Abstract
Atherothrombosis remains a major cause of morbidity and mortality in the western world. The underlying processes associated with clinical expression of atherothrombosis include oxidative stress and proteolysis in relation to neovascularisation and intraplaque hemorrhages, leading to immuno-inflammatory response, cell death, and extracellular matrix breakdown. The complex biological multifactorial nature of atherothrombosis requires the development of novel technologies that allow the analysis of cellular and molecular processes responsible for the transition to disease phenotypes and the discovery of new diagnostic and prognostic biomarkers. In the present article, we have reviewed recent advances in the application of proteomic and metabolomic techniques to the study of atherothrombosis. We have focused on recent studies analyzing cells involved in hemo-thrombus formation (platelets, red blood cells, and polymorphonuclear cells), as well as tissues, tissue-conditioned media, and plasma of atherothrombotic patients. In the future, the application of these high-throughput technologies, along with imaging techniques, in systems biology approaches will help to individualize medicine.
Similar content being viewed by others
References
Papers of particular interest, published recently, have been highlighted as: •• Of major importance
Bhatt DL, Steg PG, Ohman EM, et al.: International prevalence, recognition, and treatment of cardiovascular risk factors in outpatients with atherothrombosis. JAMA 2006, 295:180–189.
Baumgartner I, Hirsch AT, Abola MT, et al.: Cardiovascular risk profile and outcome of patients with abdominal aortic aneurysm in out-patients with atherothrombosis: data from the Reduction of Atherothrombosis for Continued Health (REACH) Registry. J Vasc Surg 2008, 48:808–814.
Cacoub PP, Abola MT, Baumgartner I, et al.: Cardiovascular risk factor control and outcomes in peripheral artery disease patients in the Reduction of Atherothrombosis for Continued Health (REACH) Registry. Atherosclerosis 2009, 204:e86–e92.
Kolodgie FD, Gold HK, Burke AP, et al.: Intraplaque hemorrhage and progression of coronary atheroma. N Engl J Med 2003, 349:2316–2325.
Takaya N, Yuan C, Chu B, et al.: Presence of intraplaque hemorrhage stimulates progression of carotid atherosclerotic plaques: a high-resolution magnetic resonance imaging study, Circulation 2005, 111:2768–2775.
Virmani R, Kolodgie FD, Burke AP, et al.: Atherosclerotic plaque progression and vulnerability to rupture: angiogenesis as a source of intraplaque hemorrhage, Arterioscler Thromb Vasc Biol 2005, 25:2054–2061.
Levy AP, Moreno PR: Intraplaque hemorrhage. Curr Mol Med 2006, 6:479–488.
Sluimer JC, Kolodgie FD, Bijnens AP, et al.: Thin-walled microvessels in human coronary atherosclerotic plaques show incomplete endothelial junctions relevance of compromised structural integrity for intraplaque microvascular leakage. J Am Coll Cardiol 2009, 53:1517–1527.
Coutard M, Touat Z, Houard X, et al.: Thrombus versus wall biological activities in experimental aortic aneurysms. J Vasc Res 2009, 47:355–366.
Swedenborg J, Eriksson P: The intraluminal thrombus as a source of proteolytic activity. Ann N Y Acad Sci 2006, 1085:133–138.
Wei Y, Czuchlewski D, Peerschke EI: Development of proteomic signatures of platelet activation using Surface-Enhaced Laser Desrption/Ionization technology in a clinical setting. Am J Clin Pathol 2008, 129:862–869.
Hernandez-Ruiz L, Valverde F, Jimenez-Nuñez MD, et al.: Organellar proteomics of human platelet dense granules reveals that 14-3-3zeta is a granule protein related to atherosclerosis. J Proteome Res 2007, 6:4449–4457.
Thandavarayan RA, Watanabe K, Ma M, et al.: 14-3-3 protein regulates Ask1 signaling and protects against diabetic cardiomyopathy. Biochem Pharacol 2008, 75:1797–1806.
Tucker KL, Kaiser WJ, Bergeron AL, et al.: Proteomic analysis of resting and thrombin-stimulated platelets reveals the translocation and functional relevance of HIP-55 in platelets. Proteomics 2009, 9:4340–4354.
Garcia A, Senis YA, Antrobus R, et al.: A global proteomics approach identifies novel phosphorylated signalling proteins in GPVI-activated platelets: involvement of G6f, a novel platelet Grb2-binding membrane adapter. Proteomics 2006, 6:5332–5343.
Kaiser WJ, Holbrook LM, Tucker KL, et al.: A functional proteomics method for the enrichment of Peripherals membrane proteins reveals the collagen binding protein Hsp47 is exposed on the surface of activated human platelets. J Proteome Res 2009, 8:2903–2914.
Roux-Dalvai F, Gonzalez de Peredo A, Simó C, et al.: Extensive analysis of the cytoplasmic proteome of human erythrocytes using the peptide ligand library technology and advanced mass spectrometry. Mol Cell Proteomics 2008, 7:2254–2269.
Ringrose JH, van Solinge WW, Mohammed S, et al.: Highly efficient depletion strategy for the two most abundant erythrocyte soluble proteins improves proteome coverage dramatically. J Proteome Res 2008, 7:3060–3063.
Baetta R, Corsini A: Role of polymorphonuclear neutrophils in atherosclerosis: current state and future perspectives. Atherosclerosis 2009 (in press).
Naruko T, Ueda M, Haze K, et al.: Neutrophil infiltration of culprit lesions in acute coronary syndromes. Circulation 2002, 3:2894–2900.
Leclercq A, Houard X, Philippe M, et al.: Involvement of intraplaque hemorrhage in atherothrombosis evolution via neutrophil protease enrichment. J Leukoc Biol 2007, 82:1420–1429.
Lominadze G, Powell DW, Luerman GC, et al.: Proteomic analysis of human neutrophil granules. Mol Cell Proteomics 2005, 4:1503–1521.
Karadag B, Kucur M, Isman FK, et al.: Serum chitotriosidase activity in patients with coronary artery disease. Circ J 2008, 72:71–75.
Xu P, Crawford M, Way M, et al.: Subproteome analysis of the neutrophil cytoskeleton. Proteomics 2009, 9:2037–2049.
Dittrich M, Birschmann I, Mietner S, et al.: Platelet protein interactions. Maps signaling components and phosphorylation groundstate. Arterioscler Thromb Vasc Biol 2008, 28:1326–1331.
Lewandrowski U, Wortelkamp S, Lohrig K, et al.: Platelet membrane proteomics: a novel repository for functional research. Blood 2009, 114:e10–19.
Goodman SR, Kurdia A, Ammann L, et al.: The human red blood cell proteome and interactome. Exp Biol Med (Maywood) 2007, 232:1391–1408.
Lepedda AJ, Cigliano A, Cherchi GM, et al.: A proteomic approach to differentiate histologically classified stable and unstable plaques from human carotid arteries. Atherosclerosis 2009, 203:112–118.
•• de Kleijn DP, Moll FL, Hellings WE, et al.: Local atherosclerotic plaques are a source of prognostic biomarkers for adverse cardiovascular events. Arterioscler Thromb Vasc Biol 2010(in press). This is the first study in which proteomics applied to human atherosclerotic plaques identified a biomarker with predictive value for the occurrence of adverse cardiovascular events.
•• Urbonavicius S, Lindholt JS, Vorum H, et al.: Proteomic identification of differentially expressed proteins in aortic wall of patients with ruptured and nonruptured abdominal aortic aneurysms. J Vasc Surg 2009, 49:455–463. The is the first study in which proteomics were applied to human walls from patients with ruptured AAA.
Martin-Ventura JL, Duran MC, Blanco-Colio LM, et al.: Identification by a differential proteomic approach of heat shock protein 27 as a potential marker of atherosclerosis. Circulation 2004, 110:2216–2219.
Blanco-Colio LM, Martín-Ventura JL, Muñóz-García B, et al.: Identification of soluble tumor necrosis factor-like weak inducer of apoptosis (sTWEAK) as a possible biomarker of subclinical atherosclerosis. Arterioscler Thromb Vasc Biol 2007, 27:916–922.
•• Dejouvencel T, Féron D, Rossignol P, et al.: Hemorphin 7 reflects hemoglobin proteolysis in abdominal aortic aneurysm. Arterioscler Thromb Vasc Biol 2010, 30:269–275. The is the first study in which proteomics were applied to human thrombus from patients with AAA.
Pernemalm M, Orre LM, Lengqvist J, et al.: Evaluation of three principally different intact protein prefractionation methods for plasma biomarker discovery. J Proteome Res 2008, 7:2712–2722.
Wilson AM, Kimura E, Harada RK, et al.: Beta2-microglobulin as a biomarker in peripheral arterial disease: proteomic profiling and clinical studies. Circulation 2007, 116:1396–1403.
Distelmaier K, Adlbrecht C, Jakowitsch J, et al.: Local complement activation triggers neutrophil recruitment to the site of thrombus formation in acute myocardial infarction. Thromb Haemost 2009, 102:564–572.
Bossi F, Rizzi L, Bulla R, et al.: C7 is expressed on endothelial cells as a trap for the assembling terminal complement complex and may exert anti-inflammatory function. Blood 2009, 113:3640–3648.
Pagano MB, Zhou HF, Ennis TL, et al.: Complement-dependent neutrophil recruitment is critical for the development of elastase-induced abdominal aortic aneurysm. Circulation 2009, 119:1805–1813.
Sabatine MS, Liu E, Morrow DA, et al.: Metabolomic identification of novel biomarkers of myocardial ischemia. Circulation 2005, 112:3868–3875.
Brindle JT, Antti H, Holmes E, et al.: Rapid and noninvasive diagnosis of the presence and severity of coronary heart disease using 1H-NMR-based metabonomics. Nat Med 2002, 8:1439–1444.
Brindle JT, Nicholson JK, Schofield PM, et al.: Application of chemometrics to 1H NMR spectroscopic data to investigate a relationship between human serum metabolic profiles and hypertension. Analyst 2003, 128:32–36.
Kirschenlohr HL, Griffin JL, Clarke SC, et al.: Proton NMR analysis of plasma is a weak predictor of coronary artery disease. Nat Med 2006, 12:705–710.
Vallejo A, Usobiaga A, Martinez-Arkarazo I, et al.: Ultrasonic-assisted derivatization of estrogenic compounds in a cup horn booster and determination by GC-MS. J Sep Sci 2009, 33:104–111.
Teul J, Rupérez FJ, Garcia A, et al.: Improving metabolite knowledge in stable atherosclerosis patients by association and correlation of GC-MS and 1H NMR fingerprints. J Proteome Res 2009, 8:5580–5589.
Mayr M, Chung YL, Mayr U, et al.: Proteomic and metabolomic analyses of atherosclerotic vessels from apolipoprotein E-deficient mice reveal alterations in inflammation, oxidative stress, and energy metabolism. Arterioscler Thromb Vasc Biol 2005, 25:2135–2142.
He W, Miao FJ, Lin DC, et al.: Citric acid cycle intermediates as ligands for orphan G-protein-coupled receptors. Nature 2004, 429:188–193.
Lewis GD, Asnani A, Gerszten RE: Application of metabolomics to cardiovascular biomarker and pathway discovery. J Am Coll Cardiol 2008, 52:117–123.
Wheelock CE, Wheelock AM, Kawashima S, et al.: Systems biology approaches and pathway tools for investigating cardiovascular disease. Mol Biosyst 2009, 5:588–602.
Acknowledgments
The papers from the authors cited in the present review have been supported by European Network (HEALTH F2-2008-200647), SAF 2007/63648, SAF2007/60896, CAM (S2006/GEN-0247), Fundación Ramón Areces, Ministerio de Sanidad y Consumo, Instituto de Salud Carlos III, Red RECAVA (RD06/0014/0035), Fondo de Investigaciones Sanitarias (Programa Miguel Servet to L.M.B-C). The Centro Nacional de Investigaciones Cardiovasculares (CNIC) is supported by MICINN and Pro CNIC Foundation.
Disclosure
No potential conflicts of interest relevant to this article were reported.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Martinez-Pinna, R., Barbas, C., Blanco-Colio, L.M. et al. Proteomic and Metabolomic Profiles in Atherothrombotic Vascular Disease. Curr Atheroscler Rep 12, 202–208 (2010). https://doi.org/10.1007/s11883-010-0102-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11883-010-0102-y