Proteomic analysis of the extracellular matrix of human atherosclerotic plaques shows marked changes between plaque types

Cardiovascular disease is the leading cause of death, with atherosclerosis the major underlying cause. While often asymptomatic for decades, atherosclerotic plaque destabilization and rupture can arise suddenly and cause acute arterial occlusion or peripheral embolization resulting in myocardial inf...

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Main Authors: Lasse G. Lorentzen, Karin Yeung, Nikolaj Eldrup, Jonas P. Eiberg, Henrik H. Sillesen, Michael J. Davies
Format: Article
Language:English
Published: Elsevier 2024-02-01
Series:Matrix Biology Plus
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590028524000012
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author Lasse G. Lorentzen
Karin Yeung
Nikolaj Eldrup
Jonas P. Eiberg
Henrik H. Sillesen
Michael J. Davies
author_facet Lasse G. Lorentzen
Karin Yeung
Nikolaj Eldrup
Jonas P. Eiberg
Henrik H. Sillesen
Michael J. Davies
author_sort Lasse G. Lorentzen
collection DOAJ
description Cardiovascular disease is the leading cause of death, with atherosclerosis the major underlying cause. While often asymptomatic for decades, atherosclerotic plaque destabilization and rupture can arise suddenly and cause acute arterial occlusion or peripheral embolization resulting in myocardial infarction, stroke and lower limb ischaemia. As extracellular matrix (ECM) remodelling is associated with plaque instability, we hypothesized that the ECM composition would differ between plaques. We analyzed atherosclerotic plaques obtained from 21 patients who underwent carotid surgery following recent symptomatic carotid artery stenosis. Plaques were solubilized using a new efficient, single-step approach. Solubilized proteins were digested to peptides, and analyzed by liquid chromatography-mass spectrometry using data-independent acquisition. Identification and quantification of 4498 plaque proteins was achieved, including 354 ECM proteins, with unprecedented coverage and high reproducibility. Multidimensional scaling analysis and hierarchical clustering indicate two distinct clusters, which correlate with macroscopic plaque morphology (soft/unstable versus hard/stable), ultrasound classification (echolucent versus echogenic) and the presence of hemorrhage/ulceration. We identified 714 proteins with differential abundances between these groups. Soft/unstable plaques were enriched in proteins involved in inflammation, ECM remodelling, and protein degradation (e.g. matrix metalloproteinases, cathepsins). In contrast, hard/stable plaques contained higher levels of ECM structural proteins (e.g. collagens, versican, nidogens, biglycan, lumican, proteoglycan 4, mineralization proteins). These data indicate that a single-step proteomics method can provide unique mechanistic insights into ECM remodelling and inflammatory mechanisms within plaques that correlate with clinical parameters, and help rationalize plaque destabilization. These data also provide an approach towards identifying biomarkers for individualized risk profiling of atherosclerosis.
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spelling doaj.art-0a9a9102d7554e10bb6b3f4daa17b5c52024-02-17T06:42:09ZengElsevierMatrix Biology Plus2590-02852024-02-0121100141Proteomic analysis of the extracellular matrix of human atherosclerotic plaques shows marked changes between plaque typesLasse G. Lorentzen0Karin Yeung1Nikolaj Eldrup2Jonas P. Eiberg3Henrik H. Sillesen4Michael J. Davies5Department of Biomedical Sciences, Panum Institute, University of Copenhagen, DenmarkDepartment of Vascular Surgery, Heart Centre, University Hospital Copenhagen - Rigshospitalet, Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, DenmarkDepartment of Vascular Surgery, Heart Centre, University Hospital Copenhagen - Rigshospitalet, Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, DenmarkDepartment of Vascular Surgery, Heart Centre, University Hospital Copenhagen - Rigshospitalet, Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark; Copenhagen Academy for Medical Education and Simulation (CAMES), Capital Region of Denmark, Copenhagen, DenmarkDepartment of Vascular Surgery, Heart Centre, University Hospital Copenhagen - Rigshospitalet, Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, DenmarkDepartment of Biomedical Sciences, Panum Institute, University of Copenhagen, Denmark; Corresponding author.Cardiovascular disease is the leading cause of death, with atherosclerosis the major underlying cause. While often asymptomatic for decades, atherosclerotic plaque destabilization and rupture can arise suddenly and cause acute arterial occlusion or peripheral embolization resulting in myocardial infarction, stroke and lower limb ischaemia. As extracellular matrix (ECM) remodelling is associated with plaque instability, we hypothesized that the ECM composition would differ between plaques. We analyzed atherosclerotic plaques obtained from 21 patients who underwent carotid surgery following recent symptomatic carotid artery stenosis. Plaques were solubilized using a new efficient, single-step approach. Solubilized proteins were digested to peptides, and analyzed by liquid chromatography-mass spectrometry using data-independent acquisition. Identification and quantification of 4498 plaque proteins was achieved, including 354 ECM proteins, with unprecedented coverage and high reproducibility. Multidimensional scaling analysis and hierarchical clustering indicate two distinct clusters, which correlate with macroscopic plaque morphology (soft/unstable versus hard/stable), ultrasound classification (echolucent versus echogenic) and the presence of hemorrhage/ulceration. We identified 714 proteins with differential abundances between these groups. Soft/unstable plaques were enriched in proteins involved in inflammation, ECM remodelling, and protein degradation (e.g. matrix metalloproteinases, cathepsins). In contrast, hard/stable plaques contained higher levels of ECM structural proteins (e.g. collagens, versican, nidogens, biglycan, lumican, proteoglycan 4, mineralization proteins). These data indicate that a single-step proteomics method can provide unique mechanistic insights into ECM remodelling and inflammatory mechanisms within plaques that correlate with clinical parameters, and help rationalize plaque destabilization. These data also provide an approach towards identifying biomarkers for individualized risk profiling of atherosclerosis.http://www.sciencedirect.com/science/article/pii/S2590028524000012AtherosclerosisExtracellular matrixProteomicsCarotid endarterectomyCarotid artery stenosis
spellingShingle Lasse G. Lorentzen
Karin Yeung
Nikolaj Eldrup
Jonas P. Eiberg
Henrik H. Sillesen
Michael J. Davies
Proteomic analysis of the extracellular matrix of human atherosclerotic plaques shows marked changes between plaque types
Matrix Biology Plus
Atherosclerosis
Extracellular matrix
Proteomics
Carotid endarterectomy
Carotid artery stenosis
title Proteomic analysis of the extracellular matrix of human atherosclerotic plaques shows marked changes between plaque types
title_full Proteomic analysis of the extracellular matrix of human atherosclerotic plaques shows marked changes between plaque types
title_fullStr Proteomic analysis of the extracellular matrix of human atherosclerotic plaques shows marked changes between plaque types
title_full_unstemmed Proteomic analysis of the extracellular matrix of human atherosclerotic plaques shows marked changes between plaque types
title_short Proteomic analysis of the extracellular matrix of human atherosclerotic plaques shows marked changes between plaque types
title_sort proteomic analysis of the extracellular matrix of human atherosclerotic plaques shows marked changes between plaque types
topic Atherosclerosis
Extracellular matrix
Proteomics
Carotid endarterectomy
Carotid artery stenosis
url http://www.sciencedirect.com/science/article/pii/S2590028524000012
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