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Published on: May 6, 2014
Systemic inflammation and early atheroma formation: are they related?
Serban Balanescu1, Lucian Calmac, Dana Constantinescu
1Cardiology Department, Bucharest Emergency Hospital, "Carol Davila" University of Medicine and Pharmacy.
Insights
This study investigates the link between inflammation markers and atherosclerosis severity. It found that higher inflammation levels correlate with more severe coronary atheroma volume and carotid intima-media thickness in patients with early atherosclerosis.
Area of Science:
- Cardiovascular Research
- Inflammation Biology
- Immunology
Background:
- Atherosclerosis is a chronic inflammatory disease driven by endothelial injury and lipid accumulation.
- Inflammation, triggered by cardiovascular risk factors or autoimmune conditions, plays a key role in atherogenesis.
- The relationship between systemic inflammation markers and early atherosclerotic burden remains controversial.
Purpose of the Study:
- To determine if the amplitude of inflammation, measured by serum markers, correlates with atherosclerosis severity.
- To assess this correlation in patients with early atherosclerosis, stratified by conventional risk factors versus autoimmune diseases.
- To investigate specific inflammatory markers associated with different pathogenic steps in atherogenesis.
Main Methods:
- Selected inflammatory markers include C-reactive protein, TNF-alpha, interleukin-6 and -18, soluble VCAM-1, ICAM-1, and anticardiolipin antibodies.
- Atherosclerosis severity was measured by coronary atheroma volume and carotid intima-media thickness.
- Two patient subsets were enrolled: those with conventional risk factors and those with autoimmune diseases lacking traditional risk factors.
Main Results:
- The study aims to identify correlations between specific serum inflammatory markers and measures of atherosclerotic burden.
- Results will elucidate the role of systemic inflammation in different patient cohorts with early atherosclerosis.
- Analysis will focus on markers representing acute phase reactants, pro-inflammatory cytokines, and endothelium activation.
Conclusions:
- Findings are expected to clarify the association between systemic inflammation and atherosclerotic progression.
- The study will provide insights into inflammation's role in atherogenesis, independent of traditional risk factors.
- Results may inform diagnostic or therapeutic strategies targeting inflammatory pathways in cardiovascular disease.
Abstract:
Atherosclerosis is a chronic inflammatory disease started by endothelial injury and defined by arterial wall load with free and esterified cholesterol, followed by subintimal focal recruitment of circulating monocytes and T-lymphocytes that heals by fibrosis and calcification. Inflammation plays a crucial role in atherogenesis either by local cellular mechanisms or humoral consequences easily measurable in plasma. In most cases inflammation and endothelial dysfunction are triggered by cardiovascular risk factors: hypercholesterolemia, hypertension, smoking or diabetes. In other cases inflammation precedes atherosclerotic changes that occur in autoimmune diseases, as systemic lupus erythematosus and rheumatoid arthritis. In these diseases atherogenesis is mostly independent from conventional risk factors. Irrespective of its cause systemic inflammation is correlated with cardiovascular events, but currently there are controversial results regarding inflammatory markers and early atherosclerotic process. We designed a study to identify if the amplitude of inflammation expressed by multiple serum markers is correlated with the severity of the atherosclerotic process measured by coronary atheroma volume and carotid intima-media thickness. The selected inflammatory markers are associated with different pathogenic steps in atherogenesis: acute phase reactants (C-reactive protein); pro-inflammatory cytokines (TNF-alpha, interleukin-6 and -18); endothelium activation markers (soluble VCAM-1, ICAM-1); and specific factors (anticardiolipinic antibodies). We aim to enrol the two different patient subsets with early atherosclerosis: one with conventional risk factors and one with autoimmune diseases without traditional risk factors, in whom inflammation is part of the systemic disease progression.
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