TY - JOUR A1 - Berger, Martin A1 - Maqua, Hendrik A1 - Lysaja, Katharina A1 - Mause, Sebastian Frederik A1 - Hindle, Mathew S. A1 - Naseem, Khalid A1 - Dahl, Edgar A1 - Speer, Thimoteus A1 - Marx, Nikolaus A1 - Schütt, Katharina T1 - Platelets from patients with chronic inflammation have a phenotype of chronic IL-1β release T2 - Research and practice in thrombosis and haemostasis N2 - Essentials • The role of platelet IL-1β release in chronic inflammation is currently unclear. • Platelets from 65 patients with varying degrees of chronic inflammation were studied. • Chronic inflammation linked to reduced levels of intracellular IL-1β and IL-1β release. • Chronic inflammation induces a phenotype that indicates chronic IL-1β release from platelets. Abstract Background: Chronic inflammation is a cardiovascular risk factor, and interleukin-1β (IL-1β) is central to the inflammatory host response. Platelets contain the NLRP3 inflammasome and are able to translate IL-1β messenger RNA (mRNA) and secrete mature IL-1β upon activation. However, the role of a chronic inflammatory environment in platelet IL-1β mRNA and protein content remains unclear. Objectives: The aim of the current study was to investigate intracellular platelet IL-1β and IL-1β mRNA in a chronic inflammatory state. Methods: Sixty-five patients with stable inflammation (ie, high-sensitivity C-reactive protein within predefined margins in 2 separate measurements) were stratified according to high-sensitivity C-reactive protein levels in low (0.0-0.9 mg/L), medium (1.0-2.9 mg/L), and high (3.0-9.9 mg/L) risk groups. Platelet reactivity as well as platelet IL-1β protein synthesis were studied. Results: The highest risk group was characterized by a distinct cardiovascular risk profile and approximately 20% higher platelet counts. While platelet reactivity was not different, a reduction in intracellular platelet IL-1β mRNA and IL-1β protein levels was observed in the highest risk group and was linked to decreased platelet size and granularity. This signature suggests a phenotype of chronic IL-1β secretion and could be experimentally phenocopied by stimulation of platelets from healthy volunteers with either TRAP-6 or collagen related peptide (CRP-XL). Conclusion: Our data suggest a phenotype of chronic IL-1β secretion by platelets in patients with chronic sterile inflammation. KW - caspase-1 KW - high sensitive C-reactive protein KW - inflammation KW - interleukin-1beta KW - platelets Y1 - 2023 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/82784 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-827842 SN - 2475-0379 VL - 8.2024 IS - 1, art. 102261 PB - Elsevier CY - Amsterdam ER -