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Published on: January 28, 2020
The evolving role of C-reactive protein in atherothrombosis
Sridevi Devaraj1, Uma Singh, Ishwarlal Jialal
1Laboratory for Atherosclerosis and Metabolic Research, University of California-Davis Medical Center, Sacramento, CA, USA.
Insights
C-reactive protein (CRP) is a key inflammation marker for cardiovascular events. Research suggests CRP not only predicts risk but also actively contributes to atherosclerosis development, requiring further investigation.
Area of Science:
- Cardiovascular Science
- Inflammation Biology
- Atherosclerosis Research
Background:
- Inflammation plays a critical role in all stages of atherosclerosis.
- C-reactive protein (CRP) is a well-established inflammatory biomarker for cardiovascular events.
- Evidence suggests CRP may actively participate in the process of atherogenesis.
Purpose of the Study:
- To review the role of C-reactive protein (CRP) in promoting atherothrombosis.
- To discuss the effects of CRP on key cellular components involved in atherosclerosis.
Main Methods:
- Literature review focusing on the impact of CRP on endothelial cells.
- Analysis of CRP's effects on endothelial progenitor cells.
- Examination of CRP's influence on monocyte-macrophages and smooth muscle cells.
Main Results:
- C-reactive protein (CRP) is a validated risk marker for cardiovascular disease.
- CRP is recommended for primary prevention strategies in cardiovascular health.
- CRP demonstrates potential to contribute directly to the development of atherosclerosis.
Conclusions:
- CRP is a confirmed risk marker for cardiovascular disease, essential for primary prevention.
- CRP appears to play a role in promoting atherogenesis.
- Further research, particularly in animal models, is necessary to confirm CRP's role in atherothrombosis.
Background:
Inflammation is pivotal in all phases of atherosclerosis. Among the numerous inflammatory biomarkers, the largest amount of published data supports a role for C-reactive protein (CRP) as a robust and independent risk marker in the prediction of primary and secondary adverse cardiovascular events. In addition to being a risk marker, there is much evidence indicating that CRP may indeed participate in atherogenesis.
Content:
In this review, we focus on the role of CRP in promoting atherothrombosis by discussing its effects on endothelial cells, endothelial progenitor cells, monocyte-macrophages, and smooth muscle cells.
Conclusions:
CRP is clearly a risk marker for cardiovascular disease and is recommended for use in primary prevention. In addition, CRP appears also to contribute to atherogenesis. However, much further research is needed, especially in appropriate animal models, to confirm the possible role of CRP in promoting atherothrombosis.
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