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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
[Inflammatory markers and cytokines in cardiovascular disease]
Fumiaki Ogiwara1, Masafumi Takahashi, Uichi Ikeda
1Division of Cardiovascular Science, Department of Organ Regeneration, Shinshu University Graduate School of Medicine, Matsumoto 390-8621.
Insights
Inflammation drives atherosclerosis and plaque rupture. Elevated levels of inflammatory markers like high-sensitivity C-reactive protein (hs-CRP) independently predict cardiovascular events, offering new risk assessment tools.
Area of Science:
- Cardiovascular Science
- Immunology
- Biochemistry
Context:
- Inflammatory processes are central to atherosclerosis development, from initial leukocyte recruitment to plaque rupture.
- Emerging research identifies inflammatory markers as novel predictors of cardiovascular events.
Purpose:
- To review recent findings on inflammatory markers and cytokines as predictive tools for cardiovascular events.
- To highlight the role of C-reactive protein (CRP) and other inflammatory mediators in atherosclerosis.
Summary:
- C-reactive protein (CRP), an acute phase reactant produced by the liver in response to interleukin-6 (IL-6), is a widely studied inflammatory marker.
- High-sensitivity CRP (hs-CRP) assays detect low CRP levels, and elevated hs-CRP is an independent predictor of cardiovascular events.
- Inflammatory cytokines like IL-6 and tumor necrosis factor-alpha (TNF-alpha) are also being evaluated for cardiovascular risk prediction.
Impact:
- Inflammatory markers, particularly hs-CRP, provide valuable insights into cardiovascular risk stratification.
- Understanding the role of inflammation in atherosclerosis can lead to improved diagnostic and therapeutic strategies.
- This review synthesizes current knowledge on inflammatory markers for predicting cardiovascular events.
Abstract:
Inflammatory processes play a pivotal role in the pathogenesis of atherosclerosis and mediate the stages of atheroma development from initial leukocyte recruitment to eventual rupture of the unstable atherosclerotic plaque. Recent investigations demonstrated that several inflammatory markers are considered as new predictable risk factors for atherosclerosis and cardiac events. Among these markers, C-reactive protein (CRP) has been most widely studied. CRP is produced in the liver in response to interleukin-6 (IL-6), it is an acute phase reactant and used as a general inflammatory marker. High-sensitivity-CRP (hs-CRP) which could detect a small amount of CRP was recently developed, and numerous large-scale, prospective studies have found that elevated baseline levels of hs-CRP are independent predictor of cardiovascular events. Inflammatory cytokines such as IL-6 and tumor necrosis factor-alpha (TNF-alpha) have also been evaluated as potential tools for prediction of the cardiovascular events. In this review, we focused on the recent reports and potential use of the inflammatory markers and cytokines as a predictable tool for the cardiovascular events.
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