Circulating Cell Biomarkers in Pulmonary Arterial Hypertension

Background: Endothelial dysfunction is central to PAH. In this study, we simultaneously analysed circulating levels of endothelial microvesicles (EMVs) and progenitor cells (PCs) in PAH and in controls, as biomarkers of pulmonary endothelial integrity and evaluated differences among PAH subtypes and...

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Autores: Tura-Ceide, Olga|||0000-0003-4334-9790, Blanco, Isabel|||0000-0001-9452-3432, Garcia-Lucio, Jéssica, del Pozo, Roberto, García, Agustín Roberto, Ferrer, Elisabet|||0000-0002-0900-5436, Crespo García, Isabel, Rodríguez-Chiaradia, Diego A.|||0000-0002-8566-4011, Simeón-Aznar, Carmen Pilar|||0000-0003-3390-9029, López-Meseguer, Manuel|||0000-0003-2650-9238, Martín-Ontiyuelo, Clara, Peinado, Víctor I., Barberà i Mir, Joan Albert|||0000-0003-1469-4990
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:294821
Acceso en línea:https://ddd.uab.cat/record/294821
https://dx.doi.org/urn:doi:10.3390/cells10071688
Access Level:acceso abierto
Palabra clave:Pulmonary arterial hypertension
Endothelial dysfunction
Biomarkers
Progenitor cells
Endothelial extracellular vesicles
PAH-specific treatment
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spelling Circulating Cell Biomarkers in Pulmonary Arterial HypertensionRelationship with Clinical Heterogeneity and Therapeutic ResponseTura-Ceide, Olga|||0000-0003-4334-9790Blanco, Isabel|||0000-0001-9452-3432Garcia-Lucio, Jéssicadel Pozo, RobertoGarcía, Agustín RobertoFerrer, Elisabet|||0000-0002-0900-5436Crespo García, IsabelRodríguez-Chiaradia, Diego A.|||0000-0002-8566-4011Simeón-Aznar, Carmen Pilar|||0000-0003-3390-9029López-Meseguer, Manuel|||0000-0003-2650-9238Martín-Ontiyuelo, ClaraPeinado, Víctor I.Barberà i Mir, Joan Albert|||0000-0003-1469-4990Pulmonary arterial hypertensionEndothelial dysfunctionBiomarkersProgenitor cellsEndothelial extracellular vesiclesPAH-specific treatmentBackground: Endothelial dysfunction is central to PAH. In this study, we simultaneously analysed circulating levels of endothelial microvesicles (EMVs) and progenitor cells (PCs) in PAH and in controls, as biomarkers of pulmonary endothelial integrity and evaluated differences among PAH subtypes and as a response to treatment. Methods: Forty-seven controls and 144 patients with PAH (52 idiopathic, 9 heritable, 31 associated with systemic sclerosis, 15 associated with other connective tissue diseases, 20 associated with HIV and 17 associated with portal hypertension) were evaluated. Forty-four patients with scleroderma and 22 with HIV infection, but without PAH, were also studied. Circulating levels of EMVs, total (CD31 + CD42b -) and activated (CD31 + CD42b - CD62E +), as well as circulating PCs (CD34 + CD133 + CD45 low) were measured by flow cytometry and the EMVs/PCs ratio was computed. In treatment-naïve patients, measurements were repeated after 3 months of PAH therapy. Results: Patients with PAH showed higher numbers of EMVs and a lower percentage of PCs, compared with healthy controls. The EMV/PC ratio was increased in PAH patients, and in patients with SSc or HIV without PAH. After starting PAH therapy, individual changes in EMVs and PCs were variable, without significant differences being observed as a group. Conclusion: PAH patients present disturbed vascular homeostasis, reflected in changes in circulating EMV and PC levels, which are not restored with PAH targeted therapy. Combined measurement of circulating EMVs and PCs could be foreseen as a potential biomarker of endothelial dysfunction in PAH. 22021-01-0120212021-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/294821https://dx.doi.org/urn:doi:10.3390/cells10071688reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengMinisterio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI12/00510Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI15/00582Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI18/00960Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 CP17/00114open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2948212026-06-06T12:50:31Z
dc.title.none.fl_str_mv Circulating Cell Biomarkers in Pulmonary Arterial Hypertension
Relationship with Clinical Heterogeneity and Therapeutic Response
title Circulating Cell Biomarkers in Pulmonary Arterial Hypertension
spellingShingle Circulating Cell Biomarkers in Pulmonary Arterial Hypertension
Tura-Ceide, Olga|||0000-0003-4334-9790
Pulmonary arterial hypertension
Endothelial dysfunction
Biomarkers
Progenitor cells
Endothelial extracellular vesicles
PAH-specific treatment
title_short Circulating Cell Biomarkers in Pulmonary Arterial Hypertension
title_full Circulating Cell Biomarkers in Pulmonary Arterial Hypertension
title_fullStr Circulating Cell Biomarkers in Pulmonary Arterial Hypertension
title_full_unstemmed Circulating Cell Biomarkers in Pulmonary Arterial Hypertension
title_sort Circulating Cell Biomarkers in Pulmonary Arterial Hypertension
dc.creator.none.fl_str_mv Tura-Ceide, Olga|||0000-0003-4334-9790
Blanco, Isabel|||0000-0001-9452-3432
Garcia-Lucio, Jéssica
del Pozo, Roberto
García, Agustín Roberto
Ferrer, Elisabet|||0000-0002-0900-5436
Crespo García, Isabel
Rodríguez-Chiaradia, Diego A.|||0000-0002-8566-4011
Simeón-Aznar, Carmen Pilar|||0000-0003-3390-9029
López-Meseguer, Manuel|||0000-0003-2650-9238
Martín-Ontiyuelo, Clara
Peinado, Víctor I.
Barberà i Mir, Joan Albert|||0000-0003-1469-4990
author Tura-Ceide, Olga|||0000-0003-4334-9790
author_facet Tura-Ceide, Olga|||0000-0003-4334-9790
Blanco, Isabel|||0000-0001-9452-3432
Garcia-Lucio, Jéssica
del Pozo, Roberto
García, Agustín Roberto
Ferrer, Elisabet|||0000-0002-0900-5436
Crespo García, Isabel
Rodríguez-Chiaradia, Diego A.|||0000-0002-8566-4011
Simeón-Aznar, Carmen Pilar|||0000-0003-3390-9029
López-Meseguer, Manuel|||0000-0003-2650-9238
Martín-Ontiyuelo, Clara
Peinado, Víctor I.
Barberà i Mir, Joan Albert|||0000-0003-1469-4990
author_role author
author2 Blanco, Isabel|||0000-0001-9452-3432
Garcia-Lucio, Jéssica
del Pozo, Roberto
García, Agustín Roberto
Ferrer, Elisabet|||0000-0002-0900-5436
Crespo García, Isabel
Rodríguez-Chiaradia, Diego A.|||0000-0002-8566-4011
Simeón-Aznar, Carmen Pilar|||0000-0003-3390-9029
López-Meseguer, Manuel|||0000-0003-2650-9238
Martín-Ontiyuelo, Clara
Peinado, Víctor I.
Barberà i Mir, Joan Albert|||0000-0003-1469-4990
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Pulmonary arterial hypertension
Endothelial dysfunction
Biomarkers
Progenitor cells
Endothelial extracellular vesicles
PAH-specific treatment
topic Pulmonary arterial hypertension
Endothelial dysfunction
Biomarkers
Progenitor cells
Endothelial extracellular vesicles
PAH-specific treatment
description Background: Endothelial dysfunction is central to PAH. In this study, we simultaneously analysed circulating levels of endothelial microvesicles (EMVs) and progenitor cells (PCs) in PAH and in controls, as biomarkers of pulmonary endothelial integrity and evaluated differences among PAH subtypes and as a response to treatment. Methods: Forty-seven controls and 144 patients with PAH (52 idiopathic, 9 heritable, 31 associated with systemic sclerosis, 15 associated with other connective tissue diseases, 20 associated with HIV and 17 associated with portal hypertension) were evaluated. Forty-four patients with scleroderma and 22 with HIV infection, but without PAH, were also studied. Circulating levels of EMVs, total (CD31 + CD42b -) and activated (CD31 + CD42b - CD62E +), as well as circulating PCs (CD34 + CD133 + CD45 low) were measured by flow cytometry and the EMVs/PCs ratio was computed. In treatment-naïve patients, measurements were repeated after 3 months of PAH therapy. Results: Patients with PAH showed higher numbers of EMVs and a lower percentage of PCs, compared with healthy controls. The EMV/PC ratio was increased in PAH patients, and in patients with SSc or HIV without PAH. After starting PAH therapy, individual changes in EMVs and PCs were variable, without significant differences being observed as a group. Conclusion: PAH patients present disturbed vascular homeostasis, reflected in changes in circulating EMV and PC levels, which are not restored with PAH targeted therapy. Combined measurement of circulating EMVs and PCs could be foreseen as a potential biomarker of endothelial dysfunction in PAH.
publishDate 2021
dc.date.none.fl_str_mv 2
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/294821
https://dx.doi.org/urn:doi:10.3390/cells10071688
url https://ddd.uab.cat/record/294821
https://dx.doi.org/urn:doi:10.3390/cells10071688
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI12/00510
Ministerio de Economía y Competitividad https://doi.org/10.13039/501100003329 PI15/00582
Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 PI18/00960
Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 CP17/00114
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
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