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Synthesis of Monocyte-targeting Peptide Amphiphile Micelles for Imaging of Atherosclerosis
Published on: November 17, 2017
Strategies to reverse atherosclerosis: an imaging perspective.
Jason B Thompson1, Michael Blaha, Jon R Resar
1Division of Cardiology, The Johns Hopkins Hospital, 600 North Wolfe Street, Carnegie 568, Baltimore, MD 21287, USA. jthomp59@jhmi.edu
Treatments targeting cholesterol may reverse atherosclerosis progression. Advanced imaging techniques track plaque changes, potentially replacing traditional heart attack and death endpoints in clinical trials.
Area of Science:
- Cardiovascular Medicine
- Medical Imaging
- Pharmacology
Background:
- Atherosclerosis is a major cause of cardiovascular disease.
- Current treatments aim to manage risk factors like cholesterol levels.
- Atherosclerosis regression is a potential therapeutic goal.
Purpose of the Study:
- To review treatment strategies for atherosclerosis regression.
- To discuss the role of advanced imaging in assessing atherosclerosis.
- To evaluate the use of imaging surrogates in clinical trials.
Main Methods:
- Review of pharmacological interventions targeting lipid profiles (statins, fibrates, nicotinic acid).
- Description of established atherosclerosis imaging modalities (intravascular ultrasound, carotid ultrasound, cardiovascular MRI).
- Analysis of the increasing use of radiologic measures as surrogate endpoints.
Main Results:
- Specific therapies show potential to induce atherosclerosis regression.
- Imaging techniques allow detailed characterization of plaque quantity and quality.
- Subclinical atherosclerosis measures are increasingly used as surrogate endpoints in trials.
Conclusions:
- Atherosclerosis regression is achievable with lipid-modifying therapies.
- Advanced imaging enables early detection and monitoring of atherosclerotic changes.
- Further data is needed to confirm surrogate endpoints' correlation with hard clinical outcomes for future treatment strategies.
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