[Atherosclerosis: a chronic inflammatory diseases]

Danuta Zapolska-Downar1, Andrzej Zapolski-Downar

  • 1Katedra Biochemii Klinicznej i Diagnostyki, Laboratoryjnej, Pomorskiej Akademii Medycznej w Szczecinie.

Przeglad Lekarski
|August 20, 2002
PubMed

Insights

Atherosclerosis pathogenesis involves chronic inflammation and immune responses in the vascular wall. This review details the roles of endothelial cells, monocytes, macrophages, and lymphocytes in its development and complications.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Pathogenesis of Atherosclerosis

Context:

  • Atherosclerosis remains a leading cause of morbidity and mortality worldwide.
  • Its complex pathogenesis is not fully understood, posing significant clinical challenges.
  • Understanding the inflammatory and immune underpinnings is crucial for therapeutic advancements.

Purpose:

  • To provide a concise review of the mechanisms driving atherosclerosis initiation, progression, and complications.
  • To highlight the critical roles of endothelial dysfunction and immune cell involvement.
  • To synthesize current knowledge on the inflammatory response in vascular disease.

Summary:

  • Atherosclerosis is characterized by a chronic fibroproliferative inflammatory response to vascular wall injury.
  • Endothelial cell dysfunction, mediated by adhesion molecules, is an early event.
  • Monocytes/macrophages and lymphocytes are key players, orchestrating inflammation and immune responses throughout disease evolution.

Impact:

  • This review consolidates understanding of atherosclerosis pathogenesis.
  • It emphasizes the central role of inflammation and immune cells.
  • Facilitates further research into targeted therapies for atherosclerosis and its complications.

Related Concept Videos

Inflammation01:38

Inflammation

Overview
Coronary Artery Disease II: Pathophysiology01:26

Coronary Artery Disease II: Pathophysiology

Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
Atherosclerosis I: Introduction01:30

Atherosclerosis I: Introduction

Atherosclerosis is a progressive disorder characterized by the buildup of plaques on the arterial inner wall, causing them to narrow and harden over time. These plaques comprise lipids, calcium, blood components, carbohydrates, and fibrous tissue. The process primarily affects the intima of large and medium-sized arteries, reducing blood flow in any artery.Etiology and risk factorsThe cause of atherosclerosis is multifactorial, involving a complex interplay among endothelial injury, lipid...
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
Atherosclerosis IV: Nursing Management01:23

Atherosclerosis IV: Nursing Management

Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...