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Atherogenesis in rheumatology
S I van Leuven1, J J P Kastelein, D P D'Cruz
1Department of Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Insights
Atherosclerosis involves chronic inflammation and plaque buildup. Other inflammatory conditions can accelerate atherosclerosis, increasing cardiovascular disease risk through shared and unique mechanisms.
Area of Science:
- Cardiovascular Science
- Immunology
- Inflammation Biology
Background:
- Atherosclerosis is a chronic inflammatory condition involving immune cell activation and plaque destabilization.
- Chronic inflammation in other diseases is linked to accelerated atherosclerosis and increased cardiovascular disease (CVD) incidence.
- Conditions like systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), and antiphospholipid syndrome (APS) exemplify this link.
Purpose of the Study:
- To explore the relationship between chronic inflammatory disorders and atherosclerosis.
- To understand how systemic inflammation and specific disease mechanisms contribute to CVD risk.
Main Methods:
- Review of existing literature on atherosclerosis and chronic inflammatory diseases.
- Analysis of pathophysiological mechanisms linking inflammation to cardiovascular complications.
Main Results:
- Chronic inflammatory states significantly accelerate the atherosclerotic process.
- Increased CVD incidence is observed in patients with SLE, RA, and APS.
- Both systemic inflammation and disorder-specific factors play roles in atherosclerosis development.
Conclusions:
- Chronic inflammatory disorders represent a significant risk factor for atherosclerosis progression.
- Targeting systemic inflammation and specific disease pathways may mitigate CVD risk in these patients.
Abstract:
Atherosclerosis is a chronic inflammatory disorder characterized by immune cell activation, inflammation driven plaque formation and subsequent destabilization. In other disorders of an inflammatory nature, the chronic inflammatory state per se has been linked to acceleration of the atherosclerotic process which is underlined by an increased incidence of cardiovascular disease (CVD) in disorders such as systemic lupus erythematosus (SLE), rheumatoid arthritis (RA) and antiphopholipid (Hughes) syndrome (APS). In addition to systemic inflammation, additional mechanisms have been put forward that are more specific for the pathophysiology of the individual chronic inflammatory disorders.
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