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A Mouse Model for Pathogen-induced Chronic Inflammation at Local and Systemic Sites
Published on: August 8, 2014
Atherosclerosis, inflammation and Chlamydia pneumoniae
Giovanni Fazio1, Maria Giovino, Alessandro Gullotti
1Giovanni Fazio, Maria Giovino, Alessandro Gullotti, Daniela Bacarella, Giuseppina Novo, Salvatore Novo, Division of Cardiology, University of Palermo, 90100, Palermo, Italy.
Insights
Coronary atherosclerosis, a leading cause of death, involves complex pathological processes including inflammation and thrombosis. This review explores these mechanisms and the potential role of Chlamydia infection.
Area of Science:
- Cardiovascular Pathology
- Infectious Disease Immunology
Background:
- Coronary heart disease is a major cause of mortality globally.
- Coronary atherosclerosis underlies most ischemic heart disease and acute coronary syndromes.
- Plaque disruption and thrombosis are key events in acute coronary syndromes.
Purpose of the Study:
- To review the pathological processes involved in atherosclerosis.
- To discuss the potential role of Chlamydia infection in atherosclerosis and phlogosis.
Main Methods:
- Literature review of pathological mechanisms in atherosclerosis.
- Discussion of inflammatory, proliferative, degenerative, and thrombotic processes.
- Exploration of Chlamydia's potential contribution to phlogosis.
Main Results:
- Atherosclerosis results from a complex interplay of endothelial dysfunction, lipid accumulation, inflammation, smooth muscle cell proliferation, and thrombosis.
- Calcification/ossification may be an active pathological process.
- Chlamydia infection is investigated for its potential role in exacerbating these processes.
Conclusions:
- Understanding the multifaceted pathology of atherosclerosis is crucial for developing effective treatments.
- Further research is warranted to elucidate the specific contribution of Chlamydia infection to coronary atherosclerosis and phlogosis.
Abstract:
Coronary heart disease is the single most common cause of illness and death in the developed world. Coronary atherosclerosis is by far the most frequent cause of ischemic heart disease, and plaque disruption with superimposed thrombosis is the main cause of the acute coronary syndromes of unstable angina, myocardial infarction, and sudden death. Atherosclerosis is the result of a complex interaction between blood elements, disturbed flow, and vessel wall abnormality, involving several pathological processes: inflammation, with increased endothelial permeability, endothelial activation, and monocyte recruitment; growth, with smooth muscle cell proliferation, migration, and matrix synthesis; degeneration, with lipid accumulation; necrosis, possibly related to the cytotoxic effect of oxidized lipid; calcification/ossification, which may represent an active rather than a dystrophic process; and thrombosis, with platelet recruitment and fibrin formation. In this review we discuss these processes and the possible pathological effects of Chlamydia infection and the ensuing phlogosis.
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