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Updated: Jul 9, 2026

Murine Model of CD40-activation of B cells
Published on: March 5, 2010
CD40/CD40L system and vascular disease
F Santilli1, S Basili, P Ferroni
1Center of Excellence on Aging, University of Chieti "G. D'Annunzio" School of Medicine, Via Colle dell'Ara, I-66013, Chieti, Italy.
Insights
Platelets release CD40 ligand (CD40L), a key mediator linking inflammation, oxidative stress, and platelet activation in atherosclerosis. This finding highlights CD40L
Area of Science:
- Cardiovascular Biology
- Immunology
- Molecular Medicine
Background:
- Atherosclerosis involves low-grade inflammation, oxidative stress, and platelet activation.
- The CD40/CD40L system is increasingly recognized as a crucial link between these processes.
Purpose of the Study:
- To elucidate the role of the CD40/CD40L system as a central mediator in atherothrombosis.
- To highlight the significance of platelet-derived CD40L in inflammatory pathways.
Main Methods:
- Review and synthesis of current research on CD40/CD40L signaling in cardiovascular disease.
- Analysis of the structural and functional properties of CD40L, particularly its origin from platelets.
Main Results:
- CD40 ligand (CD40L), primarily derived from platelets (>95%), acts as a key inflammatory mediator.
- CD40L amplifies inflammation by promoting cytokine/chemokine release, cell activation, and cell-cell interactions.
- Platelets' role extends beyond hemostasis to inflammation amplification via CD40L.
Conclusions:
- The CD40/CD40L system serves as a critical link connecting inflammation, oxidative stress, and platelet activation in atherosclerosis.
- Platelet-derived CD40L is a pivotal factor in the inflammatory network underlying atherothrombosis.
Abstract:
Several distinct lines of investigation in the context of atherosclerosis dealing with low-grade inflammation, oxidative stress and platelet activation are now emerging, with CD40/CD40L system as the missing link. CD40 ligand is a transmembrane glycoprotein structurally related to tumour necrosis factor-alpha and more than 95% of the circulating CD40L derives from platelets. CD40L appears as a multiplayer of several cell types in the inflammatory network. The peculiarity of CD40L as an inflammatory mediator derived from platelets expands the functional repertoire of platelets from players of haemostasis and thrombosis to powerful amplifiers of inflammation by promoting the release of cytokines and chemokines, cell activation and cell-cell interactions. The multifunctional role of CD40L, as a simultaneous activator of all these systems, further blurs the intricate relationship between such events both in the physiological systems and the pathological derangement occurring in atherothrombosis.
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