclinical Atherosclerosis] [n = 360] and NEFRONA [National Observatory of Atherosclerosis in Nephrology] [n = 394]).
Results: Proteins involved in lipid transport, complement system, immunoglobulin superfamily, and hemostasis are increased in early plaques. Components from the complement activation pathway were predominantly increased in the intima of fibrolipidic plaques. Among them, increased C5 protein levels were further confirmed by Western blot, enzyme-linked immunosorbent assay and immunohistochemistry, and associated with in situ complement activation. Plasma C5 was significantly increased in individuals with generalized subclinical atherosclerosis in both PESA and NEFRONA cohorts, independently of risk factors. Moreover, in the PESA study, C5 plasma levels positively correlated with global plaque volume and coronary calcification.
Conclusions: Activation of the complement system is a major alteration in early atherosclerotic plaques and is reflected by increased C5 plasma levels, which have promising value as a novel circulating biomarker of subclinical atherosclerosis
Lista de ficheros
Google Scholar:Martínez-López, Diego
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Roldán-Montero, Raquel
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García-Marqués, Fernando
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Núñez, Estefanía
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Jorge, Inmaculada
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Camafeita, Emilio
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Mínguez, Pablo
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Rodriguez de Córdoba, Santiago
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López-Melgar, Beatriz
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Lara-Pezzi, Enrique
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Fernández-Ortiz, Antonio
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Ibáñez, Borja
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Valdivielso, José Manuel
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Fuster, Valentín
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Michel, Jean-Baptiste
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Blanco-Colio, Luis Miguel
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Vázquez, Jesús
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Martín Ventura, José Luis
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