Abstract
Increased arterial stiffness is strongly associated with atherosclerosis, while platelet activation is an important trigger of thrombotic events in patients with atherosclerosis. However, little is known about the effect of arterial stiffness on platelet activation. We therefore investigated the association between arterial stiffness and platelet activation in 38 normal volunteers (20 men and 18 women) aged 23–77 years (mean=49±15 years). Arterial stiffness was assessed by measuring brachial–ankle pulse wave velocity (ba-PWV) and heart–brachial PWV (hb-PWV). Flow cytometric analyses were performed to evaluate platelet activation by measuring surface expression of P-selectin and platelet–neutrophil complexes (PNC) before and after activation by ADP. We also calculated the difference between basal and stimulated states of P-selectin and PNC to assess platelet activation reserve. PWVs were significantly correlated with age and BP (r=0.60–0.81). For platelet activation and activation reserve, correlations with age were less strong but remained significant (r=0.36–0.61), with the exception of P-selectin (not significant, NS), and correlations with SBP were similar (r=0.35–0.53). A significant correlation was found between PWVs and platelet activation (r=0.43–0.74). Multiple regression analysis demonstrated significant correlations between platelet activation and reserve and PWVs (coefficient=2.17–6.59), when both age and BP were adjusted for simultaneously. In conclusion, platelet activation was associated with arterial stiffness, suggesting that arterial stiffness may play an important role in thrombotic events.
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References
Tenaglia AN et al. Levels of expression of P-selectin, E-selectin, and intercellular adhesion molecule-1 in coronary atherectomy specimens from patients with stable and unstable angina pectoris. Am J Cardiol 1997; 79: 742–747.
Hagberg IA, Roald HE, Lyberg T . Platelet activation in flowing blood passing growing arterial thrombi. Arterioscler Thromb Vasc Biol 1997; 17: 1331–1336.
Goto S et al. Effects of ticlopidine on von Willebrand factor-mediated shear-induced platelet activation and aggregation. Platelets 2001; 12: 406–414.
Davi G et al. Increased levels of soluble P-selectin in hypercholesterolemic patients. Circulation 1998; 97: 953–957.
Pernerstorfer T et al. Low-dose aspirin does not lower in vivo platelet activation in healthy smokers. Br J Haematol 1998; 102: 1229–1231.
Spencer CG et al. Von Willebrand factor, soluble P-selectin, and target organ damage in hypertension: a substudy of the Anglo-Scandinavian Cardiac Outcomes Trial (ASCOT). Hypertension 2002; 40: 61–66.
Blann AD, Dobrotova M, Kubisz P, McCollum CN . von Willebrand factor, soluble P-selectin, tissue plasminogen activator and plasminogen activator inhibitor in atherosclerosis. Thromb Haemost 1995; 74: 626–630.
Blann AD, Faragher EB, McCollum CN . Increased soluble P-selectin following myocardial infarction: a new marker for the progression of atherosclerosis. Blood Coagul Fibrinolysis 1997; 8: 383–390.
Grau AJ et al. Increased fraction of circulating activated platelets in acute and previous cerebrovascular ischemia. Thromb Haemost 1998; 80: 298–301.
Serebruany VL et al. Uniform platelet activation exists before coronary stent implantation despite aspirin therapy. Am Heart J 2001; 142: 611–616.
Parker III C, Vita JA, Freedman JE . Soluble adhesion molecules and unstable coronary artery disease. Atherosclerosis 2001; 156: 417–424.
Lip GY et al. Sequential alterations in haemorheology, endothelial dysfunction, platelet activation and thrombogenesis in relation to prognosis following acute stroke: The West Birmingham Stroke Project. Blood Coagul Fibrinolysis 2002; 13: 339–347.
De Cesaris R, Ranieri G, Filitti V, Andriani A . Large artery compliance in essential hypertension. Effects of calcium antagonism and beta-blocking. Am J Hypertens 1992; 5: 624–628.
Asmar R et al. Assessment of arterial distensibility by automatic pulse wave velocity measurement. Validation and clinical application studies. Hypertension 1995; 26: 485–490.
Lehmann ED, Riley WA, Clarkson P, Gosling RG . Non-invasive assessment of cardiovascular disease in diabetes mellitus. Lancet 1997; 350 Suppl 1: SI14–SI19.
Asmar J et al. Arterial stiffness and cardiovascular risk factors in a population-based study. J Hypertens 2001; 19: 381–387.
Mourad JJ et al. Creatinine clearance, pulse wave velocity, carotid compliance and essential hypertension. Kidney Int 2001; 59: 1334–1341.
Yamashina A et al. Validity, reproducibility, and clinical significance of noninvasive brachial-ankle pulse wave velocity measurement. Hypertens Res 2002; 25: 359–364.
Munakata M, Ito N, Nunokawa T, Yoshinaga K . Utility of automated brachial ankle pulse wave velocity measurements in hypertensive patients. Am J Hypertens 2003; 16: 653–657.
Yamashina A et al. Nomogram of the relation of brachial–ankle pulse wave velocity with blood pressure. Hypertens Res 2003; 26: 801–806.
Yamashina A et al. Brachial–ankle pulse wave velocity as a marker of atherosclerotic vascular damage and cardiovascular risk. Hypertens Res 2003; 26: 615–622.
Asmar R et al. Pulse pressure and aortic pulse wave are markers of cardiovascular risk in hypertensive populations. Am J Hypertens 2001; 14: 91–97.
Guerin AP et al. Impact of aortic stiffness attenuation on survival of patients in end-stage renal failure. Circulation 2001; 103: 987–992.
Peters MJ, Heyderman RS, Hatch DJ, Klein NJ . Investigation of platelet–neutrophil interactions in whole blood by flow cytometry. J Immunol Methods 1997; 209: 125–135.
Hirai T, Sasayama S, Kawasaki T, Yagi S . Stiffness of systemic arteries in patients with myocardial infarction. A noninvasive method to predict severity of coronary atherosclerosis. Circulation 1989; 80: 78–86.
Popele NM et al. Association between arterial stiffness and atherosclerosis: the Rotterdam Study. Stroke 2001; 32: 454–460.
Blann AD, Lip GY, Beevers DG, McCollum CN . Soluble P-selectin in atherosclerosis: a comparison with endothelial cell and platelet markers. Thromb Haemost 1997; 77: 1077–1080.
Bonfanti R, Furie BC, Furie B, Wagner DD . PADGEM (GMP140) is a component of Weibel–Palade bodies of human endothelial cells. Blood 1989; 73: 1109–1112.
Hebert PR, Hennekens CH . An overview of the 4 randomized trials of aspirin therapy in the primary prevention of vascular disease. Arch Intern Med 2000; 160: 3123–3127.
Goto S et al. Effects of ticlopidine on von Willebrand factor-mediated shear-induced platelet activation and aggregation. Platelets 2001; 12: 406–414.
Nichols WW, O’Rourke MF . Effect of age and of hypertension on wave travel and reflections. Arterial Vasodilation: Mechanisms and Therapy. Arnold: London, 1993.
Kobayashi K et al. Interrelationship between non-invasive measurements of atherosclerosis: flow-mediated dilation of brachial artery, carotid intima-media thickness and pulse wave velocity. Atherosclerosis 2004; 173: 13–18.
Dzau VJ, Gibbons GH . Vascular remodeling: mechanisms and implications. J Cardiovasc Pharmacol 1993; 21: S1–S5.
Acknowledgements
We would like to thank Tadashi Ueta for technical assistance and Misa Nakagawa for her assistance throughout the study.
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This research was supported in part by a grant from the President Research Fund of Kochi Medical School Hospital and the Japan Arteriosclerosis Prevention Fund.
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Yamasaki, F., Furuno, T., Sato, K. et al. Association between arterial stiffness and platelet activation. J Hum Hypertens 19, 527–533 (2005). https://doi.org/10.1038/sj.jhh.1001861
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DOI: https://doi.org/10.1038/sj.jhh.1001861
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