A pro-inflammatory and fibrous cap thinning transcriptome profile accompanies carotid plaque rupture leading to stroke

Abstract Atherosclerotic plaque rupture is the etiology of ischemic stroke and myocardial infarction. The molecular mechanisms responsible for rupture remain unclear, in part, due to the lack of data from plaques at the time of rupture. Ribosome-depleted total RNA was sequenced from carotid plaques...

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Main Authors: Hernan A. Bazan, Ashton J. Brooks, Kenny Vongbunyong, Christin Tee, Hunter F. Douglas, Natasha C. Klingenberg, T. Cooper Woods
Format: Article
Language:English
Published: Nature Portfolio 2022-08-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-17546-9
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author Hernan A. Bazan
Ashton J. Brooks
Kenny Vongbunyong
Christin Tee
Hunter F. Douglas
Natasha C. Klingenberg
T. Cooper Woods
author_facet Hernan A. Bazan
Ashton J. Brooks
Kenny Vongbunyong
Christin Tee
Hunter F. Douglas
Natasha C. Klingenberg
T. Cooper Woods
author_sort Hernan A. Bazan
collection DOAJ
description Abstract Atherosclerotic plaque rupture is the etiology of ischemic stroke and myocardial infarction. The molecular mechanisms responsible for rupture remain unclear, in part, due to the lack of data from plaques at the time of rupture. Ribosome-depleted total RNA was sequenced from carotid plaques obtained from patients undergoing carotid endarterectomy with high-grade stenosis and either (1) a carotid-related ischemic cerebrovascular event within the previous 5 days ('recently ruptured,' n = 6) or (2) an absence of a cerebrovascular event ('asymptomatic,' n = 5). Principal component analysis confirmed plaque rupture was responsible for the greatest percentage of the variability between samples (23.2%), and recently ruptured plaques were enriched for transcripts associated with inflammation and extracellular matrix degradation. Hierarchical clustering achieved differentiation of the asymptomatic from the recently ruptured plaques. This analysis also found co-expression of transcripts for immunoglobulins and B lymphocyte function, matrix metalloproteinases, and interferon response genes. Examination of the differentially expressed genes supported the importance of inflammation and inhibition of proliferation and migration coupled with an increase in apoptosis. Thus, the transcriptome of recently ruptured plaques is enriched with transcripts associated with inflammation and fibrous cap thinning and support further examination of the role of B lymphocytes and interferons in atherosclerotic plaque rupture.
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spelling doaj.art-9a12952fdb3e4c2098a91a2edb7910182022-12-22T02:48:39ZengNature PortfolioScientific Reports2045-23222022-08-011211810.1038/s41598-022-17546-9A pro-inflammatory and fibrous cap thinning transcriptome profile accompanies carotid plaque rupture leading to strokeHernan A. Bazan0Ashton J. Brooks1Kenny Vongbunyong2Christin Tee3Hunter F. Douglas4Natasha C. Klingenberg5T. Cooper Woods6Section of Vascular/Endovascular Surgery, Department of Surgery, Ochsner Clinic FoundationSection of Vascular/Endovascular Surgery, Department of Surgery, Ochsner Clinic FoundationDepartments of Physiology and Medicine, Tulane University School of MedicineDepartments of Physiology and Medicine, Tulane University School of MedicineDepartments of Physiology and Medicine, Tulane University School of MedicineDepartments of Physiology and Medicine, Tulane University School of MedicineDepartments of Physiology and Medicine, Tulane University School of MedicineAbstract Atherosclerotic plaque rupture is the etiology of ischemic stroke and myocardial infarction. The molecular mechanisms responsible for rupture remain unclear, in part, due to the lack of data from plaques at the time of rupture. Ribosome-depleted total RNA was sequenced from carotid plaques obtained from patients undergoing carotid endarterectomy with high-grade stenosis and either (1) a carotid-related ischemic cerebrovascular event within the previous 5 days ('recently ruptured,' n = 6) or (2) an absence of a cerebrovascular event ('asymptomatic,' n = 5). Principal component analysis confirmed plaque rupture was responsible for the greatest percentage of the variability between samples (23.2%), and recently ruptured plaques were enriched for transcripts associated with inflammation and extracellular matrix degradation. Hierarchical clustering achieved differentiation of the asymptomatic from the recently ruptured plaques. This analysis also found co-expression of transcripts for immunoglobulins and B lymphocyte function, matrix metalloproteinases, and interferon response genes. Examination of the differentially expressed genes supported the importance of inflammation and inhibition of proliferation and migration coupled with an increase in apoptosis. Thus, the transcriptome of recently ruptured plaques is enriched with transcripts associated with inflammation and fibrous cap thinning and support further examination of the role of B lymphocytes and interferons in atherosclerotic plaque rupture.https://doi.org/10.1038/s41598-022-17546-9
spellingShingle Hernan A. Bazan
Ashton J. Brooks
Kenny Vongbunyong
Christin Tee
Hunter F. Douglas
Natasha C. Klingenberg
T. Cooper Woods
A pro-inflammatory and fibrous cap thinning transcriptome profile accompanies carotid plaque rupture leading to stroke
Scientific Reports
title A pro-inflammatory and fibrous cap thinning transcriptome profile accompanies carotid plaque rupture leading to stroke
title_full A pro-inflammatory and fibrous cap thinning transcriptome profile accompanies carotid plaque rupture leading to stroke
title_fullStr A pro-inflammatory and fibrous cap thinning transcriptome profile accompanies carotid plaque rupture leading to stroke
title_full_unstemmed A pro-inflammatory and fibrous cap thinning transcriptome profile accompanies carotid plaque rupture leading to stroke
title_short A pro-inflammatory and fibrous cap thinning transcriptome profile accompanies carotid plaque rupture leading to stroke
title_sort pro inflammatory and fibrous cap thinning transcriptome profile accompanies carotid plaque rupture leading to stroke
url https://doi.org/10.1038/s41598-022-17546-9
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