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Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Inflammatory biomarkers predicting events in atherosclerosis
E Stefanadi1, D Tousoulis, N Papageorgiou
1Athens University Medical School, Hippokration Hospital, Vasilissis Sofias 114, 115 28, Athens, Greece.
Insights
Vascular inflammation is key in atherosclerosis development. While C-reactive protein and fibrinogen predict cardiovascular events, the roles of adhesion molecules and cytokines require further investigation.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Biochemistry
Background:
- Vascular inflammation is increasingly recognized as a critical factor in atherosclerosis pathogenesis and progression.
- Several circulating inflammatory biomarkers, including acute phase proteins, adhesion molecules, and cytokines, have elucidated inflammation's role in this disease.
Purpose of the Study:
- To review the current understanding of inflammatory biomarkers in atherosclerosis.
- To highlight the established predictive roles of C-reactive protein and fibrinogen.
- To identify the need for further research into the prognostic value of adhesion molecules and cytokines.
Main Methods:
- Literature review of studies on inflammatory biomarkers and atherosclerosis.
- Analysis of evidence supporting the predictive role of C-reactive protein and fibrinogen.
- Identification of knowledge gaps regarding adhesion molecules and cytokines.
Main Results:
- C-reactive protein (CRP) has a positive predictive role in individuals without prior cardiovascular disease.
- Fibrinogen has demonstrated a positive role in predicting cardiovascular events.
- The prognostic significance of adhesion molecules and cytokines in cardiovascular events remains uncertain.
Conclusions:
- Established biomarkers like CRP and fibrinogen are valuable in predicting cardiovascular risk in atherosclerosis.
- Further research is essential to clarify the prognostic role of adhesion molecules and cytokines.
- Investigating novel biomarkers is crucial for a comprehensive understanding of atherosclerosis states.
Abstract:
Recent evidence suggests that vascular inflammation plays important role in the pathogenesis and the clinical evolution of atherosclerosis. Several circulating inflammatory biomarkers such as acute phase proteins, adhesion molecules and pro-inflammatory cytokines along with biomarkers, proposed the last few years, have clarified the role of inflammation in atherosclerosis. In particular a number of studies have focused on the positive predictive role of C-reactive protein in populations without prior cardiovascular disease. As regards to fibrinogen studies have shown a positive role in predicting cardiovascular events. However, the potential prognostic role of adhesion molecules and cytokines for cardiovascular events is unclear. Thus, further studies are required to evaluate the predictive role of such molecules, as well as others under investigation in states of atherosclerosis.
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