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Published on: May 6, 2014
[Tumor necrosis factor alfa in cardiovascular diseases: molecular biology and genetics]
José Manuel Fragoso Lona1, Mónica Sierra Martínez, Gilberto Vargas Alarcón
1Departamento de Biología Molecular, Instituto Nacional de Cardiología «Ignacio Chávez», México, D.F. dr.julian.ramirez.inv@gmail.com.
Insights
Tumor necrosis factor alpha (TNF-α) plays a key role in coronary artery disease (CAD) development and progression. Genetic variations in TNF-α influence CAD susceptibility, severity, and treatment outcomes.
Area of Science:
- Immunology
- Cardiology
- Genetics
Context:
- Cardiovascular diseases (CVDs) are a leading global health issue, causing significant mortality and morbidity.
- In the US, CVDs accounted for 41% of deaths in 1997, affecting approximately 60 million individuals.
- CVDs are chronic inflammatory conditions linked to immune system dysregulation.
Purpose:
- To review the biological role of tumor necrosis factor alpha (TNF-α) in the initiation and progression of endothelial dysfunction.
- To summarize evidence on how TNF-α contributes to atherosclerosis complications.
- To examine the impact of TNF-α genetic variations on coronary artery disease (CAD) susceptibility, severity, and treatment response.
Summary:
- Tumor necrosis factor alpha (TNF-α), a potent cytokine, is implicated in the inflammatory processes underlying CAD.
- Evidence suggests TNF-α drives endothelial dysfunction and atherosclerotic complications.
- Genetic variations in the TNF-α gene are associated with varying susceptibility, disease severity, and response to treatments in CAD patients, including myocardial infarction and angina.
Impact:
- Highlights TNF-α as a critical factor in cardiovascular disease pathogenesis.
- Underscores the potential of targeting TNF-α or its genetic variations for improved CAD management and treatment strategies.
- Provides a foundation for further research into the genetic and inflammatory underpinnings of coronary artery disease.
Abstract:
Cardiovascular diseases are a major public health problem globally. In 1997, cardiovascular disease caused 41% of deaths in the United States. It has been reported that about 60 million people in the United States have some form of cardiovascular disease. These entities are chronic conditions initiated by a dysregulation of the immune response. One gene and its protein product -tumor necrosis factor a (TNF-α)- a powerful pleiotropic cytokine with multiple cellular functions, plays a role in the inflammation, initiation, development, susceptibility, severity, and response to treatment, etc. of coronary artery disease (CAD). The focus of the present review is to summarize recent evidence showing the biological role of TNF-α in the initiation and progression of endothelial dysfunction and complications of atherosclerosis, and as a genetic variation of TNF-α confer susceptibility, severity, and treatment response in CAD: ST-segment elevation myocardial infarction and non-ST segment elevation myocardial infarction, unstable angina, and coronary restenosis.
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