Review Article

S100A8 and S100A9: DAMPs at the Crossroads between Innate Immunity, Traditional Risk Factors, and Cardiovascular Disease

Table 1

S100A8/A9 in cardiovascular disease.

S100A8/A9 and atherosclerosis

Mouse studiesPresent in mouse atherosclerotic plaques [71, 73]
Reduced atherosclerotic lesions in hyperlipidemic ApoE−/− S100A9−/− mice [82]
No effect on atherosclerosis in hyperlipidemic LDLR−/− mice reconstituted with S100A9−/− bone marrow [13]
Reduced neointima formation in S100A9−/− mice following femoral artery wire injury [82]
Elevated plasma and plaque S100A8/A9 in diabetic ApoE−/− mice [77]
Clinical studiesPresent in human atherosclerotic plaques [18, 72]
Associated with histological and ultrasound measures of plaque vulnerability [72, 85]
Correlates with the severity of CAD in type 1 and 2 diabetic patients [49, 84]
Correlates with carotid IMT in healthy diabetics and nondiabetics [26, 84]

S100A8/A9 in acute coronary syndrome

Mouse studiesAccumulates into the myocardium following coronary ischemia [54]
Triggers RAGE-mediated phagocyte activation, recruitment, and inflammatory cytokine production [54]
Aggravates the development of post-MI heart failure [54]
Clinical studiesIncreases rapidly in plasma following an ischemic coronary event [90]
Released into the circulation from the site of the coronary occlusion [90]
Upregulated in infiltrating neutrophils and monocytes in the infarcted myocardium and in the occluding thrombus [90, 92]
Higher in MI patients compared to stable and unstable angina [87, 92]
Remains elevated for several weeks after the event and correlates with peak white cell and neutrophil counts [92]

S100A8/A9 and CV risk

Clinical studiesCorrelates with short- and long-term risk for CV events in apparently healthy women independently of traditional CV risk factors [26, 87]
Associated with the incidence of subsequent CV events in patients undergoing carotid endarterectomy [86]
Elevated S100A8/A9 at 30 days after a coronary event is associated with increased risk for recurrent events during the following 30 day period [97]
Associated with all-cause 1-year mortality in elderly patients with severe heart failure [98]
Elevated in SLE patients with CV disease—retrospective study [89]