Mannan-binding lectin in cardiovascular disease
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Updated: Apr 28, 2026

Intravital Microscopy of Leukocyte-endothelial and Platelet-leukocyte Interactions in Mesenterial Veins in Mice
Published on: August 13, 2015
Izabela Pągowska-Klimek1, Maciej Cedzyński2
1Department of Anesthesiology and Intensive Care, Polish Mother's Memorial Hospital Institute, Rzgowska 281/289, 93-338 Łódź, Poland.
Insights
Mannan-binding lectin (MBL), a key part of innate immunity, plays a complex role in cardiovascular disease, influencing atherosclerosis and heart attack outcomes. Its impact varies, highlighting the dual nature of immune responses in heart health.
Area of Science:
- Immunology
- Cardiology
- Genetics
Background:
- Cardiovascular disease is a major global health issue, prompting research into its underlying mechanisms.
- Innate immunity, particularly mannan-binding lectin (MBL), is implicated in inflammatory responses during infection and ischemia-reperfusion injury.
- The role of MBL in cardiovascular complications is increasingly recognized.
Purpose of the Study:
- To review the structure, genetic polymorphism, and inflammatory roles of MBL.
- To emphasize the associations between MBL and cardiovascular disease.
- To explore MBL's involvement in atherosclerosis, coronary artery disease, myocardial infarction, and heart transplantation.
Main Methods:
- This review synthesizes existing literature on MBL.
- It examines MBL's structure, genetics, and function in inflammation and tissue injury.
- Associations with various cardiovascular conditions are discussed based on published studies.
Main Results:
- MBL appears to contribute to the pathogenesis of atherosclerosis and coronary artery disease.
- MBL is involved in inflammation and tissue injury following myocardial infarction and heart transplantation.
- The relationship between MBL and cardiovascular disease is complex, influenced by genetic and environmental factors.
Conclusions:
- MBL's role in cardiovascular disease is multifaceted and context-dependent.
- Genetic and environmental factors significantly modulate MBL's impact on cardiovascular health.
- Innate immunity, exemplified by MBL, can act as a 'double-edged sword' in cardiovascular disease, with both protective and detrimental effects.
Abstract:
Cardiovascular disease remains the leading cause of mortality and morbidity worldwide so research continues into underlying mechanisms. Since innate immunity and its potent component mannan-binding lectin have been proven to play an important role in the inflammatory response during infection and ischaemia-reperfusion injury, attention has been paid to its role in the development of cardiovascular complications as well. This review provides a general outline of the structure and genetic polymorphism of MBL and its role in inflammation/tissue injury with emphasis on associations with cardiovascular disease. MBL appears to be involved in the pathogenesis of atherosclerosis and, in consequence, coronary artery disease and also inflammation and tissue injury after myocardial infarction and heart transplantation. The relationship between MBL and disease is rather complex and depends on different genetic and environmental factors. That could be why the data obtained from animal and clinical studies are sometimes contradictory proving not for the first time that innate immunity is a "double-edge sword," sometimes beneficial and, at other times disastrous for the host.
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