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Updated: May 21, 2026

Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
Regression of atherosclerosis
Benoit J Arsenault1, Ekaterini A Kritikou, Jean-Claude Tardif
1Montreal Heart Institute, Université de Montréal, 5000 Belanger Street, Montreal, Québec, Canada.
Insights
Novel drugs and advanced imaging techniques are emerging to combat atherosclerotic cardiovascular disease (CVD). This review highlights progress in treating atherosclerosis and assessing its progression for better patient outcomes.
Area of Science:
- Cardiology
- Pharmacology
- Medical Imaging
Background:
- Atherosclerotic cardiovascular disease (CVD) is a major cause of premature death and hospitalization.
- Current treatments aim to reduce mortality and promote regression of atherosclerotic lesions.
Purpose of the Study:
- To review the latest advancements in CVD treatment and management.
- To highlight novel drugs targeting atherosclerosis.
- To discuss current and emerging imaging techniques for monitoring atherosclerosis progression.
Main Methods:
- Review of clinical trials focusing on hard end points (mortality, myocardial infarction).
- Analysis of trials using surrogate end points with imaging biomarkers.
- Examination of drug therapies targeting low-density lipoproteins, high-density lipoproteins, inflammation, and oxidation.
Main Results:
- Statins have demonstrated efficacy in promoting atherosclerosis regression.
- Several novel drug candidates targeting different pathways are under investigation.
- Imaging biomarkers offer rapid assessment of cardiovascular drug efficacy.
Conclusions:
- New therapeutic strategies and advanced imaging are crucial for managing atherosclerotic CVD.
- Personalized approaches combining novel drugs and precise imaging will improve atherosclerosis treatment.
- Continued research is essential to reduce the burden of cardiovascular disease.
Abstract:
Atherosclerotic cardiovascular disease (CVD) is a complex disorder that leads to premature death and hospitalization. Several drugs have been, or are currently being tested for their ability to reduce cardiovascular mortality and/or promote regression of atherosclerotic lesions. In addition to "hard end point" clinical trials in which total and cardiovascular mortality as well as risk of incident myocardial infarction are considered as outcomes, trials with surrogate end points using imaging biomarkers can rapidly assess the efficacy of new cardiovascular drugs. Low-density lipoprotein-based therapies with statins have been shown to promote atherosclerosis regression, and several other drugs targeting high-density lipoproteins or inflammation/oxidation are currently being tested in both outcomes and imaging trials in which atherosclerosis regression is anticipated. In this review, we focus on the latest progress in CVD and highlight novel drugs that tackle atherosclerosis as well as the currently used and upcoming imaging techniques to optimally measure atherosclerosis progression.
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