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P-selectin and MAC-1 mediate monocyte rolling and adhesion to ECM-bound platelets under flow conditions

P H Kuijper1, H I Gallardo Torres, L A Houben

  • 1Department of Pulmonary Diseases, University Hospital Utrecht, The Netherlands. P.Kuijper@hli.azu.nl

Insights

Platelets bound to the extracellular matrix (ECM) powerfully recruit monocytes to damaged vessel walls, initiating early atherosclerosis. This platelet-mediated monocyte adhesion occurs even at high shear stress.

Area of Science:

  • Cardiovascular Biology
  • Atherosclerosis Research
  • Hemostasis and Thrombosis

Background:

  • Monocyte-derived foam cells are key in early atherosclerotic lesion development.
  • Understanding monocyte recruitment to damaged vessel walls is crucial for atherogenesis research.

Purpose of the Study:

  • To investigate the role of extracellular matrix (ECM)-bound platelets in inducing monocyte tethering and adhesion under flow conditions.
  • To elucidate the molecular mechanisms mediating monocyte adhesion to ECM-bound platelets.

Main Methods:

  • Utilized a flow model simulating a damaged vessel wall.
  • Examined monocyte adhesion to ECM proteins versus ECM-bound platelets at varying shear stresses.
  • Employed specific antibodies to block key adhesion molecules (P-selectin, PSGL-1, beta2-Integrin, LFA-1, PECAM-1, beta1-integrins).

Main Results:

  • ECM-bound platelets significantly enhanced monocyte rolling and adhesion compared to ECM proteins alone, up to 240 mPa shear stress.
  • Monocyte adhesion to platelets was primarily mediated by P-selectin on platelets and PSGL-1 on monocytes (90% inhibition).
  • Beta2-Integrin (CD18/CD11b) partially inhibited the arrest of rolling monocytes; other tested adhesion molecules had no significant effect.
  • Even low surface coverage of platelets (10%) strongly supported monocyte tethering.

Conclusions:

  • Activated platelets on the ECM serve as a potent substrate for monocyte recruitment under flow.
  • The P-selectin/PSGL-1 axis is critical for platelet-mediated monocyte adhesion in this context.
  • These findings highlight a significant mechanism in early atherogenesis and inflammatory responses within the vasculature.

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