PARIS – Scientists said Sunday they may have unraveled how chronic stress leads to heart attack and stroke: triggering overproduction of disease-fighting white blood cells.
Surplus cells clump together on the walls of arteries, restricting blood flow and encouraging the formation of clots that block circulation or break off and travel to another part of the body.
White blood cells “are important to fight infection and healing, but if you have too many of them, or they are in the wrong place, they can be harmful,” said study co-author Matthias Nahrendorf of the Harvard Medical School in Boston.
Doctors have long known that chronic stress leads to cardiovascular disease, but have not understood the mechanism.
Comparing blood samples taken during work hours and off duty, the researchers noticed that stress activates bone marrow stem cells, which in turn triggered overproduction of white blood cells, also called leukocytes.
The study then moved on to mice, which were exposed to the rodent equivalent of stress through techniques like crowding and cage tilting. They found that excess white blood cells produced as a result of stress accumulated on the inside of arteries and boosted plaque growth. The cells “release enzymes that soften the connective tissue and lead to disruption of the plaque,” said Nahrendorf. “This is the typical cause of myocardial infarction (heart attack) and stroke.”
He added leukocytes are only a part of the picture — factors like high cholesterol and blood pressure, smoking and genetic traits also contribute to heart attack and stroke risk. “Stress might push these over the brink,” he said.