Key result
Circulating immune cells of AMI patients with plaque rupture exhibited highly pro-inflammatory characteristics, whereas plaque erosion was mainly associated with intermediate monocyte amplification and neutrophil activation.
Why the study?
The specific circulating immune cell subsets that mediate inflammatory plaque rupture in acute myocardial infarction remained elusive.
Does the transcriptomic profile of peripheral blood mononuclear cells differ between AMI patients with and without plaque rupture?
Observational (n=10)
No
Does the transcriptomic profile of peripheral blood mononuclear cells differ between AMI patients with and without plaque rupture?
Answers are grounded in this paper and cite their sources.
Circulating immune cells in AMI patients with plaque rupture show highly pro-inflammatory characteristics, whereas plaque erosion is associated with intermediate monocyte amplification and neutrophil activation.
Background Acute myocardial infarction (AMI) can occur in patients with atherosclerotic disease, with or without plaque rupture. Previous studies have indicated a set of immune responses to plaque rupture. However, the specific circulating immune cell subsets that mediate inflammatory plaque rupture remain elusive. Methods Ten AMI patients were enrolled in our study (five with and five without plaque rupture; plaque characteristics were identified by optical coherence tomography). By single-cell RNA sequencing, we analyzed the transcriptomic profile of peripheral blood mononuclear cells. Results We identified 27 cell clusters among 82,550 cells, including monocytes, T cells, NK cells, B cells, megakaryocytes, and CD34 + cells. Classical and non-classical monocytes constitute the major inflammatory cell types, and pro-inflammatory genes such as CCL5, TLR7, and CX3CR1 were significantly upregulated in patients with plaque rupture, while the neutrophil activation and degranulation genes FPR2, MMP9, and CLEC4D were significantly expressed in the intermediate monocytes derived from patients without plaque rupture. We also found that CD4 + effector T cells may contribute to plaque rupture by producing a range of cytokines and inflammatory-related chemokines, while CD8 + effector T cells express more effector molecules in patients without plaque rupture, such as GZMB, GNLY, and PRF1, which may contribute to the progress of plaque erosion. Additionally, NK and B cells played a significant role in activating inflammatory cells and promoting chemokine production in the plaque rupture. Cell–cell communication elaborated characteristics in signaling pathways dominated by inflammatory activation of classical monocytes in patients with plaque rupture. Conclusions Our studies demonstrate that the circulating immune cells of patients with plaque rupture exhibit highly pro-inflammatory characteristics, while plaque erosion is mainly associated with intermediate monocyte amplification, neutrophil activation, and degranulation. These findings may provide novel targets for the precise treatment of patients with AMI.
No takes yet. Share an insight, caveat, or question.
Qian et al. (2022) conducted an observational in Acute Myocardial Infarction (n=10). Plaque rupture vs. Non-plaque rupture (plaque erosion) was evaluated on Transcriptomic profile of peripheral blood mononuclear cells (PBMCs). Circulating immune cells of AMI patients with plaque rupture exhibited highly pro-inflammatory characteristics, whereas plaque erosion was mainly associated with intermediate monocyte amplification and neutrophil activation.
Synapse has enriched 10 related papers. Consider them for comparative context: