Table 4 Adhesion molecules in atherosclerosisw2.
Adhesion molecule | Ligands | Role | Comments | Clinical predictive value of soluble form |
---|---|---|---|---|
Selectins | ||||
P‐selectin | CD24, PSGL‐1, Lewis X | Rolling and tethering | Present on endothelial cells and platelets. ELISA kits for soluble forms commercially available | Weak predictor in healthy individuals, high risk patients and patients with CAD, moderate predictor for patients with acute coronary events |
E‐selectin | L‐set, PSGL‐1, ESL‐1, Lewis X | Rolling and tethering | Present in endothelial cells. ELISA kits for soluble form commercially available | Weak predictor in healthy individuals, high‐risk subjects, and patients with CAD or ACS |
L‐selectin | CD34, PSGL‐1, Lewis X, GlyCAM | Rolling and tethering | Present in leucocytes. ELISA kit for soluble form commercially available | – |
Immunoglobulin‐like molecules | ||||
ICAM‐1 | αMβ2, αLβ2, αXβ2 | Present in endothelial cells and leucocytes. ELISA kits for soluble‐form commercially available | Moderate predictor for healthy individuals, high‐risk subjects and CAD patients. Weak predictive value for ACS | |
Firm adhesion | ||||
ICAM‐2 | αMβ2, αLβ2 | Firm adhesion | Present in endothelial cells, leucocytes and platelets. ELISA kits for soluble form commercially available | – |
ICAM‐3 | αLβ2, αDβ2, DC‐SIGN | Firm adhesion | Present in endothelial cells and leucocytes. ELISA kits for soluble form commercially available | – |
VCAM‐1 | α4β1, α4β7, αDβ2 | Firm adhesion | Present in endothelial cells. ELISA kits for soluble form commercially available | No predictive value for healthy individuals. Strong predictor for high risk subjects, CAD patients and patients with ACS |
PECAM‐1 | PECAM1, αVβ3 | Leucocyte extravasation | Maintains endothelial integrity. Present in endothelial cells, leucocytes and platelets. ELISA kits for soluble forms commercially available | – |
ACS, acute coronary syndromes; CAD, coronary artery disease; ELISA, enzyme‐linked immunosorbent assay; ICAM, intercellular adhesion molecule; PECAM, platelet endothelial cell adhesion molecule; VCAM, vascular cells adhesion molecule.