Prediction Power on Cardiovascular Disease of Neuroimmune Guidance Cues Expression by Peripheral Blood Monocytes

Huayu Zhang1, Edwin O W Bredewold1, Dianne Vreeken1

  • 1Einthoven Laboratory for Vascular and Regenerative Medicine, Department of Internal Medicine, Leiden University Medical Center, Albinusdreef, 22333 ZA Leiden, The Netherlands.

Insights

Circulating monocyte gene expression of neuroimmune guidance cues, including SEMA6B, SEMA6D, and EPHA2, can predict cardiovascular disease outcomes. This finding offers new insights into atherosclerosis development and potential diagnostic markers.

Area of Science:

  • Cardiovascular Research
  • Immunology
  • Genomics

Background:

  • Atherosclerosis, a primary cause of cardiovascular disease mortality, involves monocyte infiltration into artery walls.
  • Understanding monocyte functional changes through gene expression is crucial for predicting disease outcomes.
  • Neuroimmune guidance cues are signaling proteins increasingly recognized for their role in monocyte function.

Purpose of the Study:

  • To investigate the predictive value of neuroimmune guidance cue expression in circulating monocytes for cardiovascular disease (CVD).
  • To classify CVD patients and healthy individuals based on monocyte gene expression profiles.
  • To identify specific neuroimmune guidance cues associated with CVD outcomes.

Main Methods:

  • Utilized the CIRCULATING CELLS study cohort.
  • Employed high-throughput transcriptome profiling and cytometric methods for circulating cells.
  • Assessed various machine-learning methods, including linear discriminant analysis, Naïve Bayesian, and stochastic gradient boost models.

Main Results:

  • Machine learning models achieved perfect or near-perfect sensitivity and specificity in classifying CVD patients.
  • Expression levels of SEMA6B, SEMA6D, and EPHA2 in circulating monocytes were identified as significant predictors of CVD outcome.
  • Demonstrated the utility of analyzing gene expression patterns in monocytes for CVD risk stratification.

Conclusions:

  • Circulating monocyte expression of specific neuroimmune guidance cues (SEMA6B, SEMA6D, EPHA2) holds predictive value for cardiovascular disease.
  • Machine learning effectively analyzes complex human datasets to identify disease biomarkers.
  • This research provides a foundation for developing novel diagnostic strategies for atherosclerosis and cardiovascular disease.

Related Concept Videos

Psychoneuroimmunology: Cardiovascular Disease01:27

Psychoneuroimmunology: Cardiovascular Disease

Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
240
Blood Studies for Cardiovascular System I: Cardiac Biomarkers01:20

Blood Studies for Cardiovascular System I: Cardiac Biomarkers

Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
645
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers

Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
403
Neural Regulation of Blood Pressure01:18

Neural Regulation of Blood Pressure

The neural regulation of blood pressure involves intricate interactions between the autonomic nervous system (ANS) and cardiovascular system, ensuring adequate perfusion of tissues. This regulation primarily occurs through baroreceptor and chemoreceptor reflexes, involving both short-term and long-term mechanisms.
Baroreceptor Reflex
Baroreceptors, located in the carotid sinuses and aortic arch, detect changes in blood pressure. When blood pressure rises, these stretch-sensitive receptors...
6.4K