Clonal Markers in the Study of the Origin and Growth of Human Atherosclerotic Lesions

The X-linked enzyme, glucose-6-phosphate dehydrogenase (G-6-PD) was used as a cellular marker to study the clonal characteristics of human atherosclerotic lesions from females heterozygous for G-6-PD isoenzymes. Portions of uninvolved aortic wall contained both isoenzyme types (A and B), and their i...

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Bibliographic Details
Published in:Circulation research 1978-07, Vol.43 (1), p.10-18
Main Authors: PEARSON, THOMAS A, DILLMAN, JOHN M, SOLEZ, KIM, HEPTINSTALL, ROBERT H
Format: Article
Language:English
Subjects:
Aorta, Thoracic - enzymology
Arteriosclerosis - enzymology
Arteriosclerosis - genetics
Arteriosclerosis - pathology
Clone Cells
Female
Glucosephosphate Dehydrogenase - analysis
Heterozygote
Humans
Isoenzymes - analysis
Leiomyoma - enzymology
Uterine Neoplasms - enzymology
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Summary:The X-linked enzyme, glucose-6-phosphate dehydrogenase (G-6-PD) was used as a cellular marker to study the clonal characteristics of human atherosclerotic lesions from females heterozygous for G-6-PD isoenzymes. Portions of uninvolved aortic wall contained both isoenzyme types (A and B), and their isoehzyme patterns were used to establish criteria for polyclonal lesions. Portions of uterine leiomyomas contained predominantly one isoenzyme type (either all A or all B) and their isoenzyme patterns were used to establish criteria for monoclonal lesions. These techniques were used to address three questions concerning atherogenesis. First, evidence for the monoclonal origin of fibrous-capped plaques was provided by the findings that small plaques had G-6-PD isoenzyme distributions similar to those of leiomyomas; that in large plaques with multiple portions assayed for G-6-PD, a large proportion (25 of 26, 96%) of plaques had monoclonal characteristics; and that multiple monoclonal portions were present in the same plaque. Second, the role of the fatty streak as a precursor of fibrous plaques was supported by the demonstration that a proportion (11 of 66, 16.7%) of fatty streaks contained isoenzyme patterns intermediate between those of polyclonal uninvolved aortic wall and monoclonal leiomyomas. Increased cellularity of fatty streaks correlated with increased deviation of isoenzyme pattern toward monoclonality. Third, the assay of portions of both small and large plaques provided no evidence for clonal selection as plaques increase in size.
ISSN:0009-7330
1524-4571
DOI:10.1161/01.RES.43.1.10