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Updated: Aug 13, 2026

Quantification of Monocyte Transmigration and Foam Cell Formation from Individuals with Chronic Inflammatory Conditions
Published on: October 17, 2017
[Increased expression of monocytic cell adhesion molecules and formation of monocyte-thrombocyte aggregates in
Insights
Patients with coronary restenosis show increased expression of adhesion molecules like Mac-1 and VLA-4 on monocytes, leading to more monocyte-platelet complexes. This suggests elevated cell activation contributes to restenosis after coronary angioplasty.
Area of Science:
- Cardiovascular Biology
- Immunology
- Cellular Adhesion
Context:
- Coronary angioplasty and stenting are common procedures to treat coronary artery disease.
- Coronary restenosis, the re-narrowing of a previously opened artery, remains a significant clinical challenge.
- Understanding the cellular mechanisms underlying restenosis is crucial for developing new therapeutic strategies.
Purpose:
- To investigate the expression of superficial antigens on blood monocytes and granulocytes.
- To quantify leukocyte-platelet complex formation following in vitro activation.
- To analyze changes in these parameters in patients with and without coronary restenosis.
Summary:
- Patients undergoing coronary angioplasty were assessed for monocyte and granulocyte antigen expression and leukocyte-platelet complex formation.
- Significantly higher expression of integrins Mac-1 and VLA-4 was observed on monocytes from patients with restenosis.
- Elevated numbers of monocyte-platelet complexes were also found in patients with restenosis compared to those without.
Impact:
- Findings suggest that increased expression of adhesion molecules by monocytes, leading to enhanced cell activation, may play a role in the development of coronary restenosis.
- This research provides insights into the cellular mechanisms contributing to restenosis, potentially guiding future diagnostic and therapeutic approaches.
- The study highlights the utility of flow cytometry in assessing cellular activation markers relevant to cardiovascular disease progression.
Aim:
To examine expression of superficial antigens by blood monocytes and granulocytes as well as the number of leukocyte-platelet complexes forming in in vitro activation in patients subjected to coronary angioplasty; to analyse changes in these parameters in coronary restenosis.
Material And Methods:
Membrane expression of leukocytic antigens and the number of leukocyte-platelet complexes after activation in the whole blood were measured by direct immunofluorescence and flow cytometry in 24 patients who have undergone stenting of coronary arteries. 14 of them had angiographically confirmed restenosis.
Results:
The tests discovered high expression of integrins Mac-1 and VLA-4 by monocytes and elevated relative number of monocyte-platelet complexes in patients with restenosis vs those free of stenosis (1425 +/- 76 and 1195 +/- 71 r.u. for Mac-1, 87 +/- 7 and 65 +/- 6 r.u. for VLA-4, 47 +/- 4 and 29 +/- 3%, respectively, for monocyte-platelet complexes; p < 0.05 for all the indices).
Conclusion:
Coronary restenosis may result from elevated expression of adhesion molecules by monocytes manifest in activation of the cells in vitro.
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