TY - JOUR
T1 - Early onset of endothelial cell proliferation in coronary thrombi of patients with an acute myocardial infarction: implications for plaque healing
AU - Li, X.
AU - Kramer, M. C.
AU - van der Loos, C. M.
AU - Ploegmakers, H. J. P.
AU - de Boer, O. J.
AU - Koch, K. T.
AU - Tijssen, J. G. P.
AU - de Winter, R. J.
AU - van der Wal, A. C.
PY - 2012
Y1 - 2012
N2 - Aims Coronary thrombotic occlusion in ST-segment elevation myocardial infarction (STEMI) patients is often preceded by episodes of progressive growth of the thrombus mass. Similar to wound healing, the organization of thrombus could depend on ingrowth of microvessels in order to stabilize its structure. We investigated the patterns of neovascularization in different stages of coronary thrombus evolution. Material and methods: Thrombectomy materials obtained from STEMI patients were histologically classified according to thrombus age in three groups: fresh ( <1 day), lytic (1-5 days) or organized (> 5 days) thrombi. Forty thrombi of each group were randomly collected. Neovascularization in the thrombi was evaluated histomorphologically and with immunodouble stains to visualize various differentiation antigens of endothelial cells (ECs) and primitive cells. Results: Morphologically, ECs in the coronary thrombi manifested as: single cells, cell clusters ormicrovessels. CD31+/ CD34+ ECs were present in 98% of all the thrombi. In addition, endothelial clusters were found in 63% of the fresh thrombi ( <1 day). CD105+, Ki67+, or C-kit+ ECs (active, proliferating cells) were observed in all the stages, but significantly more in organized thrombi (> 5 days) compared with fresh and lytic ones ( <5 days), andmainly as cell clusters (P <= 0.05 for all). CD133+ primitive cells were found only sporadically in 11% of all the samples. Conclusion: EC proliferation is initiated very early, and gradually progresses during the organization process of thrombus after coronary plaque disruption, with only a limited contribution of primitive cells in this process
AB - Aims Coronary thrombotic occlusion in ST-segment elevation myocardial infarction (STEMI) patients is often preceded by episodes of progressive growth of the thrombus mass. Similar to wound healing, the organization of thrombus could depend on ingrowth of microvessels in order to stabilize its structure. We investigated the patterns of neovascularization in different stages of coronary thrombus evolution. Material and methods: Thrombectomy materials obtained from STEMI patients were histologically classified according to thrombus age in three groups: fresh ( <1 day), lytic (1-5 days) or organized (> 5 days) thrombi. Forty thrombi of each group were randomly collected. Neovascularization in the thrombi was evaluated histomorphologically and with immunodouble stains to visualize various differentiation antigens of endothelial cells (ECs) and primitive cells. Results: Morphologically, ECs in the coronary thrombi manifested as: single cells, cell clusters ormicrovessels. CD31+/ CD34+ ECs were present in 98% of all the thrombi. In addition, endothelial clusters were found in 63% of the fresh thrombi ( <1 day). CD105+, Ki67+, or C-kit+ ECs (active, proliferating cells) were observed in all the stages, but significantly more in organized thrombi (> 5 days) compared with fresh and lytic ones ( <5 days), andmainly as cell clusters (P <= 0.05 for all). CD133+ primitive cells were found only sporadically in 11% of all the samples. Conclusion: EC proliferation is initiated very early, and gradually progresses during the organization process of thrombus after coronary plaque disruption, with only a limited contribution of primitive cells in this process
U2 - https://doi.org/10.1111/j.1538-7836.2012.04620.x
DO - https://doi.org/10.1111/j.1538-7836.2012.04620.x
M3 - Article
C2 - 22235978
SN - 1538-7933
VL - 10
SP - 466
EP - 473
JO - Journal of thrombosis and haemostasis
JF - Journal of thrombosis and haemostasis
IS - 3
ER -