Objective-Intraplaque neovascularization and hemorrhage may facilitate plaque progression. We studied expression of basic fibroblast growth factor (bFGF), a potent angiogenic mediator, by mast cells (MCs) in human coronary plaques with increasing degrees of atherosclerosis. Methods and Results-Normal and atherosclerotic coronary segments were collected from 30 autopsied subjects.Immunohistochemical methods were used to detect MCs, bFGF, and microvessels. Both adventitial and intimal MCs showed intracytoplasmic granular staining for bFGF, and bFGF-positive extracellular granules were observed close to the MCs. Increased numbers of bFGF-positive MCs were detected in neovascularized areas of plaques, and there was a positive correlation between numbers of bFGF-positive MCs and microvessels in both the intima and adventitia. In plaques, the highly neovascularized areas contained increased numbers of bFGF-positive MCs compared with the adjacent nonvascularized areas, where only few MCs were present. Importantly, the proportion of intimal MCs expressing bFGF increased with increasing severity of atherosclerosis. Conclusions-The present work reveals a novel source of bFGF in human coronary arteries, the intimal and adventitialMCs.
See coverExpression of bFGF has been found in human atherosclerotic plaques (eg, in femoral, carotid, and coronary arteries), with the cell types responsible for bFGF expression being ECs, SMCs, and macrophages. [2][3][4] Increased expression of bFGF is found in coronary atherectomy specimens from patients with clinically unstable angina, compared with specimens from patients with stable coronary disease. 2 Moreover, bFGF is 1 of the angiogenic growth factors currently studied to induce therapeutic angiogenesis in ischemic human tissues. 5,6 The mast cell (MC) is a type of inflammatory cell implicated in angiogenesis. 7 In human coronary atheromas, MCs appear near intimal neovessels, 8 and in the adventitia, MCs are often located close to the vasa vasorum. 9 These localizations of coronary MCs suggest that in coronary atheromas they may contribute to neoangiogenesis. Increased numbers of bFGF-positive MCs have been found in tissues characterized by neovascularization, fibrosis, and inflammation, such as human fibrotic lung and cutaneous hemangiomas. 10,11 In MCs, bFGF is located predominantly in the heparincontaining granules. 12 The emerging concept of intraplaque neovascularization and hemorrhage as factors contributing to plaque progression 13,14 prompted us to search for bFGF in MCs in human coronary arteries showing various degrees of atherosclerosis.
Methods
Autopsy MaterialThe autopsy series comprised 30 cases (24 men and 6 women) aged 34 to 78 years. The proximal left coronary artery was removed, cut into successive segments 5 mm long, fixed in neutral buffered formalin, and embedded in paraffin. Sections (2 to 4 m) were stained with hematoxylin-eosin and elastica-van Gieson and evalu-
ImmunohistochemistryThe tissue sections were deparaffinized and rehydrated, and endogenous peroxid...