Open AccessPlatelet P-Selectin Expression Is Associated With Atherosclerotic Wall Thickness in Carotid Artery in Humans
Author(s) -
Hidenori Koyama,
Takaaki Maeno,
Shinya Fukumoto,
Takuhito Shoji,
Takahisa Yamane,
Hisayo Yokoyama,
Masanori Emoto,
Tetsuo Shoji,
Hideki Tahara,
Masaaki Inaba,
Masayuki Hino,
Atsushi Shioi,
Masamichi Takami,
Yoshiki Nishizawà
Publication year - 2003
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.0000081765.88440.51
Subject(s) - medicine , arterial stiffness , platelet , cardiology , blood pressure , p selectin , body mass index , diabetes mellitus , platelet activation , endocrinology
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 β) 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 β. 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.