Wang H, Kleiman K, Wang J, Luo W, Guo C, Eitzman D T
Department of Internal Medicine, Cardiovascular Research Center, University of Michigan, Ann Arbor, MI, USA.
J Thromb Haemost. 2015 Dec;13(12):2273-6. doi: 10.1111/jth.13146. Epub 2015 Oct 20.
Proinflammatory cytokines are associated with cardiovascular diseases, including acute and recurrent myocardial infarction. However, the causal role of cytokines in thrombotic complications of atherosclerosis remains unclear. Interleukin-1β (IL-1β) is currently being targeted in a human clinical trial for the prevention of ischemic events.
The purpose of the present study was to test the role of IL-1β in arterial thrombosis and a potential protective effect of P-selectin glycoprotein ligand-1 (Psgl-1) deficiency.
Wild-type and Psgl-1-deficient mice were treated with IL-1β and then subjected to carotid photochemical injury to induce thrombosis. IL-1β shortened the time to thrombosis in wild-type mice, while Psgl-1(-/-) mice were protected from the prothrombotic effects of IL-1β. A neutralizing antibody to Psgl-1 was also effective in protecting against the prothrombotic effects of IL-1β. The protective effect of Psgl-1 deficiency was associated with reduced plasma levels of soluble P-selectin and collagen-stimulated whole blood aggregation.
Our data demonstrate that Psgl-1 deficiency is protective against the prothrombotic effects of IL-1β and suggest that Psgl-1 inhibition may be a useful treatment strategy for targeting vascular thrombosis associated with enhanced inflammatory states.
促炎细胞因子与心血管疾病相关,包括急性和复发性心肌梗死。然而,细胞因子在动脉粥样硬化血栓形成并发症中的因果作用仍不清楚。白细胞介素-1β(IL-1β)目前正在一项预防缺血事件的人体临床试验中作为靶点。
本研究的目的是测试IL-1β在动脉血栓形成中的作用以及P-选择素糖蛋白配体-1(Psgl-1)缺乏的潜在保护作用。
对野生型和Psgl-1缺陷型小鼠给予IL-1β治疗,然后进行颈动脉光化学损伤以诱导血栓形成。IL-1β缩短了野生型小鼠的血栓形成时间,而Psgl-1(-/-)小鼠则免受IL-1β的促血栓形成作用影响。一种针对Psgl-1的中和抗体也能有效防止IL-1β的促血栓形成作用。Psgl-1缺乏的保护作用与可溶性P-选择素血浆水平降低和胶原刺激的全血聚集减少有关。
我们的数据表明,Psgl-1缺乏可预防IL-1β的促血栓形成作用,并提示抑制Psgl-1可能是针对与炎症状态增强相关的血管血栓形成的一种有用治疗策略。