Loss of biglycan enhances thrombin generation in Apolipoprotein E-deficient mice: Implications for inflammation and atherosclerosis

Maria Grandoch, Christina Kohlmorgen, Ariane Melchior-Becker, Kathrin Feldmann, Susanne Homann, Julia Müller, Lena Sophia Kiene, Jinyang Zeng-Brouwers, Friederike Schmitz, Nadine Nagy, Amin Polzin, Nina S. Gowert, Margitta Elvers, Philipp Skroblin, Xiaoke Yin, Manuel Mayr, Liliana Schaefer, Lisa R. Tannock, Jens W. Fischer

Research output: Contribution to journalArticlepeer-review

42 Scopus citations

Abstract

Objective - Thrombin signaling promotes atherosclerosis by initiating inflammatory events indirectly through platelet activation and directly via protease-activated receptors. Therefore, endogenous thrombin inhibitors may be relevant modulators of atheroprogression and cardiovascular risk. In addition, endogenous thrombin inhibitors may affect the response to non-vitamin K-dependent oral anticoagulants. Here, the question was addressed whether the small leucine-rich proteoglycan biglycan acts as an endogenous thrombin inhibitor in atherosclerosis through activation of heparin cofactor II. Approach and Results - Biglycan concentrations were elevated in the plasma of patients with acute coronary syndrome and in male Apolipoprotein E-deficient (ApoE-/-) mice. Biglycan was detected in the glycocalyx of capillaries and the subendothelial matrix of arterioles of ApoE-/- mice and in atherosclerotic plaques. Thereby a vascular compartment is provided that may mediate the endothelial and subendothelial activation of heparin cofactor II through biglycan. ApoE and Bgn double-deficient (ApoE-/-/Bgn-/0) mice showed higher activity of circulating thrombin, increased platelet activation and platelet adhesion in vivo, supporting a role of biglycan in balancing thrombin activity. Furthermore, concentrations of circulating cytokines and aortic macrophage content were elevated in ApoE-/-/Bgn-/0 mice, suggesting a proinflammatory phenotype. Elevated platelet activation and macrophage accumulation were reversed by treating ApoE-/-/Bgn-/0 mice with the thrombin inhibitor argatroban. Ultimately, ApoE-/-/Bgn-/0 mice developed aggravated atherosclerosis. Conclusions - The present results indicate that biglycan plays a previously unappreciated protective role during the progression of atherosclerosis by inhibiting thrombin activity, platelet activation, and finally macrophage-mediated plaque inflammation.

Original languageEnglish
Pages (from-to)e41-e50
JournalArteriosclerosis, Thrombosis, and Vascular Biology
Volume36
Issue number5
DOIs
StatePublished - May 1 2016

Bibliographical note

Publisher Copyright:
© 2016 American Heart Association, Inc.

Keywords

  • atherosclerosis
  • biglycan
  • blood platelets
  • inflammation
  • thrombin

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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