A platelet transcriptomic signature of thromboinflammation predicts cardiovascular risk.

A platelet transcriptomic signature of thromboinflammation predicts cardiovascular risk.

Publication date: Dec 22, 2025

BACKGROUNDPlatelets are increasingly recognized as active participants in immune signaling and systemic inflammation. Upon activation, platelets form monocyte platelet aggregates (MPA) representing the crossroads of thrombosis and inflammation. We hypothesized that platelet transcriptomics could capture this thromboinflammatory axis and identify individuals at elevated cardiovascular risk. METHODS: MPA levels, defined as CD14+CD61+ cells, were measured using flow cytometry at 2 time points, 4 weeks apart, in healthy individualsPlatelets were isolated and sequenced. Individuals were categorized as MPAhi or MPAlo based on consistently high or low MPA levels across time points. RESULTSAmong 149 participants (median age 52 years, 57% female, 50% non-White), MPAhi individuals exhibited increased expression of platelet activation markers P-selectin (P

Concepts Keywords
Benjamin Adult
Healthy Aged
Registrationnct04369664fundingnih Atherosclerosis
Thrombosis Biomarkers
Transcriptomics Biomarkers
Blood Platelets
Cardiology
Cardiovascular disease
Cardiovascular Diseases
COVID-19
Female
Humans
Inflammation
Inflammation
Male
Middle Aged
Myocardial Infarction
Platelet Activation
Platelet Aggregation
Platelets
SARS-CoV-2
Thromboinflammation
Transcriptome
Vascular biology

Semantics

Type Source Name
disease MESH thromboinflammation
disease MESH inflammation
drug DRUGBANK Medroxyprogesterone acetate
disease MESH thrombosis
pathway KEGG Platelet activation
drug DRUGBANK PAC-1
disease MESH COVID-19
disease MESH myocardial infarction
drug DRUGBANK Ticagrelor
drug DRUGBANK Acetylsalicylic acid
drug DRUGBANK Acetohydroxamic acid
disease MESH Atherosclerosis
disease MESH Cardiovascular disease
disease MESH Heart Disease

Original Article

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