Osteoprotegerin, pericytes and bone-like vascular calcification are associated with carotid plaque stability.

<h4>Background and purpose</h4>Vascular calcification, recapitulating bone formation, has a profound impact on plaque stability. The aim of the present study was to determine the influence of bone-like vascular calcification (named osteoid metaplasia = OM) and of osteoprotegerin on plaqu...

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Autores principales: Jean-Michel Davaine, Thibaut Quillard, Régis Brion, Olivier Lapérine, Béatrice Guyomarch, Thierry Merlini, Mathias Chatelais, Florian Guilbaud, Meadhbh Áine Brennan, Céline Charrier, Dominique Heymann, Yann Gouëffic, Marie-Françoise Heymann
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Publicado: Public Library of Science (PLoS) 2014
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spelling oai:doaj.org-article:4b4a0f94d79845ea8e36fb623f2130692021-11-25T05:59:07ZOsteoprotegerin, pericytes and bone-like vascular calcification are associated with carotid plaque stability.1932-620310.1371/journal.pone.0107642https://doaj.org/article/4b4a0f94d79845ea8e36fb623f2130692014-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0107642https://doaj.org/toc/1932-6203<h4>Background and purpose</h4>Vascular calcification, recapitulating bone formation, has a profound impact on plaque stability. The aim of the present study was to determine the influence of bone-like vascular calcification (named osteoid metaplasia = OM) and of osteoprotegerin on plaque stability.<h4>Methods</h4>Tissue from carotid endarterectomies were analysed for the presence of calcification and signs of vulnerability according to AHA grading system. Osteoprotegerin (OPG), pericytes and endothelial cells were sought using immuno-histochemistry. Symptoms and preoperative imaging findings (CT-scan, MRI and Doppler-scan) were analyzed. Human pericytes were cultured to evaluate their ability to secrete OPG and to influence mineralization in the plaque.<h4>Results</h4>Seventy-three carotid plaques (49 asymptomatic and 24 symptomatic) were harvested. A significantly higher presence of OM (18.4% vs 0%, p<0.01), OPG (10.2% of ROI vs 3.4% of ROI, p<0.05) and pericytes (19% of ROI vs 3.8% of ROI, p<0.05) were noted in asymptomatic compared to symptomatic plaques. Consistently, circulating OPG levels were higher in the plasma of asymptomatic patients (3.2 ng/mL vs 2.5 ng/mL, p = 0.05). In vitro, human vascular pericytes secreted considerable amounts of OPG and underwent osteoblastic differentiation. Pericytes also inhibited the osteoclastic differentiation of CD14+ cells through their secretion of OPG.<h4>Conclusions</h4>OPG (intraplaque an plasmatic) and OM are associated with carotid plaque stability. Pericytes may be involved in the secretion of intraplaque OPG and in the formation of OM.Jean-Michel DavaineThibaut QuillardRégis BrionOlivier LapérineBéatrice GuyomarchThierry MerliniMathias ChatelaisFlorian GuilbaudMeadhbh Áine BrennanCéline CharrierDominique HeymannYann GouëfficMarie-Françoise HeymannPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 9, p e107642 (2014)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Jean-Michel Davaine
Thibaut Quillard
Régis Brion
Olivier Lapérine
Béatrice Guyomarch
Thierry Merlini
Mathias Chatelais
Florian Guilbaud
Meadhbh Áine Brennan
Céline Charrier
Dominique Heymann
Yann Gouëffic
Marie-Françoise Heymann
Osteoprotegerin, pericytes and bone-like vascular calcification are associated with carotid plaque stability.
description <h4>Background and purpose</h4>Vascular calcification, recapitulating bone formation, has a profound impact on plaque stability. The aim of the present study was to determine the influence of bone-like vascular calcification (named osteoid metaplasia = OM) and of osteoprotegerin on plaque stability.<h4>Methods</h4>Tissue from carotid endarterectomies were analysed for the presence of calcification and signs of vulnerability according to AHA grading system. Osteoprotegerin (OPG), pericytes and endothelial cells were sought using immuno-histochemistry. Symptoms and preoperative imaging findings (CT-scan, MRI and Doppler-scan) were analyzed. Human pericytes were cultured to evaluate their ability to secrete OPG and to influence mineralization in the plaque.<h4>Results</h4>Seventy-three carotid plaques (49 asymptomatic and 24 symptomatic) were harvested. A significantly higher presence of OM (18.4% vs 0%, p<0.01), OPG (10.2% of ROI vs 3.4% of ROI, p<0.05) and pericytes (19% of ROI vs 3.8% of ROI, p<0.05) were noted in asymptomatic compared to symptomatic plaques. Consistently, circulating OPG levels were higher in the plasma of asymptomatic patients (3.2 ng/mL vs 2.5 ng/mL, p = 0.05). In vitro, human vascular pericytes secreted considerable amounts of OPG and underwent osteoblastic differentiation. Pericytes also inhibited the osteoclastic differentiation of CD14+ cells through their secretion of OPG.<h4>Conclusions</h4>OPG (intraplaque an plasmatic) and OM are associated with carotid plaque stability. Pericytes may be involved in the secretion of intraplaque OPG and in the formation of OM.
format article
author Jean-Michel Davaine
Thibaut Quillard
Régis Brion
Olivier Lapérine
Béatrice Guyomarch
Thierry Merlini
Mathias Chatelais
Florian Guilbaud
Meadhbh Áine Brennan
Céline Charrier
Dominique Heymann
Yann Gouëffic
Marie-Françoise Heymann
author_facet Jean-Michel Davaine
Thibaut Quillard
Régis Brion
Olivier Lapérine
Béatrice Guyomarch
Thierry Merlini
Mathias Chatelais
Florian Guilbaud
Meadhbh Áine Brennan
Céline Charrier
Dominique Heymann
Yann Gouëffic
Marie-Françoise Heymann
author_sort Jean-Michel Davaine
title Osteoprotegerin, pericytes and bone-like vascular calcification are associated with carotid plaque stability.
title_short Osteoprotegerin, pericytes and bone-like vascular calcification are associated with carotid plaque stability.
title_full Osteoprotegerin, pericytes and bone-like vascular calcification are associated with carotid plaque stability.
title_fullStr Osteoprotegerin, pericytes and bone-like vascular calcification are associated with carotid plaque stability.
title_full_unstemmed Osteoprotegerin, pericytes and bone-like vascular calcification are associated with carotid plaque stability.
title_sort osteoprotegerin, pericytes and bone-like vascular calcification are associated with carotid plaque stability.
publisher Public Library of Science (PLoS)
publishDate 2014
url https://doaj.org/article/4b4a0f94d79845ea8e36fb623f213069
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