A correlation between LP-PLA2 and monocyte levels in atherosclerosis risk subjects

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Abstract

Background. Cardiovascular disease (CVD) is the most significant cause of death worldwide. More than 17.9 million people died from CVD, of which 85% deceased due to heart disease. On the other hand, atherosclerosis is one of the most dominant CVD in most developing countries and developed countries. Lp-PLA2 is an enzyme produced by inflammatory cells and a pro-atherogenic protein in atherosclerosis. In the process, monocytes will produce Lp-PLA2 so that it may hydrolyse oxidized low density lipoprotein (oxLDL) into lysophosphatidylcholine (lysoPC) and oxidized fatty acids (oxFA), atherogenic proteins involved in atherogenesis. A chronic inflammatory process that occurs in atherosclerosis requires early detection to avoid CVD severity. The research aims to determine the correlation between Lp-PLA2 concentration and monocyte count as well as percentage in cohorts linked to risk of atherosclerosis. Materials and methods. This study was a descriptive correlational analysis of the population with conditions at risk of atherosclerosis. The total number of respondents sampled in this research was 86. We used the ELISA method to measure Lp-PLA2 concentration and the Hematology Analyzer method to measure monocyte count and percentage. Results. The relationship between monocyte and Lp-PLA2 level accounts for a probability value of 0.028. The correlation coefficient of 0.789 is categorized as very strong. Conclusion. Increase in the concentration of Lp-PLA2 correlates with monocyte count and percentage in a population with conditions at risk of atherosclerosis.

About the authors

K. Kumboyono

University of Brawijaya

Email: publikasikoe@gmail.com
ORCID iD: 0000-0003-2124-8673

School of Nursing, Faculty of Health Sciences

Indonesia, 65145, Malang

Indah N. Chomsy

University of Brawijaya

Email: indahncys@gmail.com
ORCID iD: 0000-0002-1050-3571

Doctoral Program of Medical Science, Faculty of Medicine

Indonesia, 65145, Malang

Dinesh Vijayadas

University of Brawijaya

Email: vidst@icloud.com

Medical Study Program, Faculty of Medicine

Indonesia, 65145, Malang

Titin A Wihastuti

University of Brawijaya

Author for correspondence.
Email: titinwihastuti@gmail.com
ORCID iD: 0000-0001-6476-0541

School of Nursing, Faculty of Health Sciences

Indonesia, 65145, Malang

References

  1. Anzola L.K., Rivera J.N., Ramirez J.C., Signore A., Mut F. Molecular imaging of vulnerable coronary plaque with radiolabeled somatostatin receptors (SSTR). J. Clin. Med., 2021, vol. 10, no. 23: 5515. doi: 10.3390/jcm10235515
  2. Ashraf M.A., Nookala V. Biochemistry of platelet activating factor. In: StatPearlsTreasure Island (FL): StatPearls Publishing; 2021. URL: https://www.ncbi.nlm.nih.gov/books/NBK557392 (07.01.2022)
  3. Badimon L., Padró T., Vilahur G. Atherosclerosis, platelets and thrombosis in acute ischaemic heart disease. Eur. Heart J. Acute Cardiovasc. Care, 2012, vol. 1, no. 1, pp. 60–74. doi: 10.1177/2048872612441582
  4. Badimon L., Vilahur, G. Thrombosis formation on atherosclerotic lesions and plaque rupture. J. Intern. Med., 2014, vol. 276, no. 6, pp. 618–632. doi: 10.1111/joim.12296
  5. Brilakis E., Khera A., McGuire D., See R., Banerjee S., Murphy S., de Lemos J. Influence of race and sex on lipoprotein-associated phospholipase A2 levels: observations from the Dallas Heart Study. Atherosclerosis, 2008, vol. 199, no. 1, pp. 110–115.
  6. Cai A., Li G., Chen J., Li X., Li L., Zhou Y. Increased serum level of Lp-PLA2 is independently associated with the severity of coronary artery diseases: a cross-sectional study of Chinese population. BMC Cardiovasc. Disord., 2015, vol. 15, no. 14. doi: 10.1186/s12872-015-0001-9
  7. Cardiovascular and and all-cause mortality over a 23-year period among Chinese with newly diagnosed diabetes in the Da Qing IGT and diabetes study. Diabetes Care, 2015, vol. 38, no. 7, pp. 1365–1371. doi: 10.2337/dc14-2498
  8. Coleman J.F. Robbins and Cotran's Pathologic Basis of Disease. Am. J. Surg. Pathol., 2010, vol. 34, no. 1: 132. doi: 10.1097/PAS.0b013e3181bc5f0f
  9. Colley K.J., Wolfert R.L., Cobble M.E. Lipoprotein associated phospholipase A2: Role in atherosclerosis and utility as a biomarker for cardiovascular risk. EPMA J., 2011, vol. 2, no. 1, pp. 27–38. doi: 10.1007/s13167-011-0063-4
  10. Da Silva I., Timm A. Damasceno N. Influence of obesity and cardiometabolic makers on lipoprotein-associated phospholipase A2 (LP-PLA2 ) activity in adolescents: the healthy young cross-sectional study. Lipids Health Dis., 2013, vol. 12, no. 1: 19. doi: 10.1186/1476-511X-12-19
  11. Franekvá J., Kettner J., Kubíček Z., Jabor A. The importance of age and statin therapy in the interpretation of LP-PLA2 in ACS patients, and relation to CRP. Physiol. Res., 2015, vol. 64, pp. 229–236. doi: 10.33549/physiolres.932765
  12. Gencer S., Evans B.R., van der Vorst E., Döring Y., Weber C. Inflammatory chemokines in atherosclerosis. Cells, 2021, vol. 10, no. 2: 226. doi: 10.3390/cells10020226
  13. Hilgendorf I., Swirski F.K., Robbins C.S. Monocyte fate in atherosclerosis. Arterioscler. Thromb. Vasc. Biol., 2015, vol. 35, no. 2, pp. 272–279. doi: 10.1161/ATVBAHA.114.303565
  14. Jaipersad A.S., Lip G.Y.H., Silverman S., Shantsila E. The role of monocytes in angiogenesis and atherosclerosis. J. Am. Coll. Cardiol., 2014, vol. 63, no. 1, pp. 1–11. doi: 10.1016/j.jacc.2013.09.019
  15. Kim M., Yoo H., Kim M., Ahn H., Park J., Lee S., Lee J. Associations among oxidative stress, Lp-PLA 2 activity and arterial stiffness according to blood pressure status at a 3.5-year follow-up in subjects with prehypertension. Atherosclerosis, 2017, vol. 257, pp. 179–185. doi: 10.1016/j.atherosclerosis.2017.01.006
  16. Libby P., DiCarli M., Weissleder R. The vascular biology of atherosclerosis and imaging targets. J. Nucl. Med., 2010, vol. 51, suppl. 1, pp. 33S–37S. doi: 10.2967/jnumed.109.069633
  17. Lin P., Ji H.H., Li Y.J., Guo S.D. Macrophage plasticity and atherosclerosis therapy. Front. Mol. Biosci., 2021, vol. 8: 679797. doi: 10.3389/fmolb.2021.679797
  18. Lind L., Simon T., Johansson L., Kotti S., Hansen T., Machecourt J., Ninio E., Tedgui A., Danchin N., Ahlström H., Mallat Z. Circulating levels of secretory- and lipoprotein-associated phospholipase A2 activities: relation to atherosclerotic plaques and future all-cause mortality. Eur. Heart. J., 2012, vol. 33, no. 23, pp. 2946–2954.
  19. Linton M.R.F., Yancey P.G., Davies S.S., Jerome W.G., Linton E.F., Song W.L., Doran A.C., Vickers K.C. The role of lipids and lipoproteins in atherosclerosis. 2019. In: Endotext. Eds.: Feingold K.R., Anawalt B., Boyce A., Chrousos G., de Herder W.W., Dhatariya K., Dungan K., Hershman J.M., Hofland J., Kalra S., Kaltsas G., Koch C., Kopp P., Korbonits M., Kovacs C.S., Kuohung W., Laferrère B., Levy M., McGee E.A., McLachlan R., Morley J.E., New M., Purnell J., Sahay R., Singer F., Sperling M.A., Stratakis C.A., Trence D.L., Wilson D.P. South Dartmouth (MA): MDText.com, Inc.; 2000. URL: https://www.ncbi.nlm.nih.gov/books/NBK343489 (07.01.2022)
  20. Maekawa Y., Anzai T., Yoshikawa T., Asakura Y., Takahashi T., Ishikawa S., Ogawa S. Prognostic significance of peripheral monocytosis after reperfused acute myocardial infarction:a possible role for left ventricular remodeling. J. Am. Coll. Cardiol., 2002, vol. 39, no. 2, pp. 241–246. doi: 10.1016/S0735-1097(01)01721-1
  21. Moore K.J., Sheedy F.J., Fisher E.A. Macrophages in atherosclerosis: a dynamic balance. Nat. Rev. Immunol., 2013, vol. 13, no. 10, pp. 709–721. doi: 10.1038/nri3520
  22. Rafieian-Kopaei M., Setorki M., Doudi M., Baradaran A., Nasri H. Atherosclerosis: process, indicators, risk factors and new hopes. Int. J. Prev. Med., 2014, vol. 5, no. 8, pp. 927–946.
  23. Rogacev K.S., Ulrich C., Blömer L., Hornof F., Oste K., Ziegelin, M., Heine G.H. Monocyte heterogeneity in obesity and subclinical atherosclerosis. Eur. Heart. J., 2010, vol. 31, no. 3, pp. 369–376. doi: 10.1093/eurheartj/ehp308
  24. Roved J., Westerdahl H., Hasselquist D. Sex differences in immune responses: hormonal effects, antagonistic selection, and evolutionary consequences. Horm. Behav., 2017, vol. 88, pp. 95–105. doi: 10.1016/j.yhbeh.2016.11.017
  25. Saougos V., Tambaki A., Kalogirou M., Kostapanos M., Gazi I., Wolfert R., Elisaf M., Tselepis A. Differential effect of hypolipidemic drugs on lipoprotein-associated phospholipase A2. Arterioscler. Thromb. Vasc. Biol., 2007, vol. 27, no. 10, pp. 2236–2243. doi: 10.1161/ATVBAHA.107.147280
  26. Sertić J., Lovrić J., Bozina T., Skorić B. and Reiner Z. Does LP-PLA2 determination help predict atherosclerosis and cardiocerebrovascular disease? Acta Med. Croatica, 2010, vol. 64, no. 4, pp. 237–245.
  27. Siddiqui M., Kennedy G., Carr F., Doney A., Pearson E., Morris A., Johnson T., McLaughlin M., Williams R. Palmer C. Lp-PLA2 activity is associated with increased risk of diabetic retinopathy: a longitudinal disease progression study. Diabetologia, 2018, vol. 61, no. 6, pp. 1344–1353.
  28. Steen D.L., O’Donoghue M.L. LP-PLA2 Inhibitors for the reduction of cardiovascular events. Cardiol. Ther., 2013, vol. 2, no. 2, pp. 125–134. doi: 10.1007/s40119-013-0022-3
  29. Stone N.J., Robinson J.G., Lichtenstein A.H., Bairey Merz C.N., Blum C.B., Eckel R.H., Goldberg A.C., Gordon D., Levy D., Lloyd-Jones D.M., McBride P., Schwartz J.S., Shero S.T., Smith S.C. Jr., Watson K., Wilson P.W. 2013 ACC/AHA guideline on the treatment of blood cholesterol to reduce atherosclerotic cardiovascular risk in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. J. Am. Coll. Cardiol., 2014, vol. 63, no. 25, part B, pp. 2889–2934. doi: 10.1016/j.jacc.2013.11.002
  30. Tolani S., Pagler T.A., Murphy A.J., Bochem A.E., Abramowicz S., Welch C., Nagareddy P.R., Holleran S., Hovingh G.K., Kuivenhoven J.A., Tall A.R. Hypercholesterolemia and reduced HDL-C promote hematopoietic stem cell proliferation and monocytosis: studies in mice and FH children. Atherosclerosis, 2013, vol. 229, no. 1, pp. 79–85. doi: 10.1016/j.atherosclerosis.2013.03.031
  31. Wang J., Jin M., Chen Y., Yuan Y., Ruan Y., Lu G. Lp-PLA2, a potential protector of lung cancer patients complicated with pleural effusion from lung diseases, proves effective for the diagnosis and pathological classification of lung cancer. Transl. Oncol., 2021,vol. 14, no. 4: 101030. doi: 10.1016/j.tranon.2021.101030
  32. Wihastuti T.A., Saka P.N.B., Sargowo D., Heriansyah T. The effect of darapladib administration to inflammation marker in early development of atherosclerosis: in vivo study for dyslipidemia model. Eur. Heart. J., 2019, vol. 21 (suppl. F), p. F51.
  33. World Health Organization (WHO). Cardiovascular Diseases (CVDs). 2017. URL: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds) (07.01.2022)
  34. Zhang F., Guo J., Yang F., Zhou Y. Lp-PLA2 evaluates the severity of carotid artery stenosis and predicts the occurrence of cerebrovascular events in high stroke-risk populations. J. Clin. Lab. Anal., 2021, vol. 35, no. 3: e23691. doi: 10.1002/jcla.23691

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Copyright (c) 2022 Kumboyono K., Chomsy I.N., Vijayadas D., Wihastuti T.A.

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