Elevated plasma levels of P-selectin glycoprotein ligand-1-positive microvesicles in patients with unprovoked venous thromboembolism.

Essentials PSGL-1+ microvesicles (MVs) may be important in venous thromboembolism (VTE). We measured plasma levels and parental origin of PSGL-1+ MVs in patients with unprovoked VTE. VTE patients had higher plasma levels of PSGL-1+ MVs than healthy controls. The PSGL-1+ MVs originated mainly from monocytes and endothelial cells. SUMMARY: Background Microvesicles (MVs) express antigens from their parental cells and have a highly procoagulant surface. Animal studies suggest that P-selectin glycoprotein ligand-1-positive (PSGL-1+ ) MVs play a role in the pathogenesis of venous thromboembolism (VTE). Objective The aim of this study was to determine plasma levels, the cellular origin and the morphological characteristics of PSGL-1+ MVs in patients with unprovoked VTE. Methods We conducted a population-based case-control study in 20 patients with a history of unprovoked VTE and 20 age- and sex-matched healthy controls recruited from the general population. Plasma levels, the cellular origin and the morphological characteristics of PSGL-1+ MVs were evaluated using flow cytometry, electron microscopy and confocal microscopy. Results Plasma levels of PSGL-1+ MVs were associated with increased risk of VTE. The odds ratio per one standard deviation increase in PSGL-1+ MVs was 3.11 (95% confidence interval [CI], 1.41-6.88) after adjustment for age and sex, and 2.88 (95% CI, 1.29-6.41) after further adjustment for body mass index. The PSGL-1+ MVs originated mainly from monocytes and endothelial cells determined by double staining with markers of parental cells using flow cytometry and transmission electron microscopy. Scanning electron microscopy of PSGL-1-labeled plasma-derived MVs displayed dominantly spherical vesicles that varied between 50 and 300 nm in diameter. Conclusions Increased plasma levels of PSGL-1+ MVs are associated with the risk of unprovoked VTE. Large population-based prospective studies are required to validate our findings.

Packing, flipping, and buckling transitions in compressed monolayers of ellipsoidal latex particles.

The behavior of monolayers of monodisperse prolate ellipsoidal latex particles with the same surface chemistry but varying aspect ratio has been studied experimentally. Particle monolayers at an air-water interface were subjected to compression in a Langmuir trough. When surface pressure measurements and microscopy observations were combined, possible structural transitions were evaluated. Ellipsoids of a sufficiently large aspect ratio display a less abrupt increase in the compression isotherms than spherical particles. Microscopic observations reveal that a sequence of transitions is responsible for this more gradual increase of the surface pressure. When a percolating aggregate network is used as the starting point, locally ordered regions appear progressively. When it reaches a certain surface pressure, the system "jams", and in-plane rearrangements are no longer possible at this point. A highly localized yielding of the particle network is observed. The compressional stress is relieved by flipping the ellipsoids into an upright position and by expelling particles from the monolayer. The latter does not occur for spherical particles with similar dimensions and surface chemistry. In the final stage of compression, buckling of the monolayer as a whole was observed. The effect of aspect ratio on the pressure area isotherms and on the obtained percolation and packing thresholds was quantified.