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

Article

关键词: E-DEFICIENT MICE;    ACTIVATED PLATELETS;    APOLIPOPROTEIN-E;    MYOCARDIAL-INFARCTION;    ADHESION MOLECULES;    STIFFNESS INDEXES;    DIABETES-MELLITUS;    CD40 LIGAND;    DISEASE;    INJURY;   

DOI  :  10.1161/01.CIR.0000081765.88440.51

来源: SCIE

【 摘 要 】

Background-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. Methods and Results-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. Conclusions-Platelet P-selectin is independently associated with atherosclerotic arterial wall changes in human subjects.

【 授权许可】

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