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Published on: January 28, 2020
Regulation of EMMPRIN (CD147) on monocyte subsets in patients with symptomatic coronary artery disease
Henrik Sturhan1, Saskia N I v Ungern-Sternberg1, Harald Langer1
1Medizinische Klinik III, Kardiologie und Kreislauferkrankungen, Eberhard Karls-Universität Tübingen, Germany.
Introduction:
The role of individual monocyte subsets in inflammatory cardiovascular diseases is insufficiently understood. Although the Extracellular Matrix Metalloproteinase Inducer (EMMPRIN) regulates important processes for inflammation such as MMP-release, its expression and regulation on monocyte subsets has not been characterized.
Materials And Methods:
In this clinical study, blood was obtained from 80 patients with stable coronary artery disease (CAD), 49 with acute myocardial infarction (AMI) and 34 healthy controls. Monocytes were divided into 3 subsets: CD14(++)CD16(-) (low), CD14(++)CD16(+) (intermediate), CD14(+)CD16(++) (high) according to phenotypic markers analyzed by flow cytometry. Surface expression of EMMPRIN was evaluated and compared with CD36 and CD47 expression.
Results:
In all patients, EMMPRIN expression was significantly different among monocyte subsets with the highest expression on "classical" CD14(++)CD16(-) monocytes. EMMPRIN was upregulated on all monocyte subsets in patients with AMI as compared to patients with stable CAD. Notably, neither CD47 nor CD36 revealed a significant difference in patients with AMI compared to patients with stable CAD.
Conclusion:
EMMPRIN could serve as a marker for classical monocytes, which is upregulated in patients with acute myocardial infarction.
Insights
Extracellular Matrix Metalloproteinase Inducer (EMMPRIN) is highly expressed on classical monocytes. EMMPRIN levels are elevated in acute myocardial infarction patients, suggesting its potential as a biomarker for this cardiovascular disease.
Area of Science:
- Immunology
- Cardiovascular Medicine
- Cell Biology
Background:
- The specific roles of monocyte subsets in cardiovascular inflammation remain unclear.
- Extracellular Matrix Metalloproteinase Inducer (EMMPRIN) influences inflammation but its expression on monocytes is uncharacterized.
Purpose of the Study:
- To investigate EMMPRIN expression on different monocyte subsets.
- To assess EMMPRIN's potential as a biomarker in coronary artery disease (CAD) and acute myocardial infarction (AMI).
Main Methods:
- Flow cytometry was used to analyze monocyte subsets (CD14(++)CD16(-), CD14(++)CD16(+), CD14(+)CD16(++)) in 80 stable CAD patients, 49 AMI patients, and 34 controls.
- Surface expression of EMMPRIN was quantified and compared with CD36 and CD47.
Main Results:
- EMMPRIN expression varied significantly across monocyte subsets, being highest on classical CD14(++)CD16(-) monocytes.
- All monocyte subsets showed increased EMMPRIN expression in AMI patients compared to stable CAD patients.
- CD47 and CD36 expression did not differ significantly between AMI and stable CAD patients.
Conclusions:
- EMMPRIN can serve as a marker for classical monocytes.
- Elevated EMMPRIN expression in acute myocardial infarction highlights its potential diagnostic value.
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