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Quantitative Analysis of Cellular Composition in Advanced Atherosclerotic Lesions of Smooth Muscle Cell Lineage-Tracing Mice
Published on: February 20, 2019
Atherosclerosis as an inflammatory disease: implications for therapy
Nader Eldika1, Lakchminarayan Yerra, David S Chi
1Department of Internal Medicine, East Tennessee State University, Box70622, Johnson City, TN 37614-1709, USA.
Insights
Atherosclerosis, a key factor in cardiovascular disease, involves complex molecular and cellular interactions. Targeting inflammatory pathways offers potential therapeutic strategies to control this multifactorial condition.
Area of Science:
- Cardiovascular Science
- Pathophysiology
- Molecular Biology
Background:
- Cardiovascular disease is a primary cause of mortality in the US.
- Atherosclerosis encompasses diverse pathological lesions with varying clinical outcomes.
- Current treatments include pharmacologic therapy, lifestyle changes, and interventions.
Purpose of the Study:
- To review the current understanding of atherosclerosis pathophysiology.
- To define atherosclerosis as a multifactorial process.
- To explore potential therapeutic targets for atherosclerosis control.
Main Methods:
- Literature review of pathophysiological mechanisms.
- Analysis of molecular and cellular interactions in atherosclerosis development.
- Identification of inflammatory process sites for therapeutic intervention.
Main Results:
- Atherosclerosis involves complex interactions: lipid metabolism, monocyte activation, endothelial cells, and cytokines.
- It is a multifactorial process with intricate molecular and cellular pathways.
- Therapeutic control may be achieved by targeting specific sites within the inflammatory process.
Conclusions:
- Understanding atherosclerosis pathophysiology is crucial for developing effective treatments.
- Targeting inflammatory pathways, growth factors, transcription factors, and genes presents viable therapeutic strategies.
- Interventions aimed at specific molecular and cellular mechanisms can potentially control atherosclerosis.
Abstract:
Cardiovascular disease remains a leading cause of mortality in the United States despite the use of new pharmacologic therapy, lifestyle modifications, and different coronary interventions. Atherosclerosis represents a wide variety of pathologic lesions with different clinical impacts. In this review, we address the current understanding of the pathophysiological mechanisms underlying the development of atherosclerosis. We define atherosclerosis as a multifactorial process representing a series of molecular and cellular mechanisms and involving multiple interactions between lipid metabolism, monocyte activation, endothelial cells, cytokines and/or other intracellular metabolic pathways. We also imply that control of atherosclerosis could be achieved through therapeutic interventions at different sites of the inflammatory process. Therapeutic targets could include cytokine pathways, growth factors, transcription factors, defective genes and other intracellular metabolic pathways.
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