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[The role of CD44 in pathogenesis of atherosclerosis]
Joanna Protasiewicz1, Rajmund Adamiec
1Katedra i Klinika Angiologii, Nadcisnienia Tetniczego i Diabetologii Akademii Medycznej we Wrocławiu.
Insights
The CD44 molecule, a hyaluronan receptor, plays a key role in atherosclerosis development by mediating inflammatory cell adhesion and plaque destabilization. Further research is needed to explore CD44 inhibition as a potential therapeutic strategy for this major cause of mortality.
Area of Science:
- Cardiovascular Biology
- Immunology
- Molecular Medicine
Background:
- Atherosclerosis is a leading cause of mortality with incompletely understood pathogenesis.
- Current understanding involves inflammatory cell recruitment, smooth muscle cell activation, and endothelial dysfunction.
- The CD44 molecule, a primary hyaluronan receptor, is increasingly implicated in these processes.
Purpose of the Study:
- To review the multifaceted roles of CD44 in the pathogenesis of atherosclerosis.
- To highlight CD44's involvement in key cellular events contributing to atherosclerotic plaque formation and progression.
Main Methods:
- Review of existing scientific literature and studies on CD44 function in atherosclerosis.
- Analysis of CD44's molecular mechanisms in endothelial cells, smooth muscle cells, and inflammatory cells.
Main Results:
- CD44 mediates T-lymphocyte and monocyte adhesion to the endothelium.
- It stimulates pro-inflammatory cytokine release from macrophages.
- CD44 contributes to smooth muscle cell dedifferentiation and atherosclerotic plaque destabilization.
Conclusions:
- CD44 is involved in multiple stages of atherosclerosis pathogenesis.
- Inhibiting CD44 function presents a potential therapeutic avenue for atherosclerosis.
- Further investigation is required to fully elucidate therapeutic implications.
Abstract:
The pathogenesis of atherosclerosis, which remains the most important reason of mortality, is not well understood. Its present conception includes recruitment of inflammatory cells to the vessel wall, activation of vascular smooth muscle cells and endothelium. Much evidence indicate that CD44 molecule, the main receptor for hyaluronan, takes part in pathogenesis via several mechanisms. It mediates in lymphocyte T and monocyte adhesion to the endothelium, stimulates proinflammatory cytokine release from macrophages and participates in dedifferentiation phenotype of smooth muscle cells from contractile state to synthetic one. Furthermore CD44 acts in atherosclerotic plaque destabilization and neointimal proliferation after percutaneous vascular interventions. Numerous studies have supported the concept that CD44 participates in many stages of atherosclerosis. These studies suggest that inhibition of CD44 function may provide an effective mean for inhibiting atherosclerosis, but we still need further investigations for possible therapeutic implications.
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