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Published on: May 6, 2014
Anti-inflammatory drugs and atherosclerosis
Sami P Moubayed1, Therese M Heinonen, Jean-Claude Tardif
1Department of Medicine, Montreal Heart Institute and Université de Montréal, Montreal, Quebec, Canada.
Purpose Of Review:
Inflammation contributes to the formation and progression of atherosclerosis and the therapeutic potential of some anti-inflammatory drugs has been evaluated for possible antiatherosclerotic effects. This review will briefly describe the mechanisms underlying the inflammation-atherosclerosis connection, the effect of various anti-inflammatory therapies on atherosclerotic disease and a sampling of the potential targets and agents under evaluation.
Recent Findings:
Some agents with anti-inflammatory properties appear to have beneficial effects on atherosclerosis or subsequent risk for cardiovascular events, while others have been disappointing. The anti-inflammatory actions of statins have been linked retrospectively with their favorable effects on atherosclerosis progression and clinical outcomes. The cardiovascular safety of COX-2 inhibitors is being assessed prospectively in patients with atherosclerosis. Potential new therapeutic agents targeting other inflammatory mechanisms and oxidative stress are being evaluated in animal models and clinical trials.
Summary:
Due to the contributory inflammatory pathways in atherosclerosis, the properties of existing and novel anti-inflammatory agents are being carefully and actively evaluated in cardiovascular disease. Advances in our understanding of both atherosclerosis and the inflammatory contributors may play an important role in future strategies to decrease the incidence of atherosclerotic cardiovascular disease.
Insights
Inflammation plays a key role in atherosclerosis. This review examines how anti-inflammatory drugs impact atherosclerosis, with some showing promise and others disappointing results in cardiovascular disease.
Area of Science:
- Cardiovascular Medicine
- Inflammation Research
- Pharmacology
Background:
- Inflammation is a critical factor in the development and progression of atherosclerosis.
- Understanding the inflammation-atherosclerosis link is crucial for developing effective treatments.
Purpose of the Study:
- To review the mechanisms connecting inflammation and atherosclerosis.
- To evaluate the impact of anti-inflammatory therapies on atherosclerotic disease.
- To explore potential therapeutic targets and agents for atherosclerosis.
Main Methods:
- Literature review of existing research on inflammation and atherosclerosis.
- Analysis of studies evaluating anti-inflammatory drugs in atherosclerotic disease.
- Examination of ongoing clinical trials and animal models for novel therapies.
Main Results:
- Some anti-inflammatory agents show benefits for atherosclerosis and cardiovascular events, while others have yielded disappointing outcomes.
- Statins' anti-inflammatory effects are associated with improved atherosclerosis progression and clinical results.
- Cyclooxygenase-2 (COX-2) inhibitors' cardiovascular safety is under prospective evaluation in atherosclerosis patients.
- Novel therapeutic agents targeting inflammatory pathways and oxidative stress are in preclinical and clinical development.
Conclusions:
- Ongoing evaluation of existing and novel anti-inflammatory agents is vital for cardiovascular disease management.
- Enhanced understanding of atherosclerosis and its inflammatory drivers will inform future strategies to reduce atherosclerotic cardiovascular disease incidence.
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