2026-04-28T21:35:03Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/103262024-09-27T09:31:30Zcom_20.500.12105_19604com_20.500.12105_2051col_20.500.12105_19605col_20.500.12105_19607

00925njm 22002777a 4500 dc Martínez-López, Diego author Roldan-Montero, Raquel author Garcia-Marques, Fernando author Nunez, Estefania author Jorge, Inmaculada author Camafeita, Emilio author Minguez, Pablo author Rodriguez de Cordoba, Santiago author Lopez-Melgar, Beatriz author Lara-Pezzi, Enrique author Fernandez-Ortiz, Antonio author Ibáñez, Borja author Valdivielso, Jose Manuel author Fuster, Valentin author Michel, Jean-Baptiste author Blanco-Colio, Luis Miguel author Vazquez, Jesus author Martin-Ventura, Jose Luis author 2020-04-28 The mechanisms underlying early atherosclerotic plaque formation are not completely understood. Moreover, plasma biomarkers of subclinical atherosclerosis are lacking. The purpose of this study was to analyze the temporal and topologically resolved protein changes taking place in human aortas with early atherosclerosis to find new potential diagnostic and/or therapeutic targets. The protein composition of healthy aortas (media layer) or with early atheroma (fatty streak and fibrolipidic, media and intima layers) was analyzed by deep quantitative multiplexed proteomics. Further analysis was performed by Western blot, immunohistochemistry, real-time polymerase chain reaction, and enzyme-linked immunosorbent assay. Plasma levels of complement C5 were analyzed in relation to the presence of generalized (>2 plaques) or incipient (0 to 2 plaques) subclinical atherosclerosis in 2 independent clinical cohorts (PESA [Progression of Early Subclinical Atherosclerosis] [n = 360] and NEFRONA [National Observatory of Atherosclerosis in Nephrology] [n = 394]). Proteins involved in lipid transport, complement system, immunoglobulin superfamily, and hemostasis are increased in early plaques. Components from the complement activation pathway were predominantly increased in the intima of fibrolipidic plaques. Among them, increased C5 protein levels were further confirmed by Western blot, enzyme-linked immunosorbent assay and immunohistochemistry, and associated with in situ complement activation. Plasma C5 was significantly increased in individuals with generalized subclinical atherosclerosis in both PESA and NEFRONA cohorts, independently of risk factors. Moreover, in the PESA study, C5 plasma levels positively correlated with global plaque volume and coronary calcification. Activation of the complement system is a major alteration in early atherosclerotic plaques and is reflected by increased C5 plasma levels, which have promising value as a novel circulating biomarker of subclinical atherosclerosis. J Am Coll Cardiol. 2020; 75(16):1926-1941 http://hdl.handle.net/20.500.12105/10326 32327104 10.1016/j.jacc.2020.02.058 1558-3597 Journal of the American College of Cardiology Complement C5 Protein as a Marker of Subclinical Atherosclerosis.