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Clinical, Anamnestic, and Demographic Characteristics of Patients with Myocardial Infarction in Russian Federation According to the Russian Registry of Acute Myocardial Infarction - REGION-IM.

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[Cardiovascular diseases and mannose-binding lectin].

I E Losin, R M Shakhnovich, K A Zykov

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    |August 9, 2014
    PubMed
    Summary

    Mannose-binding lectin (MBL), an innate immunity factor, plays a complex role in acute coronary syndromes (ACS). Its impact on cardiovascular disease pathogenesis, including inflammation and thrombosis, requires further investigation for improved patient outcomes.

    Area of Science:

    • Innate immunity and cardiovascular disease research.
    • Molecular mechanisms of complement activation.
    • Pathogenesis of atherosclerosis and acute coronary syndromes.

    Context:

    • The role of innate immunity factors in acute coronary syndromes (ACS) is underexplored.
    • Mannose-binding lectin (MBL) is a key humoral innate immune factor activating complement pathways.
    • Existing literature presents a complex and often contradictory role for MBL in cardiovascular diseases.

    Purpose:

    • To review and synthesize current literature on the impact of Mannose-binding lectin (MBL) on atherosclerosis, ischemic heart disease, and ACS.
    • To explore the multifaceted role of MBL in the pathogenesis of cardiovascular events.
    • To discuss the genetic basis of MBL deficiency and its implications.

    Summary:

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  • Mannose-binding lectin (MBL) influences key pathogenic links in ACS, including inflammation, thrombosis, and apoptosis.
  • MBL's involvement spans atherogenesis, from plaque formation and destabilization to thrombotic events.
  • The review covers MBL's function in innate immunity, MBL2 gene variations, MBL deficiency, and its role in various diseases.

    • Impact:

    • Highlights the potential of MBL as a therapeutic target or prognostic marker in ACS.
    • Provides a comprehensive overview for researchers investigating innate immunity in cardiovascular pathology.
    • Informs clinical understanding of MBL's dual role, potentially improving patient risk stratification and management.