PMID- 21420725 OWN - NLM STAT- MEDLINE DCOM- 20120110 LR - 20110718 IS - 1879-2472 (Electronic) IS - 0049-3848 (Linking) VI - 128 IP - 2 DP - 2011 Aug TI - Gene expression profiling reveals multiple differences in platelets from patients with stable angina or non-ST elevation acute coronary syndrome. PG - 161-8 LID - 10.1016/j.thromres.2011.02.012 [doi] AB - INTRODUCTION: Platelets play a key role in coronary artery disease. They have the capacity of protein synthesis through translation of megakaryocyte-derived mRNAs, which may influence pathophysiological functions. The present study aimed to prove the concept that platelets from patients with non-ST elevation acute coronary syndrome (NSTE-ACS) have differential mRNA expression profiles, in the hypothesis that this may influence their thrombogenicity. MATERIALS AND METHODS: Gene expression profiles were determined in RNA pools from resting platelets of patients with stable angina (SA, n = 14) or NSTE-ACS (n = 15) using a glass microarray platform. Validation was done by real-time PCR and immunoblot analyses in independent sets of individual samples (26 SA and 17 NSTE-ACS patients, in total). Parallel comparison with healthy subjects was performed to relate the relative abundance of validated genes in CAD patients to a control expression level. RESULTS: Microarray analysis identified 45 transcripts with a significant >/= +/- 2.0-fold difference in expression between NSTE-ACS and SA platelet pools. Thus, gene expression profiles at least partially discriminate unstable from stable CAD. Validation confirmed a significant over-expression of 3 genes in NSTE-ACS at both mRNA and protein level. In particular, the glycoprotein Ib beta-polypeptide (GP1BB) was increased in NSTE-ACS also in comparison with healthy subjects. CONCLUSION: This study provides evidence that NSTE-ACS platelets are potentially preconditioned to a higher degree of reactivity on the transcriptional level. Our data suggest that a different composition of the mRNA pool might mediate an increased platelet prothrombotic potential in NSTE-ACS patients. CI - Copyright (c) 2011 Elsevier Ltd. All rights reserved. FAU - Colombo, Gualtiero AU - Colombo G AD - Centro Cardiologico Monzino IRCCS, Via Parea 4, Milan, Italy. FAU - Gertow, Karl AU - Gertow K FAU - Marenzi, Giancarlo AU - Marenzi G FAU - Brambilla, Marta AU - Brambilla M FAU - De Metrio, Monica AU - De Metrio M FAU - Tremoli, Elena AU - Tremoli E FAU - Camera, Marina AU - Camera M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20110321 PL - United States TA - Thromb Res JT - Thrombosis research JID - 0326377 RN - 63231-63-0 (RNA) SB - IM MH - Acute Coronary Syndrome/*blood/*genetics MH - Aged MH - Angina, Stable/*blood/*genetics MH - Blood Platelets/metabolism MH - Female MH - Gene Expression Profiling MH - Humans MH - Male MH - Middle Aged MH - Oligonucleotide Array Sequence Analysis MH - Platelet Count MH - RNA/blood EDAT- 2011/03/23 06:00 MHDA- 2012/01/11 06:00 CRDT- 2011/03/23 06:00 PHST- 2010/05/11 00:00 [received] PHST- 2011/02/16 00:00 [revised] PHST- 2011/02/21 00:00 [accepted] PHST- 2011/03/23 06:00 [entrez] PHST- 2011/03/23 06:00 [pubmed] PHST- 2012/01/11 06:00 [medline] AID - S0049-3848(11)00093-4 [pii] AID - 10.1016/j.thromres.2011.02.012 [doi] PST - ppublish SO - Thromb Res. 2011 Aug;128(2):161-8. doi: 10.1016/j.thromres.2011.02.012. Epub 2011 Mar 21.