The CD40-CD40 ligand system: a potential therapeutic target in atherosclerosis
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Updated: Oct 4, 2026

Murine Model of CD40-activation of B cells
Published on: March 5, 2010
R P Phipps1, L Koumas, E Leung
1University of Rochester School of Medicine and Dentistry, Department of Microbiology and Immunology, Cancer Center, Rochester NY 14642, USA. Richard_Phipps@urmc.rochester.edu
Insights
Emerging evidence links atherosclerosis, a major cardiovascular disease, to the CD40-CD40 ligand (CD154) pathway. Targeting this immune pathway shows promise for preventing and reversing atherosclerosis progression.
Area of Science:
- Cardiovascular Science
- Immunology
- Medical Research
Background:
- Atherosclerosis is a primary cause of cardiovascular disease globally.
- Recent research connects atherosclerosis to chronic inflammation and the immune system.
- The CD40-CD40 ligand (CD154) pathway is implicated in this immune response.
Purpose of the Study:
- To review emerging evidence on the role of the CD40-CD40 ligand (CD154) pathway in atherosclerosis.
- To explore the CD40-CD40 ligand pathway as a potential therapeutic target for cardiovascular disease.
Main Methods:
- Literature review of preclinical and clinical studies.
- Analysis of CD40 and CD154 expression in human atherosclerotic plaques.
- Examination of data from animal models investigating CD40-CD154 pathway disruption.
Main Results:
- CD40 and CD154 are highly expressed in human atherosclerotic lesions.
- Disrupting the CD40-CD154 pathway in preclinical models inhibited atherosclerosis progression.
- Evidence suggests this pathway disruption may even reverse existing atherosclerotic lesions.
Conclusions:
- The CD40-CD40 ligand (CD154) pathway is a significant factor in atherosclerosis development and progression.
- Targeting this pathway offers a novel therapeutic strategy for cardiovascular disease.
- Blockade of CD40-CD154 may be valuable in treating atherosclerosis.
Abstract:
Atherosclerosis is a leading cause of cardiovascular disease in the westernized world. This review highlights emerging evidence linking atherosclerosis to the CD40-CD40 ligand (CD154) pathway. Recently, atherosclerosis has been associated with chronic inflammation, linking it to the immune system. This novel viewpoint may serve as an additional target for therapeutic intervention. CD40 and CD154 are highly expressed in atherosclerotic human plaques. Recent data from preclinical animal models of atherosclerosis show that disruption of the CD40-CD154 pathway can prevent atherosclerotic progression and may reverse established lesions. Blockade of the CD40-CD154 pathway by biologicals or small molecules may prove valuable in the treatment of atherosclerosis.
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