TY - JOUR
T1 - Platelet activation and induction of tissue factor in acute and chronic atrial fibrillation
T2 - Involvement of mononuclear cell-platelet interaction
AU - Hayashi, Mutsuharu
AU - Takeshita, Kyosuke
AU - Inden, Yasuya
AU - Ishii, Hideki
AU - Cheng, Xian Wu
AU - Yamamoto, Koji
AU - Murohara, Toyoaki
N1 - Funding Information:
This study was supported by research grants from the Kanae Foundation for the Promotion of Medical Science (to K.T.), Kowa Life Science Foundation (to K.T.), Mitsubishi Pharma Research Foundation (to K.T.), and a Grant-in-Aid for Scientific Research (Kakenhi 21590950 to K.T.).
PY - 2011/12
Y1 - 2011/12
N2 - Background: Atrial fibrillation (AF) is associated with a prothrombotic state. The aim of this study was to analyze platelet activation and tissue factor (TF) induction in mononuclear cells (MNCs) and granulocytes downstream of cell-cell interactions in AF patients. Methods: Blood samples were obtained from patients with paroxysmal AF (n = 14) at sinus rhythm and at 15 min after induction of AF during an electrophysiological study, and from control subjects (n = 13) and patients with chronic AF (n = 14) in the outpatient clinic. The expression of CD41a, CD42b, P-selectin, and P-selectin glycoprotein ligand-1 (PSGL-1) on platelets and microparticles in platelet-rich plasma (PRP), and on MNCs and granulocytes in whole blood were examined by flow cytometry. MNC-platelet interaction was investigated ex vivo. Results: The expression of CD41a and CD42b on platelets and microparticles was comparable between the control and chronic AF groups, and unchanged after AF induction. Acute induction of AF significantly increased the expression of P-selectin on platelets and microparticles, and to a similar extent, P-selectin-positive MNCs and granulocytes and P-selectin/PSGL-1-double positive MNCs. However, AF induction had no effect on platelet-MNC interactions ex vivo or TF expression on MNCs and granulocytes. Only patients with chronic AF showed platelet-MNC interaction ex vivo and TF overexpression on MNCs. Conclusions: Acute-onset AF activates platelets within minutes to initiate platelet-MNC interaction. The subsequent platelet binding induced TF expression in patients with chronic AF. These findings support the efficacy of anticoagulant therapeutics in chronic AF and suggest the underlying utility of antiplatelet therapeutics in early phase of AF occurrence.
AB - Background: Atrial fibrillation (AF) is associated with a prothrombotic state. The aim of this study was to analyze platelet activation and tissue factor (TF) induction in mononuclear cells (MNCs) and granulocytes downstream of cell-cell interactions in AF patients. Methods: Blood samples were obtained from patients with paroxysmal AF (n = 14) at sinus rhythm and at 15 min after induction of AF during an electrophysiological study, and from control subjects (n = 13) and patients with chronic AF (n = 14) in the outpatient clinic. The expression of CD41a, CD42b, P-selectin, and P-selectin glycoprotein ligand-1 (PSGL-1) on platelets and microparticles in platelet-rich plasma (PRP), and on MNCs and granulocytes in whole blood were examined by flow cytometry. MNC-platelet interaction was investigated ex vivo. Results: The expression of CD41a and CD42b on platelets and microparticles was comparable between the control and chronic AF groups, and unchanged after AF induction. Acute induction of AF significantly increased the expression of P-selectin on platelets and microparticles, and to a similar extent, P-selectin-positive MNCs and granulocytes and P-selectin/PSGL-1-double positive MNCs. However, AF induction had no effect on platelet-MNC interactions ex vivo or TF expression on MNCs and granulocytes. Only patients with chronic AF showed platelet-MNC interaction ex vivo and TF overexpression on MNCs. Conclusions: Acute-onset AF activates platelets within minutes to initiate platelet-MNC interaction. The subsequent platelet binding induced TF expression in patients with chronic AF. These findings support the efficacy of anticoagulant therapeutics in chronic AF and suggest the underlying utility of antiplatelet therapeutics in early phase of AF occurrence.
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U2 - 10.1016/j.thromres.2011.07.013
DO - 10.1016/j.thromres.2011.07.013
M3 - Article
C2 - 21824645
AN - SCOPUS:82355173337
SN - 0049-3848
VL - 128
SP - e113-e118
JO - Thrombosis Research
JF - Thrombosis Research
IS - 6
ER -