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Cytokines and cardiovascular disease
Vishal C Mehra1, Vinod S Ramgolam, Jeffrey R Bender
1Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, CT 06510, USA.
Insights
Cytokines drive cardiovascular disease by initiating inflammation in atherosclerosis and heart failure. Understanding these immune responses is key to developing new treatments for heart conditions.
Area of Science:
- Immunology
- Cardiovascular Medicine
- Pathophysiology
Background:
- Immune and inflammatory mechanisms are increasingly recognized in cardiovascular disease (CVD) pathogenesis, including atherosclerosis and heart failure.
- Cytokines and chemokines play a significant role in these inflammatory processes.
Purpose of the Study:
- To review the role of cytokines in the initiation and progression of atherosclerosis.
- To discuss the direct and indirect effects of cytokines on myocardial function in cardiovascular disease.
Main Methods:
- Comprehensive literature review of cytokine-mediated immune and inflammatory cascades in CVD.
- Analysis of cytokine effects on atherosclerosis development and myocardial function.
Main Results:
- Innate and adaptive immune cascades trigger cytokine/chemokine release, promoting atherosclerosis.
- Cytokines exert time-, concentration-, and subtype-specific effects on myocardial function, including nitric oxide synthase-generated nitric oxide (NO) and arachidonic acid metabolites.
Conclusions:
- Cytokine-mediated inflammation is a critical factor in the pathogenesis of common cardiovascular diseases.
- Further research into these specific cytokine pathways may reveal novel therapeutic targets for CVD.
Abstract:
The role of cytokines in the pathogenesis of cardiovascular disease is increasingly evident since the identification of immune/inflammatory mechanisms in atherosclerosis and heart failure. In this review, we describe how innate and adaptive immune cascades trigger the release of cytokines and chemokines, resulting in the initiation and progression of atherosclerosis. We discuss how cytokines have direct and indirect effects on myocardial function. These include myocardial depressant effects of nitric oxide (NO) synthase-generated NO, as well as the biochemical effects of cytokine-stimulated arachidonic acid metabolites on cardiomyocytes. Cytokine influences on myocardial function are time-, concentration-, and subtype-specific. We provide a comprehensive review of these cytokine-mediated immune and inflammatory cascades implicated in the most common forms of cardiovascular disease.
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