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Quantitative Analysis of Cellular Composition in Advanced Atherosclerotic Lesions of Smooth Muscle Cell Lineage-Tracing Mice
Published on: February 20, 2019
Vaccines in development to prevent and treat atherosclerotic disease
Elizabeth Riley1, Vijaya Dasari, William H Frishman
1Departments of Medicine, University of Colorado Health Sciences Center, Denver, Colorado, USA.
Insights
New vaccines targeting immune mechanisms show promise in preventing coronary heart disease (CHD) and atherosclerosis. These innovative vaccines aim to reduce inflammation and modify risk factors, offering potential atheroprotective benefits.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Vaccinology
Background:
- Coronary heart disease (CHD) is a leading cause of mortality in the US.
- Immune mechanisms are increasingly recognized in the pathogenesis of atherosclerosis.
- Pro-inflammatory substances like heat shock proteins and oxidized low-density lipoprotein are implicated in plaque development.
Purpose of the Study:
- To review current and developing vaccines targeting immune pathways in atherosclerosis.
- To explore the potential atheroprotective effects of various vaccine modalities.
- To assess vaccines as novel therapeutic options for CHD.
Main Methods:
- Review of scientific literature on vaccines and their role in cardiovascular disease.
- Analysis of immune targets in atherosclerosis, including heat shock proteins and cholesteryl ester transfer protein.
- Examination of anti-inflammatory effects of existing and novel vaccines.
Main Results:
- Vaccines targeting heat shock proteins and oxidized low-density lipoprotein are under development.
- A vaccine inhibiting cholesteryl ester transfer protein has been developed.
- The influenza vaccine demonstrates an atheroprotective effect, highlighting the role of vaccination in cardiovascular health.
Conclusions:
- Vaccines targeting specific immune mechanisms and risk factors offer a promising new strategy for atheroprotection.
- Nicotine, antiangiotensin, and anti-obesity vaccines may play a therapeutic role in managing atherosclerosis.
- Vaccines represent a potential addition to the therapeutic armamentarium against cardiovascular disease.
Abstract:
Coronary heart disease (CHD) remains the leading cause of death in the United States. Immune mechanisms have been recently proposed to play an important role in the development of atherosclerotic plaques in CHD. Heat shock proteins and oxidized low-density lipoprotein are proinflammatory substances that have been shown to have an important role in the pathogenesis of atherosclerosis, and are now targets for clinical vaccine development. In addition, a vaccine has been developed to inhibit cholesteryl ester transfer protein. It is now recognized that many medications used to combat plaque development and rupture have significant anti-inflammatory effects and these effects are critical for drug efficacy. The influenza vaccine is associated with an atheroprotective effect. In addition, a nicotine vaccine, an antiangiotensin vaccine, and an anti-obesity vaccine may play a therapeutic role in modifying known risk factors for the development of atherosclerosis and its complications. This article reviews these vaccines as possible additions to the armamentarium of atheroprotective treatment modalities.
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