C-Reactive Protein Binds to Cholesterol Crystals and Co-Localizes with the Terminal Complement Complex in Human Atherosclerotic Plaques

Inflammation is a part of the initial process leading to atherosclerosis and cholesterol crystals (CC), found in atherosclerotic plaques, which are known to induce complement activation. The pentraxins C-reactive protein (CRP), long pentraxin 3 (PTX3), and serum amyloid P component (SAP) are serum p...

全面介绍

书目详细资料
Main Authors: Katrine Pilely, Stefano Fumagalli, Anne Rosbjerg, Ninette Genster, Mikkel-Ole Skjoedt, Carlo Perego, Angela M. R. Ferrante, Maria-Grazia De Simoni, Peter Garred
格式: 文件
语言:English
出版: Frontiers Media S.A. 2017-08-01
丛编:Frontiers in Immunology
主题:
在线阅读:http://journal.frontiersin.org/article/10.3389/fimmu.2017.01040/full
_version_ 1829502675012550656
author Katrine Pilely
Stefano Fumagalli
Anne Rosbjerg
Ninette Genster
Mikkel-Ole Skjoedt
Carlo Perego
Angela M. R. Ferrante
Maria-Grazia De Simoni
Peter Garred
author_facet Katrine Pilely
Stefano Fumagalli
Anne Rosbjerg
Ninette Genster
Mikkel-Ole Skjoedt
Carlo Perego
Angela M. R. Ferrante
Maria-Grazia De Simoni
Peter Garred
author_sort Katrine Pilely
collection DOAJ
description Inflammation is a part of the initial process leading to atherosclerosis and cholesterol crystals (CC), found in atherosclerotic plaques, which are known to induce complement activation. The pentraxins C-reactive protein (CRP), long pentraxin 3 (PTX3), and serum amyloid P component (SAP) are serum proteins associated with increased risk of cardiovascular events and these proteins have been shown to interact with the complement system. Whether the pentraxins binds to CC and mediate downstream complement-dependent inflammatory processes remains unknown. Binding of CRP, PTX3, and SAP to CC was investigated in vitro by flow cytometry and fluorescence microscopy. CRP, PTX3, and SAP bound to CC in a concentration-dependent manner. CRP and PTX3 interacted with the complement pattern recognition molecule C1q on CC by increasing the binding of both purified C1q and C1q in plasma. However, CRP was the strongest mediator of C1q binding and also the pentraxin that most potently elevated C1q-mediated complement activation. In a phagocytic assay using whole blood, we confirmed that phagocytosis of CC is complement dependent and initiated by C1q-mediated activation. The pathophysiological relevance of the in vitro observations was examined in vivo in human atherosclerotic plaques. CRP, PTX3, and SAP were all found in atherosclerotic plaques and were located mainly in the cholesterol-rich necrotic core, but co-localization with the terminal C5b-9 complement complex was only found for CRP. In conclusion, this study identifies CRP as a strong C1q recruiter and complement facilitator on CC, which may be highly relevant for the development of atherosclerosis.
first_indexed 2024-12-16T09:41:56Z
format Article
id doaj.art-e130ea48d2854fb8a8b757082b51a527
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-12-16T09:41:56Z
publishDate 2017-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-e130ea48d2854fb8a8b757082b51a5272022-12-21T22:36:15ZengFrontiers Media S.A.Frontiers in Immunology1664-32242017-08-01810.3389/fimmu.2017.01040291389C-Reactive Protein Binds to Cholesterol Crystals and Co-Localizes with the Terminal Complement Complex in Human Atherosclerotic PlaquesKatrine Pilely0Stefano Fumagalli1Anne Rosbjerg2Ninette Genster3Mikkel-Ole Skjoedt4Carlo Perego5Angela M. R. Ferrante6Maria-Grazia De Simoni7Peter Garred8Laboratory of Molecular Medicine, Department of Clinical Immunology, Section 7631, Faculty of Health and Medical Sciences, Rigshospitalet, University of Copenhagen, Copenhagen, DenmarkIstituto di Ricerche Farmacologiche Mario Negri, Department of Neuroscience, IRCCS, Milan, ItalyLaboratory of Molecular Medicine, Department of Clinical Immunology, Section 7631, Faculty of Health and Medical Sciences, Rigshospitalet, University of Copenhagen, Copenhagen, DenmarkLaboratory of Molecular Medicine, Department of Clinical Immunology, Section 7631, Faculty of Health and Medical Sciences, Rigshospitalet, University of Copenhagen, Copenhagen, DenmarkLaboratory of Molecular Medicine, Department of Clinical Immunology, Section 7631, Faculty of Health and Medical Sciences, Rigshospitalet, University of Copenhagen, Copenhagen, DenmarkIstituto di Ricerche Farmacologiche Mario Negri, Department of Neuroscience, IRCCS, Milan, ItalyUniversità Cattolica del S.Cuore, Istituto di Patologia Chirurgica, Fondazione “Policlinico Universitario A. Gemelli”, Polo Scienze cardiovascolari e toraciche, Roma, ItalyIstituto di Ricerche Farmacologiche Mario Negri, Department of Neuroscience, IRCCS, Milan, ItalyLaboratory of Molecular Medicine, Department of Clinical Immunology, Section 7631, Faculty of Health and Medical Sciences, Rigshospitalet, University of Copenhagen, Copenhagen, DenmarkInflammation is a part of the initial process leading to atherosclerosis and cholesterol crystals (CC), found in atherosclerotic plaques, which are known to induce complement activation. The pentraxins C-reactive protein (CRP), long pentraxin 3 (PTX3), and serum amyloid P component (SAP) are serum proteins associated with increased risk of cardiovascular events and these proteins have been shown to interact with the complement system. Whether the pentraxins binds to CC and mediate downstream complement-dependent inflammatory processes remains unknown. Binding of CRP, PTX3, and SAP to CC was investigated in vitro by flow cytometry and fluorescence microscopy. CRP, PTX3, and SAP bound to CC in a concentration-dependent manner. CRP and PTX3 interacted with the complement pattern recognition molecule C1q on CC by increasing the binding of both purified C1q and C1q in plasma. However, CRP was the strongest mediator of C1q binding and also the pentraxin that most potently elevated C1q-mediated complement activation. In a phagocytic assay using whole blood, we confirmed that phagocytosis of CC is complement dependent and initiated by C1q-mediated activation. The pathophysiological relevance of the in vitro observations was examined in vivo in human atherosclerotic plaques. CRP, PTX3, and SAP were all found in atherosclerotic plaques and were located mainly in the cholesterol-rich necrotic core, but co-localization with the terminal C5b-9 complement complex was only found for CRP. In conclusion, this study identifies CRP as a strong C1q recruiter and complement facilitator on CC, which may be highly relevant for the development of atherosclerosis.http://journal.frontiersin.org/article/10.3389/fimmu.2017.01040/fullatherosclerosiscomplement activationcholesterol crystalsC-reactive proteinpentraxin 3serum amyloid P component
spellingShingle Katrine Pilely
Stefano Fumagalli
Anne Rosbjerg
Ninette Genster
Mikkel-Ole Skjoedt
Carlo Perego
Angela M. R. Ferrante
Maria-Grazia De Simoni
Peter Garred
C-Reactive Protein Binds to Cholesterol Crystals and Co-Localizes with the Terminal Complement Complex in Human Atherosclerotic Plaques
Frontiers in Immunology
atherosclerosis
complement activation
cholesterol crystals
C-reactive protein
pentraxin 3
serum amyloid P component
title C-Reactive Protein Binds to Cholesterol Crystals and Co-Localizes with the Terminal Complement Complex in Human Atherosclerotic Plaques
title_full C-Reactive Protein Binds to Cholesterol Crystals and Co-Localizes with the Terminal Complement Complex in Human Atherosclerotic Plaques
title_fullStr C-Reactive Protein Binds to Cholesterol Crystals and Co-Localizes with the Terminal Complement Complex in Human Atherosclerotic Plaques
title_full_unstemmed C-Reactive Protein Binds to Cholesterol Crystals and Co-Localizes with the Terminal Complement Complex in Human Atherosclerotic Plaques
title_short C-Reactive Protein Binds to Cholesterol Crystals and Co-Localizes with the Terminal Complement Complex in Human Atherosclerotic Plaques
title_sort c reactive protein binds to cholesterol crystals and co localizes with the terminal complement complex in human atherosclerotic plaques
topic atherosclerosis
complement activation
cholesterol crystals
C-reactive protein
pentraxin 3
serum amyloid P component
url http://journal.frontiersin.org/article/10.3389/fimmu.2017.01040/full
work_keys_str_mv AT katrinepilely creactiveproteinbindstocholesterolcrystalsandcolocalizeswiththeterminalcomplementcomplexinhumanatheroscleroticplaques
AT stefanofumagalli creactiveproteinbindstocholesterolcrystalsandcolocalizeswiththeterminalcomplementcomplexinhumanatheroscleroticplaques
AT annerosbjerg creactiveproteinbindstocholesterolcrystalsandcolocalizeswiththeterminalcomplementcomplexinhumanatheroscleroticplaques
AT ninettegenster creactiveproteinbindstocholesterolcrystalsandcolocalizeswiththeterminalcomplementcomplexinhumanatheroscleroticplaques
AT mikkeloleskjoedt creactiveproteinbindstocholesterolcrystalsandcolocalizeswiththeterminalcomplementcomplexinhumanatheroscleroticplaques
AT carloperego creactiveproteinbindstocholesterolcrystalsandcolocalizeswiththeterminalcomplementcomplexinhumanatheroscleroticplaques
AT angelamrferrante creactiveproteinbindstocholesterolcrystalsandcolocalizeswiththeterminalcomplementcomplexinhumanatheroscleroticplaques
AT mariagraziadesimoni creactiveproteinbindstocholesterolcrystalsandcolocalizeswiththeterminalcomplementcomplexinhumanatheroscleroticplaques
AT petergarred creactiveproteinbindstocholesterolcrystalsandcolocalizeswiththeterminalcomplementcomplexinhumanatheroscleroticplaques