Key role of activated platelets in the enhanced adhesion of circulating leucocyte-platelet aggregates to the dysfunctional endothelium in early-stage COPD

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Autores de INCLIVA

Participantes ajenos a INCLIVA

  • Marques P
  • Bocigas I
  • Francisco V
  • Garcia-Sanjuan Y

Grupos y Plataformas de I+D+i

Abstract

Background Chronic obstructive pulmonary disease (COPD), usually caused by long-term tobacco smoking, is independently associated with systemic inflammation. However, little is known about the systemic inflammatory status of patients with early-stage COPD (classified as GOLD 1) and long-term smokers with normal lung function (LF). Here, we characterised the early changes in the associated inflammatory state in patients with GOLD 1 and in long-term smokers with normal LF.Methods Fresh blood samples from 27 patients with GOLD 1, 27 long-term smokers and 14 non-smokers were analysed.Results Ex vivo blood analysis revealed greater leucocyte-platelet adhesion to TNF alpha-stimulated pulmonary endothelium in patients with GOLD 1 than in smokers and non-smokers. In addition, platelet reactivity (platelet count and activation, and fibrinogen levels) and the frequency of leucocyte-platelet aggregates were higher in the GOLD 1 group than in the other groups. Some of these findings correlated with the severity of lung dysfunction, while platelet hyperactivity correlated positively with leucocyte-platelet adhesion. The GOLD 1 group also had a higher Th17/Treg ratio and higher circulating levels of IL-17C and C-reactive protein than the other groups. However, long-term smokers also had higher leucocyte counts and activation, and higher plasma levels of TNF alpha and IL-6 than non-smokers.Conclusion Our data suggest that the altered inflammatory parameters in long-term smokers may represent early biomarkers of COPD. Accordingly, peripheral immune monitoring based on the above parameters may be useful to prevent disease progression in long-term smokers with normal LF and early COPD.

Copyright © 2024 Marques, Bocigas, Domingo, Francisco, Tarraso, Garcia-Sanjuan, Morcillo, Piqueras, Signes-Costa, González and Sanz.

Datos de la publicación

ISSN/ISSNe:
1664-3224, 1664-3224

Frontiers in Immunology  FRONTIERS MEDIA SA

Tipo:
Article
Páginas:
1441637-1441637
PubMed:
39229275

Citas Recibidas en Web of Science: 3

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Keywords

  • cigarette smoking; COPD; GOLD 1; endothelial dysfunction; platelets; leukocytes; systemic inflammation; cytokines

Campos de Estudio

Financiación

Proyectos y Estudios Clínicos

CONTRATOS PREDOCTORALES DE FORMACIÓN EN INVESTIGACIÓN EN SALUD.

Investigador Principal: LUISA MARIA HUESO SOLER

FI19/00033 . INSTITUTO SALUD CARLOS III

ESTUDIO DE NUEVOS EJES DE QUIMIOCINAS COMO POTENCIALES DIANAS DE INTERVENCION EN LA OBESIDAD Y LA RESISTENCIA A LA INSULINA.

Investigador Principal: LAURA PIQUERAS RUIZ

PI21/00220 . INSTITUTO SALUD CARLOS III . 2022

CONTRATOS MIGUEL SERVET

Investigador Principal: VERA LUCÍA GOMES FRANCISCO

CP21/00025 . INSTITUTO SALUD CARLOS III . 2022

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