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Giral H, Franke V, Moobed M, Müller MF, Lübking L, James DM, Hartung J, Kuschnerus K, Meteva D, Seppelt C, Jakob P, Klingenberg R, Kränkel N, Leistner D, Zeller T, Blankenberg S, Zimmermann F, Haghikia A, Lüscher TF, Akalin A, Landmesser U, Kratzer A. Rapid Inflammasome Activation Is Attenuated in Post-Myocardial Infarction Monocytes. Front Immunol 2022; 13:857455. [PMID: 35558073 PMCID: PMC9090500 DOI: 10.3389/fimmu.2022.857455] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 03/28/2022] [Indexed: 12/02/2022] Open
Abstract
Inflammasomes are crucial gatekeepers of the immune response, but their maladaptive activation associates with inflammatory pathologies. Besides canonical activation, monocytes can trigger non-transcriptional or rapid inflammasome activation that has not been well defined in the context of acute myocardial infarction (AMI). Rapid transcription-independent inflammasome activation induced by simultaneous TLR priming and triggering stimulus was measured by caspase-1 (CASP1) activity and interleukin release. Both classical and intermediate monocytes from healthy donors exhibited robust CASP1 activation, but only classical monocytes produced high mature interleukin-18 (IL18) release. We also recruited a limited number of coronary artery disease (CAD, n=31) and AMI (n=29) patients to evaluate their inflammasome function and expression profiles. Surprisingly, monocyte subpopulations isolated from blood collected during percutaneous coronary intervention (PCI) from AMI patients presented diminished CASP1 activity and abrogated IL18 release despite increased NLRP3 gene expression. This unexpected attenuated rapid inflammasome activation was accompanied by a significant increase of TNFAIP3 and IRAKM expression. Moreover, TNFAIP3 protein levels of circulating monocytes showed positive correlation with high sensitive troponin T (hsTnT), implying an association between TNFAIP3 upregulation and the severity of tissue injury. We suggest this monocyte attenuation to be a protective phenotype aftermath following a very early inflammatory wave in the ischemic area. Damage-associated molecular patterns (DAMPs) or other signals trigger a transitory negative feedback loop within newly recruited circulating monocytes as a mechanism to reduce post-injury tissue damage.
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Affiliation(s)
- Hector Giral
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Vedran Franke
- Max Delbrück Center, The Berlin Institute for Medical Systems Biology, Berlin, Germany
| | - Minoo Moobed
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Maja F Müller
- Department of Cardiology, University Hospital Zurich, Zurich, Switzerland
| | - Laura Lübking
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Divya Maria James
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Johannes Hartung
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany
| | - Kira Kuschnerus
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Denitsa Meteva
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Claudio Seppelt
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Philipp Jakob
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.,Department of Cardiology, University Hospital Zurich, Zurich, Switzerland.,Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Roland Klingenberg
- Department of Cardiology, University Hospital Zurich, Zurich, Switzerland
| | - Nicolle Kränkel
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - David Leistner
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.,Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Tanja Zeller
- Department of Cardiology, University Heart and Vascular Center, Hamburg, Germany.,DZHK (German Center for Cardiovascular Research), Partner Site Hamburg, Lübeck, Kiel, Hamburg, Germany
| | - Stefan Blankenberg
- Department of Cardiology, University Heart and Vascular Center, Hamburg, Germany.,DZHK (German Center for Cardiovascular Research), Partner Site Hamburg, Lübeck, Kiel, Hamburg, Germany
| | - Friederike Zimmermann
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Arash Haghikia
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
| | - Thomas F Lüscher
- Center for Molecular Cardiology, University of Zurich, Zurich, Switzerland
| | - Altuna Akalin
- Max Delbrück Center, The Berlin Institute for Medical Systems Biology, Berlin, Germany
| | - Ulf Landmesser
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany.,Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Adelheid Kratzer
- Department of Cardiology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.,DZHK (German Centre for Cardiovascular Research), Partner Site Berlin, Berlin, Germany
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Schneider VS, Lübking L, Stähli BE, Skurk C, Lauten A, Mochmann HC, Schauerte P, Riedel M, Steinbeck L, Rauch-Kröhnert U, Klotsche J, Landmesser U, Fröhlich G, Leistner DM. Performance of One- Compared With Two-Catheter Concepts in Transradial Coronary Angiography (from the Randomized Use of Different Diagnostic Catheters-Radial-Trial). Am J Cardiol 2018; 122:1647-1651. [PMID: 30217374 DOI: 10.1016/j.amjcard.2018.07.039] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2018] [Revised: 07/21/2018] [Accepted: 07/31/2018] [Indexed: 12/15/2022]
Abstract
The Use of Different Diagnostic Catheters-Radial-Trial sought to compare the safety and efficacy of one-catheter concepts (OCC) using Tiger II or BLK catheters with two-catheter concepts (TCC) using standard Judkins catheters for transradial coronary angiography. A total of 300 patients planed for coronary angiography were enrolled into this single-center, single-blinded trial. Patients were randomized in a 2:1 ratio to either OCC by Tiger II (n = 100) and BLK (n = 100) or TCC by Judkins (n = 100) catheters. Primary end point was time required to perform a complete coronary angiography. Coronary angiography duration was 603 ± 29 seconds and 552 ± 26 sec in the OCC and the TCC groups (p = 0.052). Fluoroscopy time was longer in the OCC (408 ± 28 sec) as compared with the TCC group (258 ± 28 sec, p = 0.009) and the amount of contrast volume used significantly higher (98 ± 5 ml vs 67 ± 4 ml, p < 0.001). Crossover rates were increased in the OCC as compared with the TCC group (37% vs 4%, p < 0.001). These effects were observed irrespective of OCC catheter type. In conclusion, this study demonstrates that OCC do not reduce angiography time, but are associated with an increased amount of contrast volume and longer fluoroscopy time as compared with TCC.
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Affiliation(s)
- Vera S Schneider
- Department of Cardiology, University Heart Center Berlin and Charite University Medicine Berlin, Berlin, Germany; German Center for Cardiovascular Research (DZHK), Berlin, Germany
| | - Laura Lübking
- Department of Cardiology, University Heart Center Berlin and Charite University Medicine Berlin, Berlin, Germany
| | - Barbara E Stähli
- Department of Cardiology, University Heart Center Berlin and Charite University Medicine Berlin, Berlin, Germany; German Center for Cardiovascular Research (DZHK), Berlin, Germany
| | - Carsten Skurk
- Department of Cardiology, University Heart Center Berlin and Charite University Medicine Berlin, Berlin, Germany; German Center for Cardiovascular Research (DZHK), Berlin, Germany
| | - Alexander Lauten
- Department of Cardiology, University Heart Center Berlin and Charite University Medicine Berlin, Berlin, Germany; German Center for Cardiovascular Research (DZHK), Berlin, Germany
| | - Hans-Christian Mochmann
- Department of Cardiology, University Heart Center Berlin and Charite University Medicine Berlin, Berlin, Germany
| | - Patrick Schauerte
- Department of Cardiology, University Heart Center Berlin and Charite University Medicine Berlin, Berlin, Germany
| | - Matthias Riedel
- Department of Cardiology, University Heart Center Berlin and Charite University Medicine Berlin, Berlin, Germany; German Center for Cardiovascular Research (DZHK), Berlin, Germany
| | - Lisa Steinbeck
- Department of Cardiology, University Heart Center Berlin and Charite University Medicine Berlin, Berlin, Germany; German Center for Cardiovascular Research (DZHK), Berlin, Germany
| | - Ursula Rauch-Kröhnert
- Department of Cardiology, University Heart Center Berlin and Charite University Medicine Berlin, Berlin, Germany; German Center for Cardiovascular Research (DZHK), Berlin, Germany
| | - Jens Klotsche
- German Rheumatism Research Center Berlin, Berlin, Germany; Institut für Sozialmedizin, Epidemiologie und Gesundheitsökonomie, Charite University Medicine Berlin, Berlin, Germany
| | - Ulf Landmesser
- Department of Cardiology, University Heart Center Berlin and Charite University Medicine Berlin, Berlin, Germany; German Center for Cardiovascular Research (DZHK), Berlin, Germany; Berlin Institute of Health (BIH), Berlin, Germany
| | - Georg Fröhlich
- Department of Cardiology, University Heart Center Berlin and Charite University Medicine Berlin, Berlin, Germany; German Center for Cardiovascular Research (DZHK), Berlin, Germany
| | - David M Leistner
- Department of Cardiology, University Heart Center Berlin and Charite University Medicine Berlin, Berlin, Germany; German Center for Cardiovascular Research (DZHK), Berlin, Germany; Berlin Institute of Health (BIH), Berlin, Germany.
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3
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Leistner DM, Riedel M, Steinbeck L, Stähli BE, Fröhlich GM, Lauten A, Skurk C, Mochmann HC, Lübking L, Rauch-Kröhnert U, Schnabel RB, Westermann D, Blankenberg S, Landmesser U. Real-time optical coherence tomography coregistration with angiography in percutaneous coronary intervention-impact on physician decision-making: The OPTICO-integration study. Catheter Cardiovasc Interv 2017; 92:30-37. [DOI: 10.1002/ccd.27313] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Revised: 08/02/2017] [Accepted: 08/07/2017] [Indexed: 01/01/2023]
Affiliation(s)
- David M. Leistner
- Department of Cardiology; University Heart Center Berlin and Charite University Medicine Berlin, Campus Benjamin-Franklin (CBF); Berlin Germany
- German Center for Cardiovascular Research (DZHK), Site Berlin; Berlin Germany
- Berlin Institute of Health (BIH); Berlin Germany
| | - Matthias Riedel
- Department of Cardiology; University Heart Center Berlin and Charite University Medicine Berlin, Campus Benjamin-Franklin (CBF); Berlin Germany
| | - Lisa Steinbeck
- Department of Cardiology; University Heart Center Berlin and Charite University Medicine Berlin, Campus Benjamin-Franklin (CBF); Berlin Germany
- German Center for Cardiovascular Research (DZHK), Site Berlin; Berlin Germany
| | - Barbara E. Stähli
- Department of Cardiology; University Heart Center Berlin and Charite University Medicine Berlin, Campus Benjamin-Franklin (CBF); Berlin Germany
- German Center for Cardiovascular Research (DZHK), Site Berlin; Berlin Germany
| | - Georg M. Fröhlich
- Department of Cardiology; University Heart Center Berlin and Charite University Medicine Berlin, Campus Benjamin-Franklin (CBF); Berlin Germany
- German Center for Cardiovascular Research (DZHK), Site Berlin; Berlin Germany
| | - Alexander Lauten
- Department of Cardiology; University Heart Center Berlin and Charite University Medicine Berlin, Campus Benjamin-Franklin (CBF); Berlin Germany
- German Center for Cardiovascular Research (DZHK), Site Berlin; Berlin Germany
| | - Carsten Skurk
- Department of Cardiology; University Heart Center Berlin and Charite University Medicine Berlin, Campus Benjamin-Franklin (CBF); Berlin Germany
- German Center for Cardiovascular Research (DZHK), Site Berlin; Berlin Germany
| | - Hans-Christian Mochmann
- Department of Cardiology; University Heart Center Berlin and Charite University Medicine Berlin, Campus Benjamin-Franklin (CBF); Berlin Germany
| | - Laura Lübking
- Department of Cardiology; University Heart Center Berlin and Charite University Medicine Berlin, Campus Benjamin-Franklin (CBF); Berlin Germany
| | - Ursula Rauch-Kröhnert
- Department of Cardiology; University Heart Center Berlin and Charite University Medicine Berlin, Campus Benjamin-Franklin (CBF); Berlin Germany
- German Center for Cardiovascular Research (DZHK), Site Berlin; Berlin Germany
| | - Renate B. Schnabel
- Department of General and Interventional Cardiology; University Heart Center Hamburg, University Hospital Hamburg-Eppendorf; Hamburg Germany
- Site Hamburg/Kiel/Lübeck; German Center for Cardiovascular Research (DZHK); Hamburg Germany
| | - Dirk Westermann
- Department of General and Interventional Cardiology; University Heart Center Hamburg, University Hospital Hamburg-Eppendorf; Hamburg Germany
- Site Hamburg/Kiel/Lübeck; German Center for Cardiovascular Research (DZHK); Hamburg Germany
| | - Stefan Blankenberg
- Department of General and Interventional Cardiology; University Heart Center Hamburg, University Hospital Hamburg-Eppendorf; Hamburg Germany
- Site Hamburg/Kiel/Lübeck; German Center for Cardiovascular Research (DZHK); Hamburg Germany
| | - Ulf Landmesser
- Department of Cardiology; University Heart Center Berlin and Charite University Medicine Berlin, Campus Benjamin-Franklin (CBF); Berlin Germany
- German Center for Cardiovascular Research (DZHK), Site Berlin; Berlin Germany
- Berlin Institute of Health (BIH); Berlin Germany
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