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Updated: May 15, 2026

Intravascular Delivery of Biologics to the Rat Kidney
Published on: September 1, 2016
Biologics and the cardiovascular system: a double-edged sword
Camille Roubille1, Johanne Martel-Pelletier, Boulos Haraoui
1Osteoarthritis Research Unit, University of Montreal Hospital Research Center (CRCHUM), Notre-Dame Hospital, 1560 Sherbrooke Street East, Montreal, Quebec, Canada. camille.roubille@gmail.com
Patients with inflammatory diseases face higher cardiovascular risks due to systemic inflammation. Biologics targeting inflammation show both beneficial and detrimental effects on heart health, impacting atherosclerosis and heart failure.
Area of Science:
- Cardiovascular Medicine
- Rheumatology
- Immunology
Background:
- Chronic inflammatory diseases, like rheumatoid arthritis, elevate cardiovascular disease (CVD) risk.
- Systemic inflammation, driven by cytokines (TNF-alpha, IL-1, IL-6), independently accelerates atherosclerosis and contributes to heart failure (HF).
Purpose of the Study:
- To review the cardiovascular and vascular effects of biologics used in inflammatory conditions.
- To analyze the impact of TNF-alpha, IL-6, IL-1, and anti-CD20 blockade on cardiovascular outcomes.
Main Methods:
- Literature review of studies on biologics in inflammatory arthritis and vasculitides.
- Analysis of clinical data and research on biologic mechanisms affecting cardiovascular and non-cardiac conditions.
Main Results:
- Biologics targeting pro-inflammatory cytokines have shown both positive and negative effects on cardiovascular health.
- Specific biologics influence atherosclerosis, myocardial infarction, cerebrovascular disease, and heart failure progression.
Conclusions:
- Understanding the dual effects of biologics is crucial for managing cardiovascular risk in patients with inflammatory diseases.
- Targeted biologic therapies require careful consideration of their cardiovascular implications.
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