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Published on: January 13, 2012
Relationship between CHOP/GADD153 and unstable human carotid atherosclerotic plaque
Suping Wang1, Meiyan Zhang1, Zanhua Liu1
1a Department of Neurology , Dalian Municipal Central Hospital , Dalian , China.
Background And Aims:
The signaling protein C/EBP homologous protein (CHOP) and corresponding growth-arrest-and-DNA-damage-inducible gene 153 (GADD153) is associated with endoplasmic reticulum stress (ERS), which can lead to apoptosis. Our study aims to elucidate the role of CHOP/GADD153 in unstable atherosclerotic (AS) plaque formation isolated from confounding factors such as diabetes mellitus, primary hyperlipidemia, autoimmune deficiencies/abnormalities, essential hypertension, chronic heart failure, chronic kidney disease, and smoking.
Material And Methods:
We collected carotid artery tissue samples from patients aged 50-80 years-old who received carotid endarterectomies (CEA) at our institution. We obtained fresh AS plaque samples during CEA and preserved the specimens immediately in the operating room with liquid nitrogen. Samples were categorized as stable or unstable AS plaques according to a six-stage histologic classification. CHOP/GADD153 expression was then examined with immunohistochemistry and reverse transcription polymerase chain reaction (RT-PCR).
Results:
A total of 32 patients met our inclusion and exclusion criteria, with 24 (75.0%) classified as unstable lesions. The mean optical density ratio normalized to GAPDH for CHOP/GADD153 in stable and unstable groups was 0.357 ± 0.025 and 0.490 ± 0.027, respectively (p < .05). Positive immunostaining of CHOP/GADD153 was found in macrophages and smooth muscle cells of unstable AS plaques with a mean integrated optical density of 0.63 ± 0.03, compared to 0.17 ± 0.05 in the stable group (p < .05).
Conclusions:
In conclusion, we were able to show significant elevation of CHOP/GADD153 in unstable plaques independent of other confounding factors that induce ERS.
Insights
C/EBP homologous protein (CHOP)/growth-arrest-and-DNA-damage-inducible gene 153 (GADD153) is elevated in unstable atherosclerotic plaques. This finding was independent of other factors that induce endoplasmic reticulum stress, highlighting CHOP/GADD153
Area of Science:
- Cardiovascular Research
- Molecular Biology
- Cellular Stress Response
Background:
- Endoplasmic reticulum stress (ERS) is linked to apoptosis and the signaling protein C/EBP homologous protein (CHOP)/growth-arrest-and-DNA-damage-inducible gene 153 (GADD153).
- Atherosclerotic (AS) plaque instability is a critical concern in cardiovascular disease.
Purpose of the Study:
- To investigate the role of CHOP/GADD153 in unstable AS plaque formation.
- To isolate the effects of CHOP/GADD153 from confounding factors like diabetes, hypertension, and smoking.
Main Methods:
- Carotid artery tissue samples from patients undergoing carotid endarterectomy were analyzed.
- CHOP/GADD153 expression was quantified using immunohistochemistry and RT-PCR.
- Samples were classified as stable or unstable AS plaques based on histologic criteria.
Main Results:
- CHOP/GADD153 expression was significantly higher in unstable AS plaques compared to stable plaques (p < .05).
- Positive immunostaining for CHOP/GADD153 was observed in macrophages and smooth muscle cells within unstable plaques.
- The study included 32 patients, with 75% having unstable lesions.
Conclusions:
- CHOP/GADD153 is significantly elevated in unstable atherosclerotic plaques.
- This elevation is independent of other common inducers of endoplasmic reticulum stress.
- CHOP/GADD153 may play a crucial role in the pathogenesis of unstable AS plaques.
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