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(Circulation. 1996;93:672-682.)
© 1996 American Heart Association, Inc.


Articles

Neovascular Expression of E-Selectin, Intercellular Adhesion Molecule-1, and Vascular Cell Adhesion Molecule-1 in Human Atherosclerosis and Their Relation to Intimal Leukocyte Content

Presented in part at the 66th Scientific Sessions of the American Heart Association, Atlanta, Ga, November 15, 1993.

Kevin D. O'Brien, MD; Thomas O. McDonald, BS; Alan Chait, MD; Margaret D. Allen, MD; Charles E. Alpers, MD

From the Departments of Medicine (K.D.O., A.C.), Surgery (M.D.A.), and Pathology (T.O.M., C.E.A.), University of Washington, Seattle.

Background Leukocyte recruitment is an early event in atherogenesis, and the leukocyte adhesion molecules E-selectin, intercellular adhesion molecule-1 (ICAM-1), and vascular cell adhesion molecule-1 (VCAM-1) recently have been detected in human atherosclerosis. However, no previous study has evaluated either the distribution of these three molecules at different sites within the arterial intima or their relation to plaque leukocyte content.

Methods and Results Immunohistochemistry was performed on 99 coronary artery segments (34 controls and 65 with atherosclerotic plaque) to identify E-selectin, ICAM-1, VCAM-1, macrophages, smooth muscle cells, and T lymphocytes. For each segment, the presence or absence of adhesion molecule was determined at the arterial lumen, on intimal neovasculature, and on intimal nonendothelial cells. Each segment was scored for intimal macrophage and T-lymphocyte densities on a semiquantitative scale of 0 to 3. In atherosclerotic plaques, the prevalences of E-selectin, ICAM-1, and VCAM-1 on plaque neovasculature were twofold higher than their prevalences on arterial luminal endothelium. E-selectin was the only adhesion molecule for which expression on arterial luminal endothelial cells was more prevalent in plaques than in control segments. Increased plaque intimal macrophage density was associated with expression of VCAM-1 on neovasculature (P<.01) and on nonendothelial cells (P<.01). Increased plaque intimal T-lymphocyte density was associated with the presence of both ICAM-1 and VCAM-1 on neovasculature (both P<.01) and on nonendothelial cells (both P<.01).

Conclusions In atherosclerotic plaques, the expression of all three leukocyte adhesion molecules was more prevalent on intimal neovasculature than on arterial luminal endothelium. Further, the presence on neovasculature and nonendothelial cells of VCAM-1 and ICAM-1 was strongly associated with increased intimal leukocyte accumulation. These findings suggest that leukocyte recruitment through and/or activation of intimal neovasculature may play important roles in the pathogenesis of human atherosclerosis.


Key Words: arteriosclerosis • adhesion molecules • immunohistochemistry • endothelium • vasculature




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CirculationHome page
S. Blankenberg, H. J. Rupprecht, C. Bickel, D. Peetz, G. Hafner, L. Tiret, and J. Meyer
Circulating Cell Adhesion Molecules and Death in Patients With Coronary Artery Disease
Circulation, September 18, 2001; 104(12): 1336 - 1342.
[Abstract] [Full Text] [PDF]


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J. Thorac. Cardiovasc. Surg.Home page
S. Sai, A. Iwata, R. Thomas, and M. D. Allen
Vascular cell adhesion molecule-1 up-regulation and phenotypic modulation of vascular smooth muscle cells predate mononuclear infiltration in transplant arteriopathy
J. Thorac. Cardiovasc. Surg., September 1, 2001; 122(3): 508 - 517.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
M. Katoh, Y. Kurosawa, K. Tanaka, A. Watanabe, H. Doi, and H. Narita
Fluvastatin inhibits O2- and ICAM-1 levels in a rat model with aortic remodeling induced by pressure overload
Am J Physiol Heart Circ Physiol, August 1, 2001; 281(2): H655 - H660.
[Abstract] [Full Text] [PDF]


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VASC ENDOVASCULAR SURGHome page
J. Ludemann, K.-L. Schulte, O. Hader, S. Brehme, H.-D. Volk, and W.-D. Docke
Leukocyte/Endothelium Activation and Interactions During Femoral Percutaneous Transluminal Angioplasty
Vascular and Endovascular Surgery, July 1, 2001; 35(4): 293 - 301.
[Abstract] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M. A. Houtkamp, A. C. van der Wal, O. J. de Boer, C. M. van der Loos, P. A. J. de Boer, A. F. M. Moorman, and A. E. Becker
Interleukin-15 Expression in Atherosclerotic Plaques : An Alternative Pathway for T-Cell Activation in Atherosclerosis?
Arterioscler Thromb Vasc Biol, July 1, 2001; 21(7): 1208 - 1213.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
C. Lawson, M. E Ainsworth, A. M McCormack, M. Yacoub, and M. L Rose
Effects of cross-linking ICAM-1 on the surface of human vascular smooth muscle cells: induction of VCAM-1 but no proliferation
Cardiovasc Res, June 1, 2001; 50(3): 547 - 555.
[Abstract] [Full Text] [PDF]


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FASEB J.Home page
E. E. ERIKSSON, X. XIE, J. WERR, P. THOREN, and L. LINDBOM
Direct viewing of atherosclerosis in vivo: plaque invasion by leukocytes is initiated by the endothelial selectins
FASEB J, May 1, 2001; 15(7): 1149 - 1157.
[Abstract] [Full Text] [PDF]


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CirculationHome page
R. Voisard, R. Fischer, M. O{beta}wald, S. Voglic, R. Baur, M. Susa, W. Koenig, and V. Hombach
Aspirin (5 mmol/L) Inhibits Leukocyte Attack and Triggered Reactive Cell Proliferation in a 3D Human Coronary In Vitro Model
Circulation, March 27, 2001; 103(12): 1688 - 1694.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
K. Y. Stokes, E. C. Clanton, J. M. Russell, C. R. Ross, and D. N. Granger
NAD(P)H Oxidase-Derived Superoxide Mediates Hypercholesterolemia-Induced Leukocyte-Endothelial Cell Adhesion
Circ. Res., March 16, 2001; 88(5): 499 - 505.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M.-C. Bourdillon, R. N. Poston, C. Covacho, E. Chignier, G. Bricca, and J. L. McGregor
ICAM-1 Deficiency Reduces Atherosclerotic Lesions in Double-Knockout Mice (ApoE-/-/ICAM-1-/-) Fed a Fat or a Chow Diet
Arterioscler Thromb Vasc Biol, December 1, 2000; 20(12): 2630 - 2635.
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J Am Coll CardiolHome page
D. Zanger, B. K. Yang, J. Ardans, M. A. Waclawiw, G. Csako, L. M. Wahl, and R. O. Cannon III
Divergent effects of hormone therapy on serum markers of inflammation in postmenopausal women with coronary artery disease on appropriate medical management
J. Am. Coll. Cardiol., November 15, 2000; 36(6): 1797 - 1802.
[Abstract] [Full Text] [PDF]


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J. Leukoc. Biol.Home page
H. Ishii, M. Yoshida, A. Rosenzweig, M. A. Gimbrone Jr, Y. Yasukochi, and F. Numano
Adenoviral transduction of human E-selectin into isolated, perfused, rat aortic segments: an ex vivo model for studying leukocyte-endothelial interactions
J. Leukoc. Biol., November 1, 2000; 68(5): 687 - 692.
[Abstract] [Full Text]


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Arterioscler. Thromb. Vasc. Bio.Home page
K. Zibara, E. Chignier, C. Covacho, R. Poston, G. Canard, P. Hardy, and J. McGregor
Modulation of Expression of Endothelial Intercellular Adhesion Molecule-1, Platelet-Endothelial Cell Adhesion Molecule-1, and Vascular Cell Adhesion Molecule-1 in Aortic Arch Lesions of Apolipoprotein E-Deficient Compared With Wild-Type Mice
Arterioscler Thromb Vasc Biol, October 1, 2000; 20(10): 2288 - 2296.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
J. A. de Lemos, C. H. Hennekens, and P. M. Ridker
Plasma concentration of soluble vascular cell adhesion molecule-1 and subsequent cardiovascular risk
J. Am. Coll. Cardiol., August 1, 2000; 36(2): 423 - 426.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
S. Oguchi, P. Dimayuga, J. Zhu, K.-Y. Chyu, J. Yano, P. K. Shah, J. Nilsson, and B. Cercek
Monoclonal Antibody Against Vascular Cell Adhesion Molecule-1 Inhibits Neointimal Formation After Periadventitial Carotid Artery Injury in Genetically Hypercholesterolemic Mice
Arterioscler Thromb Vasc Biol, July 1, 2000; 20(7): 1729 - 1736.
[Abstract] [Full Text] [PDF]


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Physiol. GenomicsHome page
M. RICHTER, A. IWATA, J. NYHUIS, Y. NITTA, A. D. MILLER, C. L. HALBERT, and M. D. ALLEN
Adeno-associated virus vector transduction of vascular smooth muscle cells in vivo
Physiol Genomics, April 27, 2000; 2(3): 117 - 127.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M. E. Pueyo, W. Gonzalez, A. Nicoletti, F. Savoie, J.-F. Arnal, and J.-B. Michel
Angiotensin II Stimulates Endothelial Vascular Cell Adhesion Molecule-1 via Nuclear Factor-{kappa}B Activation Induced by Intracellular Oxidative Stress
Arterioscler Thromb Vasc Biol, March 1, 2000; 20(3): 645 - 651.
[Abstract] [Full Text] [PDF]


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StrokeHome page
J. Golledge, R. M. Greenhalgh, and A. H. Davies
The Symptomatic Carotid Plaque
Stroke, March 1, 2000; 31(3): 774 - 781.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
M. Roque, J. T. Fallon, J. J. Badimon, W. X. Zhang, M. B. Taubman, and E. D. Reis
Mouse Model of Femoral Artery Denudation Injury Associated With the Rapid Accumulation of Adhesion Molecules on the Luminal Surface and Recruitment of Neutrophils
Arterioscler Thromb Vasc Biol, February 1, 2000; 20(2): 335 - 342.
[Abstract] [Full Text] [PDF]


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J CARDIOVASC PHARMACOL THERHome page
M. Schwemmer, O. Sommer, R. Koeckerbauer, and E. Bassenge
Cardiovascular Dysfunction in Hypercholesterolemia Associated With Enhanced Formation of ATI-Receptor and of Eicosanoids
Journal of Cardiovascular Pharmacology and Therapeutics, January 1, 2000; 5(1): 59 - 68.
[Abstract] [PDF]


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J. Biol. Chem.Home page
P. Xia, M. A. Vadas, K.-A. Rye, P. J. Barter, and J. R. Gamble
High Density Lipoproteins (HDL) Interrupt the Sphingosine Kinase Signaling Pathway. A POSSIBLE MECHANISM FOR PROTECTION AGAINST ATHEROSCLEROSIS BY HDL
J. Biol. Chem., November 12, 1999; 274(46): 33143 - 33147.
[Abstract] [Full Text] [PDF]


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CirculationHome page
K. K. Koh, A. Blum, L. Hathaway, R. Mincemoyer, G. Csako, M. A. Waclawiw, J. A. Panza, and R. O. Cannon III
Vascular Effects of Estrogen and Vitamin E Therapies in Postmenopausal Women
Circulation, November 2, 1999; 100(18): 1851 - 1857.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
M. D. Allen
Myocardial protection: is there a role for gene therapy?
Ann. Thorac. Surg., November 1, 1999; 68(5): 1924 - 1928.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
N. Leitinger, T. R. Tyner, L. Oslund, C. Rizza, G. Subbanagounder, H. Lee, P. T. Shih, N. Mackman, G. Tigyi, M. C. Territo, et al.
Structurally similar oxidized phospholipids differentially regulate endothelial binding of monocytes and neutrophils
PNAS, October 12, 1999; 96(21): 12010 - 12015.
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CirculationHome page
L. Pastore, A. Tessitore, S. Martinotti, E. Toniato, E. Alesse, M. C. Bravi, C. Ferri, G. Desideri, A. Gulino, and A. Santucci
Angiotensin II Stimulates Intercellular Adhesion Molecule-1 (ICAM-1) Expression by Human Vascular Endothelial Cells and Increases Soluble ICAM-1 Release In Vivo
Circulation, October 12, 1999; 100(15): 1646 - 1652.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
Y. V Bobryshev, S. M Cherian, S. J Inder, and R. S.A Lord
Neovascular expression of VE-cadherin in human atherosclerotic arteries and its relation to intimal inflammation
Cardiovasc Res, September 1, 1999; 43(4): 1003 - 1017.
[Abstract] [Full Text] [PDF]


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CirculationHome page
H. Kataoka, N. Kume, S. Miyamoto, M. Minami, H. Moriwaki, T. Murase, T. Sawamura, T. Masaki, N. Hashimoto, and T. Kita
Expression of Lectinlike Oxidized Low-Density Lipoprotein Receptor-1 in Human Atherosclerotic Lesions
Circulation, June 22, 1999; 99(24): 3110 - 3117.
[Abstract] [Full Text] [PDF]


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JCBHome page
B. Wojciak-Stothard, L. Williams, and A. J. Ridley
Monocyte Adhesion and Spreading on Human Endothelial Cells Is Dependent on Rho-regulated Receptor Clustering
J. Cell Biol., June 14, 1999; 145(6): 1293 - 1307.
[Abstract] [Full Text] [PDF]


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BloodHome page
K. S.C. Weber, G. Draude, W. Erl, R. de Martin, and C. Weber
Monocyte Arrest and Transmigration on Inflamed Endothelium in Shear Flow Is Inhibited by Adenovirus-Mediated Gene Transfer of Ikappa B-alpha
Blood, June 1, 1999; 93(11): 3685 - 3693.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
M. M. Tarpey, C. R. White, E. Suarez, G. Richardson, R. Radi, and B. A. Freeman
Chemiluminescent Detection of Oxidants in Vascular Tissue : Lucigenin But Not Coelenterazine Enhances Superoxide Formation
Circ. Res., May 28, 1999; 84(10): 1203 - 1211.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J. A. McCrohon, W. Jessup, D. J. Handelsman, and D. S. Celermajer
Androgen Exposure Increases Human Monocyte Adhesion to Vascular Endothelium and Endothelial Cell Expression of Vascular Cell Adhesion Molecule-1
Circulation, May 4, 1999; 99(17): 2317 - 2322.
[Abstract] [Full Text] [PDF]


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CirculationHome page
K. S. Moulton, E. Heller, M. A. Konerding, E. Flynn, W. Palinski, and J. Folkman
Angiogenesis Inhibitors Endostatin or TNP-470 Reduce Intimal Neovascularization and Plaque Growth in Apolipoprotein E–Deficient Mice
Circulation, April 6, 1999; 99(13): 1726 - 1732.
[Abstract] [Full Text] [PDF]