Platelet and leukocyte activation, atherosclerosis and inflammation in European and South Asian men.
BACKGROUND
Increased platelet activation occurs in ischemic heart disease (IHD), but increased platelet activation is also seen in cerebrovascular atherosclerosis and peripheral artery disease. It is not clear therefore whether platelet activation is an indicator of IHD or a marker of generalized atherosclerosis and inflammation. South Asian subjects are at high risk of IHD, but little is known regarding differences in platelet and leukocyte function between European and South Asian subjects.


METHODS
Fifty-four male subjects (age 49-79 years) had coronary artery calcification measured by multislice computed tomography (CT), aortic atherosclerosis assessed by measurement of carotid-femoral pulse wave velocity (aortic PWV), and femoral and carotid atherosclerosis measured by B-mode ultrasound. Platelet and leukocyte activation was assessed by flow cytometry of platelet-monocyte complexes (PMC), platelet expression of PAC-1 binding site and CD62P, and expression of L-selectin on leukocytes.


RESULTS
Elevated circulating PMC correlated significantly with elevated aortic PWV and PMC were higher in subjects with femoral plaques. In contrast PMC did not differ by increasing coronary artery calcification category or presence of carotid plaques. Higher numbers of PMC were independently related to elevated levels of C-reactive protein (CRP), higher aortic PWV, hypertension and smoking in a multivariate model. Markers of platelet and leukocyte activation did not differ significantly by ethnicity.


CONCLUSIONS
Increased PMC are related to the extent of aortic and femoral atherosclerosis rather than coronary or carotid atherosclerosis. The association between elevated CRP and increased PMC suggests that inflammation in relation to generalized atherosclerosis may play an important role in PMC activation.
Dotsenko
O
O
International Centre for Circulatory Health, NHLI Division, Faculty of Medicine, St Mary's Hospital and Imperial College London, London, UK.
Chaturvedi
N
N
Thom
S A McG
SA
Wright
A R
AR
Mayet
J
J
Shore
A
A
Schalkwijk
C
C
Hughes
A D
AD
D000368:Aged; D001208:Asia; D044466:Asian People; D050197:Atherosclerosis / Q000208:ethnology / Q000276:immunology*; D001792:Blood Platelets / Q000378:metabolism*; D002097:C-Reactive Protein / Q000096:biosynthesis; D002339:Carotid Arteries / Q000473:pathology; D005060:Europe; D006801:Humans; D007249:Inflammation / Q000208:ethnology / Q000276:immunology*; D019041:L-Selectin / Q000737:chemistry; D007962:Leukocytes / Q000378:metabolism*; D008297:Male; D008875:Middle Aged; D019007:P-Selectin / Q000096:biosynthesis; D044465:White People
D019007:P-Selectin; D019041:L-Selectin; D002097:C-Reactive Protein