Factor H-related protein 1 (FHR-1) is associated with atherosclerotic cardiovascular disease

Abstract Atherosclerotic cardiovascular disease (ACVD) is a lipid-driven inflammatory disease and one of the leading causes of death worldwide. Lipid deposits in the arterial wall lead to the formation of plaques that involve lipid oxidation, cellular necrosis, and complement activation, resulting i...

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Autores principales: Sarah Irmscher, Svante L. H. Zipfel, Luke D. Halder, Lia Ivanov, Andres Gonzalez-Delgado, Christoph Waldeyer, Moritz Seiffert, Fabian J. Brunner, Monika von der Heide, Ina Löschmann, Sonia Wulf, Darina Czamara, Nikolina Papac-Milicevic, Olaf Strauß, Stefan Lorkowski, Hermann Reichenspurner, Michael V. Holers, Nirmal K. Banda, Tania Zeller, Elisabeth B. Binder, Christoph J. Binder, Thorsten Wiech, Peter F. Zipfel, Christine Skerka
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:f4fef222f3624b56b6f873bb7fc7bb7a2021-11-21T12:20:23ZFactor H-related protein 1 (FHR-1) is associated with atherosclerotic cardiovascular disease10.1038/s41598-021-02011-w2045-2322https://doaj.org/article/f4fef222f3624b56b6f873bb7fc7bb7a2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02011-whttps://doaj.org/toc/2045-2322Abstract Atherosclerotic cardiovascular disease (ACVD) is a lipid-driven inflammatory disease and one of the leading causes of death worldwide. Lipid deposits in the arterial wall lead to the formation of plaques that involve lipid oxidation, cellular necrosis, and complement activation, resulting in inflammation and thrombosis. The present study found that homozygous deletion of the CFHR1 gene, which encodes the plasma complement protein factor H-related protein 1 (FHR-1), was protective in two cohorts of patients with ACVD, suggesting that FHR-1 accelerates inflammation and exacerbates the disease. To test this hypothesis, FHR-1 was isolated from human plasma and was found to circulate on extracellular vesicles and to be deposited in atherosclerotic plaques. Surface-bound FHR-1 induced the expression of pro-inflammatory cytokines and tissue factor in both monocytes and neutrophils. Notably, plasma concentrations of FHR-1, but not of factor H, were significantly (p < 0.001) elevated in patients with ACVD, and correlated with the expression of the inflammation markers C-reactive protein, apolipoprotein serum amyloid protein A, and neopterin. FHR-1 expression also significantly correlated with plasma concentrations of low-density lipoprotein (LDL) (p < 0.0001) but not high-density lipoprotein (HDL). Taken together, these findings suggest that FHR-1 is associated with ACVD.Sarah IrmscherSvante L. H. ZipfelLuke D. HalderLia IvanovAndres Gonzalez-DelgadoChristoph WaldeyerMoritz SeiffertFabian J. BrunnerMonika von der HeideIna LöschmannSonia WulfDarina CzamaraNikolina Papac-MilicevicOlaf StraußStefan LorkowskiHermann ReichenspurnerMichael V. HolersNirmal K. BandaTania ZellerElisabeth B. BinderChristoph J. BinderThorsten WiechPeter F. ZipfelChristine SkerkaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-15 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Sarah Irmscher
Svante L. H. Zipfel
Luke D. Halder
Lia Ivanov
Andres Gonzalez-Delgado
Christoph Waldeyer
Moritz Seiffert
Fabian J. Brunner
Monika von der Heide
Ina Löschmann
Sonia Wulf
Darina Czamara
Nikolina Papac-Milicevic
Olaf Strauß
Stefan Lorkowski
Hermann Reichenspurner
Michael V. Holers
Nirmal K. Banda
Tania Zeller
Elisabeth B. Binder
Christoph J. Binder
Thorsten Wiech
Peter F. Zipfel
Christine Skerka
Factor H-related protein 1 (FHR-1) is associated with atherosclerotic cardiovascular disease
description Abstract Atherosclerotic cardiovascular disease (ACVD) is a lipid-driven inflammatory disease and one of the leading causes of death worldwide. Lipid deposits in the arterial wall lead to the formation of plaques that involve lipid oxidation, cellular necrosis, and complement activation, resulting in inflammation and thrombosis. The present study found that homozygous deletion of the CFHR1 gene, which encodes the plasma complement protein factor H-related protein 1 (FHR-1), was protective in two cohorts of patients with ACVD, suggesting that FHR-1 accelerates inflammation and exacerbates the disease. To test this hypothesis, FHR-1 was isolated from human plasma and was found to circulate on extracellular vesicles and to be deposited in atherosclerotic plaques. Surface-bound FHR-1 induced the expression of pro-inflammatory cytokines and tissue factor in both monocytes and neutrophils. Notably, plasma concentrations of FHR-1, but not of factor H, were significantly (p < 0.001) elevated in patients with ACVD, and correlated with the expression of the inflammation markers C-reactive protein, apolipoprotein serum amyloid protein A, and neopterin. FHR-1 expression also significantly correlated with plasma concentrations of low-density lipoprotein (LDL) (p < 0.0001) but not high-density lipoprotein (HDL). Taken together, these findings suggest that FHR-1 is associated with ACVD.
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author Sarah Irmscher
Svante L. H. Zipfel
Luke D. Halder
Lia Ivanov
Andres Gonzalez-Delgado
Christoph Waldeyer
Moritz Seiffert
Fabian J. Brunner
Monika von der Heide
Ina Löschmann
Sonia Wulf
Darina Czamara
Nikolina Papac-Milicevic
Olaf Strauß
Stefan Lorkowski
Hermann Reichenspurner
Michael V. Holers
Nirmal K. Banda
Tania Zeller
Elisabeth B. Binder
Christoph J. Binder
Thorsten Wiech
Peter F. Zipfel
Christine Skerka
author_facet Sarah Irmscher
Svante L. H. Zipfel
Luke D. Halder
Lia Ivanov
Andres Gonzalez-Delgado
Christoph Waldeyer
Moritz Seiffert
Fabian J. Brunner
Monika von der Heide
Ina Löschmann
Sonia Wulf
Darina Czamara
Nikolina Papac-Milicevic
Olaf Strauß
Stefan Lorkowski
Hermann Reichenspurner
Michael V. Holers
Nirmal K. Banda
Tania Zeller
Elisabeth B. Binder
Christoph J. Binder
Thorsten Wiech
Peter F. Zipfel
Christine Skerka
author_sort Sarah Irmscher
title Factor H-related protein 1 (FHR-1) is associated with atherosclerotic cardiovascular disease
title_short Factor H-related protein 1 (FHR-1) is associated with atherosclerotic cardiovascular disease
title_full Factor H-related protein 1 (FHR-1) is associated with atherosclerotic cardiovascular disease
title_fullStr Factor H-related protein 1 (FHR-1) is associated with atherosclerotic cardiovascular disease
title_full_unstemmed Factor H-related protein 1 (FHR-1) is associated with atherosclerotic cardiovascular disease
title_sort factor h-related protein 1 (fhr-1) is associated with atherosclerotic cardiovascular disease
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/f4fef222f3624b56b6f873bb7fc7bb7a
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