Die Rolle der Thrombozyten- und Leukozyten-Endothelzell-Interaktion in der Atherogenese

The role of thrombocyte- and leukocyte-endothelial cell-interaction in atherogenesis - an in vivo-study in the ApoE-knock-out-mouse - Platelets play a crucial role in thromboembolic complications of advanced atherosclerotic lesions but their involvement in the initiation of the atherosclerotic process in unclear. Platelet adhesion regulates secretion of intracellulary stored proinflammatory and proliferative mediators. In vitro, platelets promote the expression of inflammatory genes in endothelial cells, including adhesion receptors and chemokines suggesting a proatherogenic role of platelets. Here, we show in vivo that platelets adhere to the vascular endothelium of the carotid artery in ApoE-deficient mice prior to the development of manifest atherosclerotic lesions. Glycoprotein (GP-)Ib and GPIIb-IIIa are the predominant adhesion receptors mediating platelet adhesion to the endothelium of the carotid artery and may play a crucial role in the genesis of platelet-mediated atherosclerosis. In this experiments we could demonstrate the crucial role of these two receptors for platelet adhesion. While anti-GPIb reduced transient adhesion for 85% and permanent adhesion for 99%, anti-GPIIb-IIIa shows a 95%-reduction of permanent adherent platelets. Long–term antibody-treatment (anti-GPIb) shows by a substantial reduction of plaque area from 60% in the aorta and 81% in the carotid arterya a crucial influence of atheroprogression. Together, prolonged inhibition of platelet adhesion (with anti-GPIb) in ApoE-deficient mice profoundly inhibited arterisclerotic lesion formation. These findings establish platelets as major players in initiation of the atherogenic process and may have important implications for the development of novel anti-atherosclerotic therapies.

Level thesis:degree_level

thesis.doctoral

Grantor dc:publisher

Ludwig-Maximilians-Universität

Year

2003

Author dc:creator

• Grüner, Sabine

Repository record source_url

https://edoc.ub.uni-muenchen.de/1100/

OAI identifier oai:identifier

oai:edoc.ub.uni-muenchen.de:1100