冠状动脉疾病炎症和血小板高反应性及Talin-1/α ib - β3介导的双向信号通路的影响

IF 4.4 2区 医学 Q1 PHARMACOLOGY & PHARMACY
Frontiers in Pharmacology Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI:10.3389/fphar.2025.1535182
Shengnan Shi, Jiaming Gao, Yehao Zhang, Min Zhan, Zhanfei Tan, Peili Wang, Jianhua Fu, Jianxun Liu
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引用次数: 0

摘要

背景:虽然血小板高反应性是冠状动脉疾病中主要不良心血管事件(mace)的独立危险因素,但其分子基础尚不清楚。转录组学分析的最新进展揭示了与特定RNA特征的潜在关联。本研究通过对冠心病患者差异基因表达模式和途径激活的系统生物信息学分析,旨在阐明血小板过度活跃的关键分子调节因子,为制定精准治疗策略以减轻冠心病后并发症建立理论框架。方法:随机对照研究16例冠心病患者和16例健康对照。用流式细胞术评估炎症标志物、血小板聚集功能和CD62p水平。用扫描电镜和透射电镜观察线粒体形态和细胞器。以p < 0.05为标准鉴定冠心病患者与健康对照组之间症状改变相关基因。通过基因本体(GO)生物学过程和京都基因与基因组百科全书(KEGG)通路分析,对这些基因的分子相关性进行了综合分析。Western blot和相关分析验证了deg的表达和诊断价值。结果:冠心病患者血小板细胞器超微结构改变,血小板活化和聚集增强,炎症平衡紊乱。RNA测序显示冠心病患者循环血小板基因表达谱发生明显变化。血小板活化和聚集的增加可能与Talin-1和α iib - β3蛋白表达上调有关。结论:冠心病发病后出现转录异常和血小板活化,Talin-1/α ib - β3介导的双向信号通路上调是其主要病理特征。临床试验注册:https://www.chictr.org.cn/,标识符ChiCTR2100041998。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Inflammation and platelet hyperresponsiveness in coronary artery disease and the influence of Talin-1/αIIbβ3-mediated bidirectional signaling pathway.

Background: While platelet hyperreactivity constitutes an independent risk factor for major adverse cardiovascular events (MACEs) in coronary artery disease, its molecular underpinnings remain poorly characterized. Recent advances in transcriptomic profiling have revealed potential associations with specific RNA signatures. Through systematic bioinformatics analysis of differential gene expression patterns and pathway activation in CHD patients, this study aims to elucidate key molecular regulators of platelet hyperactivity, establishing a theoretical framework for developing precision therapeutic strategies to mitigate post-CHD complications.

Methods: This randomized controlled study included 16 CHD patients and 16 healthy controls. Inflammation markers, platelet aggregation function, and CD62p levels were assessed using flow cytometry. Mitochondrial morphology and organelles were observed using scanning electron microscopy and transmission electron microscopy. Genes related to symptom alteration between CHD patients and healthy controls were identified using the criteria of p < 0.05. The molecular correlations of these genes were analyzed using a comprehensive perspective that included Gene Ontology (GO) biological process and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses. Western blot and correlation analyses were also conducted to validate the expression and diagnostic value of the DEGs.

Results: CHD patients exhibited alterations in platelet organelles ultrastructure, heightened platelet activation and aggregation, and disturbance of the inflammatory equilibrium. RNA sequencing demonstrated distinct changes in the gene expression profiles of circulating platelets from CHD patients. The increase in platelet activation and aggregation could be partially associated with the upregulation of the Talin-1 and αIIbβ3 proteins expression.

Conclusion: Abnormal transcription and platelet activation occur after CHD onset, and upregulation of the Talin-1/αIIbβ3-mediated bidirectional signaling pathway are the primary pathological features.

Clinical trial registration: https://www.chictr.org.cn/, identifier ChiCTR2100041998.

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来源期刊
Frontiers in Pharmacology
Frontiers in Pharmacology PHARMACOLOGY & PHARMACY-
CiteScore
7.80
自引率
8.90%
发文量
5163
审稿时长
14 weeks
期刊介绍: Frontiers in Pharmacology is a leading journal in its field, publishing rigorously peer-reviewed research across disciplines, including basic and clinical pharmacology, medicinal chemistry, pharmacy and toxicology. Field Chief Editor Heike Wulff at UC Davis is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide.
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