Abstract
Background
Caspase-3, an apoptosis protease, is expressed in atherosclerotic plaques. We examined the relationship between plasma caspase-3 levels, aortic compliance, and atherosclerosis.
Methods
Caspase-3 was measured in 3,221 subjects from the Dallas Heart Study. Electron beam computed tomography measures of coronary calcium (CAC) (n = 2,404) and magnetic resonance imaging (MRI) measures of abdominal aortic wall thickness (AWT) (n = 2,208) and aortic compliance (AC) (n = 2,328) were obtained. Multivariate analyses were performed, adjusting for age, sex, ethnicity, body mass index (BMI), traditional cardiovascular risk factors, and cardiac medications.
Results
In univariable analysis, caspase-3 associated with CAC (P < 0.0001), AWT (P = 0.002), and AC (P < 0.0001). After multivariable adjustment, 4th quartile caspase-3 (compared to 1st quartile) was significantly associated with CAC (P = 0.004), AWT (P = 0.02), and AC (P < 0.0001) with similar findings for caspase-3 as a continuous variable.
Conclusions
Caspase-3 independently associates with CAC, AWT, and AC, suggesting a link between apoptosis and atherosclerosis.
Similar content being viewed by others
References
Viles-Gonzalez J, Fuster V, Badimon J (2006) Links between inflammation and thrombogenicity in atherosclerosis. Curr Mol Med 6:489–499. doi:10.2174/156652406778018707
Ait-Oufella H, Kinugawa K, Zoll J et al (2007) Lactadherin deficiency leads to apoptotic cell accumulation and accelerated atherosclerosis in mice. Circulation 115:2168–2177. doi:10.1161/CIRCULATIONAHA.106.662080
Akishima Y, Akasaka Y, Ishikawa Y et al (2005) Role of macrophage and smooth muscle cell apoptosis in association with oxidized low-density lipoprotein in the atherosclerotic development. Mod Pathol 18:365–373. doi:10.1038/modpathol.3800249
Bennett M (1999) Apoptosis of vascular smooth muscle cells in vascular remodelling and atherosclerotic plaque rupture. Cardiovasc Res 41:361–368. doi:10.1016/S0008-6363(98)00212-0
Bennett M, Evan G, Schwartz S (1995) Apoptosis of human vascular smooth muscle cells derived from normal vessels and coronary atherosclerotic plaques. J Clin Invest 95:2266–2274. doi:10.1172/JCI117917
Best P, Hasdai D, Sangiorgi G et al (1999) Apoptosis. Basic concepts and implications in coronary artery disease. Arterioscler Thromb Vasc Biol 19:14–22
Dimmeler S, Hermann C, Zeiher A (1998) Apoptosis of endothelial cells. Contribution to the pathophysiology of atherosclerosis? Eur Cytokine Netw 9:697–698
Norata G, Tonti L, Roma P, Catapano A (2002) Apoptosis and proliferation of endothelial cells in early atherosclerotic lesions: possible role of oxidised LDL. Nutr Metab Cardiovasc Dis 12:297–305
Krajewska M, Wang H-G, Krajewski S et al (1997) Immunohistochemical analysis of in vivo patterns of expression of CPP32 (Caspase-3), a cell death protease. Cancer Res 57:1605–1613
Chen F, Eriksson P, Kimura T, Herzfeld I, Valen G (2005) Apoptosis and angiogenesis are induced in the unstable coronary atherosclerotic plaque. Coron Artery Dis 16:191–197. doi:10.1097/00019501-200505000-00009
Littlewood T, Bennett M (2003) Apoptotic cell death in atherosclerosis. Curr Opin Lipidol 14:469–475. doi:10.1097/00041433-200310000-00007
Reeve JL, Duffy AM, O’Brien T, Samali A (2005) Don’t lose heart—therapeutic value of apoptosis prevention in the treatment of cardiovascular disease. J Cell Mol Med 9:609–622. doi:10.1111/j.1582-4934.2005.tb00492.x
Cryns V, Yuan J (1998) Proteases to die for. Genes Dev 12:1551–1570. Erratum appears in Genes Dev 13(3):371 (1999). doi:10.1101/gad.12.11.1551
Nhan T, Liles W, Chait A, Fallon J, Schwartz S (2003) The p17 cleaved form of caspase-3 is present within viable macrophages in vitro and in atherosclerotic plaque. Arterioscler Thromb Vasc Biol 23:1276–1282. doi:10.1161/01.ATV.0000078602.54433.07
Martin-Ventura J, Blanco-Colio L, Munoz-Garcia B et al (2004) NF-kappaB activation and Fas ligand overexpression in blood and plaques of patients with carotid atherosclerosis: potential implication in plaque instability. Stroke 35:458–463. doi:10.1161/01.STR.0000114876.51656.7A
Prunet C, Petit J, Ecarnot-Laubriet A et al (2006) High circulating levels of 7beta- and 7alpha-hydroxycholesterol and presence of apoptotic and oxidative markers in arterial lesions of normocholesterolemic atherosclerotic patients undergoing endarterectomy. Pathol Biol (Paris) 54:22–32. doi:10.1016/j.patbio.2004.11.002
Victor R, Haley R, Willett D et al (2004) The Dallas Heart Study: a population-based probability sample for the multidisciplinary study of ethnic differences in cardiovascular health. Am J Cardiol 93:1473–1480. doi:10.1016/j.amjcard.2004.02.058
Jain T, Peshock R, McGuire D et al (2004) African Americans and Caucasians have a similar prevalence of coronary calcium in the Dallas Heart Study. J Am Coll Cardiol 44:1011–1017. doi:10.1016/j.jacc.2004.05.069
Drazner M, Dries D, Peshock R et al (2005) Left ventricular hypertrophy is more prevalent in blacks than whites in the general population: the Dallas Heart Study. Hypertension 46:124–129; See comment. doi:10.1161/01.HYP.0000169972.96201.8e
Rivers E, Kruse J, Jacobsen G et al (2007) The influence of early hemodynamic optimization on biomarker patterns of severe sepsis and septic shock. Crit Care Med 35:2016–2024; See comment. doi:10.1097/01.CCM.0000281637.08984.6E
Khera A, McGuire D, Murphy S et al (2005) Race and gender differences in C-reactive protein levels. J Am Coll Cardiol 46:464–469. doi:10.1016/j.jacc.2005.04.051
Abdullah S, Khera A, Das S et al (2005) Relation of coronary atherosclerosis determined by electron beam computed tomography and plasma levels of N-terminal pro-brain natriuretic peptide in a multiethnic population-based sample (the Dallas Heart Study). Am J Cardiol 96:1284–1289. doi:10.1016/j.amjcard.2005.06.073
de Lemos JA, Morrow DA, Bentley JH et al (2001) The prognostic value of B-type natriuretic peptide in patients with acute coronary syndromes. N Engl J Med 345:1014–1021. doi:10.1056/NEJMoa011053
Deo R, Khera A, McGuire D et al (2004) Association among plasma levels of monocyte chemoattractant protein-1, traditional cardiovascular risk factors, and subclinical atherosclerosis. J Am Coll Cardiol 44:1812–1818; Comment. doi:10.1016/j.jacc.2004.07.047
Abedin M, Omland T, Ueland T et al (2007) Relation of osteoprotegerin to coronary calcium and aortic plaque (from the Dallas Heart Study). Am J Cardiol 99:513–518. doi:10.1016/j.amjcard.2006.08.064
Wallace T, Abdullah S, Drazner M et al (2006) Prevalence and determinants of troponin T elevation in the general population. Circulation 113:1958–1965. doi:10.1161/CIRCULATIONAHA.105.609974
Guerra R, Yu Z, Marcovina S, Peshock R, Cohen J, Hobbs H (2005) Lipoprotein(a) and apolipoprotein(a) isoforms: no association with coronary artery calcification in the Dallas Heart Study. Circulation 111:1471–1479. doi:10.1161/01.CIR.0000159263.50305.BD
de Lemos J, Zirlik A, Schonbeck U et al (2005) Associations between soluble CD40 ligand, atherosclerosis risk factors, and subclinical atherosclerosis: results from the Dallas Heart Study. Arterioscler Thromb Vasc Biol 25:2192–2196. doi:10.1161/01.ATV.0000182904.08513.60
Abedin M, Omland T, Ueland T et al (2007) Relation of osteoprotegerin to coronary calcium and aortic plaque (from the Dallas Heart Study). Am J Cardiol 99:513–518; See comment. doi:10.1016/j.amjcard.2006.08.064
Heeschen C, Dimmeler S, Hamm C et al (2003) Soluble CD40 ligand in acute coronary syndromes. N Engl J Med 348:1104–1111. doi:10.1056/NEJMoa022600
Ridker P, Rifai N, Rose L, Buring J, Cook N (2002) Comparison of C-reactive protein and low-density lipoprotein cholesterol levels in the prediction of first cardiovascular events. N Engl J Med 347:1557–1565; See comment. doi:10.1056/NEJMoa021993
Hebert M, Masse M, Vigneault N, Sirois I, Troyanov S, Madore F (2001) Soluble Fas is a marker of coronary artery disease in patients with end-stage renal disease. Am J Kidney Dis 38:1271–1276. doi:10.1053/ajkd.2001.29224
Masse M, Hebert M, Troyanov S, Vigneault N, Sirois I, Madore F (2002) Soluble Fas is a marker of peripheral arterial occlusive disease in haemodialysis patients. Nephrol Dial Transplant 17:485–491. doi:10.1093/ndt/17.3.485
Troyanov S, Hebert M, Masse M, Vigneault N, Sirois I, Madore F (2003) Soluble Fas: a novel predictor of atherosclerosis in dialysis patients. Am J Kidney Dis 41:1043–1051. doi:10.1016/S0272-6386(03)00202-6
Okura T, Watanabe S, Jiang Y et al (2002) Soluble Fas ligand and atherosclerosis in hypertensive patients. J Hypertens 20:895–898; See comment. doi:10.1097/00004872-200205000-00024
van der Meer I, Oei H, Hofman A, Pols H, de Jong F, Witteman J (2006) Soluble Fas, a mediator of apoptosis, C-reactive protein, and coronary and extracoronary atherosclerosis. The Rotterdam Coronary Calcification Study. Atherosclerosis 189:464–469. doi:10.1016/j.atherosclerosis.2006.01.004
Boyle J, Weissberg P, Bennett M (2003) Tumor necrosis factor-alpha promotes macrophage-induced vascular smooth muscle cell apoptosis by direct and autocrine mechanisms. Arterioscler Thromb Vasc Biol 23:1553–1558. doi:10.1161/01.ATV.0000086961.44581.B7
Tintut Y, Patel J, Parhami F, Demer LL (2000) Tumor necrosis factor-α promotes in vitro calcification of vascular cells via the cAMP pathway. Circulation 102:2636–2642
Reilly M, Rohatgi A, McMahon K et al (2007) Plasma cytokines, metabolic syndrome, and atherosclerosis in humans. J Investig Med 55:26–35. doi:10.2310/6650.2007.06013
Hong MK, Vossoughi J, Mintz GS et al (1997) Altered compliance and residual strain precede angiographically detectable early atherosclerosis in low-density lipoprotein receptor deficiency. Arterioscler Thromb Vasc Biol 17:2209–2217
Dalessandri KM, Bogren H, Lantz BM, Tsukamoto H, Bjorkerud S, Brock J (1990) Aortic compliance in hypercholesterolemic Watanabe rabbits compared to normal New Zealand controls. J Invest Surg 3:245–251. doi:10.3109/08941939009140354
Farrar DJ, Bond MG, Riley WA, Sawyer JK (1991) Anatomic correlates of aortic pulse wave velocity and carotid artery elasticity during atherosclerosis progression and regression in monkeys. Circulation 83:1754–1763
Franklin SS, Khan SA, Wong ND, Larson MG, Levy D (1999) Is pulse pressure useful in predicting risk for coronary heart Disease? The Framingham Heart Study. Circulation 100:354–360
Lehmann ED, Hopkins KD, Gosling RG (1993) Aortic compliance measurements using Doppler ultrasound: in vivo biochemical correlates. Ultrasound Med Biol 19:683–710. doi:10.1016/0301-5629(93)90087-5
Nigam A, Mitchell GF, Lambert J, Tardif JC (2003) Relation between conduit vessel stiffness (assessed by tonometry) and endothelial function (assessed by flow-mediated dilatation) in patients with and without coronary heart disease. Am J Cardiol 92:395–399. doi:10.1016/S0002-9149(03)00656-8
Budoff MJ, Shaw LJ, Liu ST et al (2007) Long-term prognosis associated with coronary calcification: observations from a registry of 25, 253 patients. J Am Coll Cardiol 49:1860–1870; See comment. doi:10.1016/j.jacc.2006.10.079
Trion A, van der Laarse A (2004) Vascular smooth muscle cells and calcification in atherosclerosis. Am Heart J 147:808–814. doi:10.1016/j.ahj.2003.10.047
Proudfoot D, Skepper J, Hegyi L, Bennett M, Shanahan C, Weissberg P (2000) Apoptosis regulates human vascular calcification in vitro: evidence for initiation of vascular calcification by apoptotic bodies. Circ Res 87:1055–1062
Clarke M, Littlewood T, Figg N et al (2008) Chronic apoptosis of vascular smooth muscle cells accelerates atherosclerosis and promotes calcification and medial degeneration. Circ Res 102:1529–1538. doi:10.1161/CIRCRESAHA.108.175976
Kockx MM, De Meyer GRY, Muhring J, Jacob W, Bult H, Herman AG (1998) Apoptosis and related proteins in different stages of human atherosclerotic plaques. Circulation 97:2307–2315
Samali A, Zhivotovsky B, Jones DP, Orrenius S (1998) Detection of pro-caspase-3 in cytosol and mitochondria of various tissues. FEBS Lett 431:167–169. doi:10.1016/S0014-5793(98)00740-6
Balsam L, Mokhtari G, Jones S et al (2005) Early inhibition of caspase-3 activity lessens the development of graft coronary artery disease. J Heart Lung Transplant 24:827–832. doi:10.1016/j.healun.2004.05.015
Sarai M, Hartung D, Petrov A et al (2007) Broad and specific caspase inhibitor-induced acute repression of apoptosis in atherosclerotic lesions evaluated by radiolabeled annexin A5 imaging. J Am Coll Cardiol 50:2305–2312. doi:10.1016/j.jacc.2007.08.044
Viles-Gonzalez J, Fuster V, Corti R et al (2005) Atherosclerosis regression and TP receptor inhibition: effect of S18886 on plaque size and composition—a magnetic resonance imaging study. Eur Heart J 26:1557–1561. doi:10.1093/eurheartj/ehi175
Hartung D, Sarai M, Petrov A et al (2005) Resolution of apoptosis in atherosclerotic plaque by dietary modification and statin therapy. J Nucl Med 46:2051–2056
Moran E, Agrawal D (2007) Increased expression of inhibitor of apoptosis proteins in atherosclerotic plaques of symptomatic patients with carotid stenosis. Exp Mol Pathol 83:11–16. doi:10.1016/j.yexmp.2006.09.006
Acknowledgments
Dr. de Lemos receives both grant support from and is a consultant for Biosite/Inverness (San Diego, CA). The other authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Matulevicius, S., Rohatgi, A., Khera, A. et al. The association between plasma caspase-3, atherosclerosis, and vascular function in the Dallas Heart Study. Apoptosis 13, 1281–1289 (2008). https://doi.org/10.1007/s10495-008-0254-1
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10495-008-0254-1