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Published on: November 29, 2024
Platelet Activation and a Platelet Biosignature Are Associated With Cardiovascular Risk in Patients With Controlled
Michael S Garshick1,2,3,4, Kamelia Drenkova2, Filipp Kazatsker2
1Department of Medicine, Center for the Prevention of Cardiovascular Disease, Brigham and Women's Hospital, Boston, MA (M.S.G., J.S.B.).
Platelets are more active in psoriasis patients, showing altered gene expression linked to inflammation and clotting. This platelet profile predicts increased cardiovascular disease risk, highlighting a potential therapeutic target.
Area of Science:
- Cardiovascular Research
- Dermatology
- Immunology
- Genomics
Background:
- Atherosclerosis mechanisms and cardiovascular risk identification in psoriasis remain unclear.
- Increased platelet activity in psoriasis contributes to vascular dysfunction.
- Investigating platelet phenotype and transcriptome offers insight into psoriasis-related cardiovascular risk.
Purpose of the Study:
- To investigate platelet phenotype and transcriptome in psoriasis patients.
- To determine the association between platelet transcriptomic profiles and cardiovascular risk.
- To explore platelet-driven mechanisms contributing to cardiovascular disease in psoriasis.
Main Methods:
- Psoriasis patients and controls underwent platelet aggregation and activation studies.
- Platelet RNA sequencing was performed to generate a psoriasis platelet transcriptomic score.
- The score's correlation with arterial stiffness, coronary calcium, and incident myocardial infarction was assessed.
Main Results:
- Psoriasis patients exhibited higher platelet aggregation and increased leukocyte-, neutrophil-, and lymphocyte-platelet aggregates.
- Platelet RNA sequencing revealed distinct gene expression patterns in psoriasis, associated with inflammation and clotting pathways.
- The psoriasis platelet transcriptomic score correlated with arterial stiffness, coronary calcium, and predicted myocardial infarction in high-risk individuals.
Conclusions:
- Increased platelet aggregation and activation in psoriasis are linked to proinflammatory and proatherothrombotic pathways.
- The platelet transcriptome in psoriasis is associated with heightened cardiovascular risk.
- Platelet involvement warrants further investigation as a key factor in psoriasis-associated cardiovascular disease.
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