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2015 ; 46
(6
): 1651-6
Nephropedia Template TP
gab.com Text
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English Wikipedia
Myeloperoxidase is increased in human cerebral aneurysms and increases formation
and rupture of cerebral aneurysms in mice
#MMPMID25922506
Chu Y
; Wilson K
; Gu H
; Wegman-Points L
; Dooley SA
; Pierce GL
; Cheng G
; Pena Silva RA
; Heistad DD
; Hasan D
Stroke
2015[Jun]; 46
(6
): 1651-6
PMID25922506
show ga
BACKGROUND AND PURPOSE: Cerebral aneurysm (CA) affects 3% of the population and
is associated with hemodynamic stress and inflammation. Myeloperoxidase, a major
oxidative enzyme associated with inflammation, is increased in patients with CA,
but whether myeloperoxidase contributes to CA is not known. We tested the
hypotheses that myeloperoxidase is increased within human CA and is critical for
formation and rupture of CA in mice. METHODS: Blood was drawn from the lumen of
CAs and femoral arteries of 25 patients who underwent endovascular coiling of CA,
and plasma myeloperoxidase concentrations were measured with ELISA. Effects of
endogenous myeloperoxidase on CA formation and rupture were studied in
myeloperoxidase knockout mice and wild-type (WT) mice using an angiotensin
II-elastase induction model of CA. In addition, effects of myeloperoxidase on
inflammatory gene expression in endothelial cells were analyzed. RESULTS: Plasma
concentrations of myeloperoxidase were 2.7-fold higher within CA than in femoral
arterial blood in patients with CA. myeloperoxidase-positive cells were increased
in aneurysm tissue compared with superficial temporal artery of patients with CA.
Incidence of aneurysms and subarachnoid hemorrhage was significantly lower in
myeloperoxidase knockout than in WT mice. In cerebral arteries, proinflammatory
molecules, including tumor necrosis factor-?, cyclooxygenase-2 (COX2), chemokine
(C-X-C motif) ligand 1 (CXCL1), chemokine (C motif) ligand (XCL1), matrix
metalloproteinase (MMP) 8, cluster of differentiation 68 (CD68), and matrix
metalloproteinase 13, and leukocytes were increased, and ?-smooth muscle actin
was decreased, in WT but not in myeloperoxidase knockout mice after induction of
CA. Myeloperoxidase per se increased expression of vascular cell adhesion
molecule-1 and intercellular adhesion molecule-1 in endothelial cells.
CONCLUSIONS: These findings suggest that myeloperoxidase may contribute
importantly to formation and rupture of CA.