关键词: ACM, all-cause mortality ACS, acute coronary syndrome ADP, adenosine diphosphate CAD, coronary artery disease CCS, chronic coronary syndrome CE, combined endpoint HC, homozygous carriers IS, ischemic stroke JAM-A JAM-A, junctional adhesion molecule-A MI, myocardial infarction SNV SNV, single-nucleotide variation TRAP, thrombin receptor activating peptide coronary artery disease platelet sJAM-A, soluble junctional adhesion molecule-A smJAM-A, soluble murine junctional adhesion molecule-A thrombo-inflammation

来  源:   DOI:10.1016/j.jacbts.2022.03.003   PDF(Pubmed)

Abstract:
Genetic predisposition through F11R-single-nucleotide variation (SNV) influences circulatory soluble junctional adhesion molecule-A (sJAM-A) levels in coronary artery disease (CAD) patients. Homozygous carriers of the minor alleles (F11R-SNVs rs2774276, rs790056) show enhanced levels of thrombo-inflammatory sJAM-A. Both F11R-SNVs and sJAM-A are associated with worse prognosis for recurrent myocardial infarction in CAD patients. Platelet surface-associated JAM-A correlate with platelet activation markers in CAD patients. Activated platelets shed transmembrane-JAM-A, generating proinflammatory sJAM-A and JAM-A-bearing microparticles. Platelet transmembrane-JAM-A and sJAM-A as homophilic interaction partners exaggerate thrombotic and thrombo-inflammatory platelet monocyte interactions. Therapeutic strategies interfering with this homophilic interface may regulate thrombotic and thrombo-inflammatory platelet response in cardiovascular pathologies where circulatory sJAM-A levels are elevated.
摘要:
通过F11R单核苷酸变异(SNV)的遗传易感性会影响冠状动脉疾病(CAD)患者的循环可溶性交界粘附分子-A(sJAM-A)水平。次要等位基因的纯合携带者(F11R-SNVsrs2774276,rs790056)显示血栓炎症sJAM-A的水平提高。F11R-SNV和sJAM-A均与CAD患者复发性心肌梗死的不良预后相关。CAD患者血小板表面相关JAM-A与血小板活化标志物相关活化的血小板脱落跨膜-JAM-A,产生促炎sJAM-A和携带JAM-A的微粒。血小板跨膜-JAM-A和sJAM-A作为同型相互作用伴侣夸大了血栓形成和血栓-炎性血小板单核细胞相互作用。干扰这种同型界面的治疗策略可能会调节心血管疾病中血栓性和血栓-炎性血小板反应,其中循环sJAM-A水平升高。
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