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(Arteriosclerosis, Thrombosis, and Vascular Biology. 2008;28:2239.)
© 2008 American Heart Association, Inc.

Cell Biology/Signaling

C-Reactive Protein Isoforms Differ in Their Effects on Thrombus Growth

Blanca Molins; Esther Peña; Gemma Vilahur; Carlos Mendieta; Mark Slevin; Lina Badimon

From the Cardiovascular Research Center, CSIC-ICCC, Hospital de la Santa Creu i Sant Pau (U.A.B); CIBEROBN (06/03), Instituto Salud Carlos III (B.M., E.P., G.V., M.S., L.B.); Department of Priodontics, Faculty of Odontology, University of Barcelona, Barcelona, Spain (B.M., C.M.); and School of Biology, Chemistry, and Health Science, Manchester Metropolitan University, Manchester, United Kingdom (M.S.).

Correspondence to Prof Lina Badimon, Cardiovascular Research Center, C/Sant Antoni M^a Claret 167, 08025 Barcelona, Spain. E-mail lbadimon{at}csic-iccc.org

Objective— We studied the impact of native (natCRP) and modified CRP (mCRP) isoforms on platelet adhesion and thrombus growth under arterial flow.

Methods and Results— Blood was perfused over type I collagen at a wall shear rate of 1500 s^–1, and platelet deposition and thrombus growth were evaluated by confocal microscopy. natCRP and mCRP were either incubated with blood before perfusion experiments or immobilized in the collagen surface and exposed to flowing blood. mCRP significantly increased platelet adhesion and thrombus growth when directly incubated with blood and when immobilized on a collagen surface (P<0.05). In contrast, natCRP did not exert any effect. Confocal immunohistochemistry revealed the presence of CRP on the surface of adhered platelets and within the thrombus and showed an upregulation of P-selectin and CD36 in effluent platelets preincubated with mCRP (P<0.05). Flow cytometry analysis of agonist-induced platelet activation demonstrated that mCRP, but not natCRP, significantly increased platelet surface P-selectin (P<0.05) without modifying CD63 and PAC-1.

Conclusions— Our data indicate that whereas serum natCRP may not affect thrombus growth, mCRP displays a prothrombotic phenotype enhancing not only platelet deposition, but also thrombus growth under arterial flow conditions.

In this work, confocal microscopy analysis of thrombus growth under arterial flow showed that the monomeric isoform of C-reactive protein induces a prothrombotic effect. mCRP significantly enhanced platelet deposition and thrombus growth when incubated with blood and when immobilized on collagen, whereas natCRP was unable to produce such an effect.

Key Words: C-reactive protein • isoforms • thrombosis • platelets

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