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Quantitative Analysis of Cellular Composition in Advanced Atherosclerotic Lesions of Smooth Muscle Cell Lineage-Tracing Mice
Published on: February 20, 2019
Inflammatory therapeutic targets in coronary atherosclerosis-from molecular biology to clinical application
Fabian Linden1, Gabriele Domschke1, Christian Erbel1
1Department of Cardiology, University of Heidelberg Heidelberg, Germany.
Abstract:
Atherosclerosis is the leading cause of death worldwide. Over the past two decades, it has been clearly recognized that atherosclerosis is an inflammatory disease of the arterial wall. Accumulating data from animal experiments have supported this hypothesis, however, clinical applications making use of this knowledge remain scarce. In spite of optimal interventional and medical therapy, the risk for recurrent myocardial infarction remains by about 20% over 3 years after acute coronary syndromes, novel therapies to prevent atherogenesis or treat atherosclerosis are urgently needed. This review summarizes selected potential molecular inflammatory targets that may be of clinical relevance. We also review recent and ongoing clinical trails that target inflammatory processes aiming at preventing adverse cardiovascular events. Overall, it seems surprising that translation of basic science into clinical practice has not been a great success. In conclusion, we propose to focus on specific efforts that promote translational science in order to improve outcome and prognosis of patients suffering from atherosclerosis.
Insights
Atherosclerosis, a leading cause of death, is an inflammatory arterial disease. Novel therapies targeting inflammation are needed, yet clinical translation of research remains limited, necessitating focused efforts to improve patient outcomes.
Area of Science:
- Cardiovascular Medicine
- Inflammation Research
- Translational Science
Background:
- Atherosclerosis is the primary global cause of mortality.
- It is increasingly understood as an inflammatory disease of the arterial wall.
- Despite this knowledge, clinical applications remain limited.
Purpose of the Study:
- To review potential molecular inflammatory targets for atherosclerosis.
- To summarize ongoing clinical trials targeting inflammatory processes in cardiovascular disease.
- To highlight the gap in translational science for atherosclerosis treatment.
Main Methods:
- Literature review of basic science research on inflammatory targets.
- Analysis of ongoing clinical trials investigating anti-inflammatory therapies.
- Synthesis of findings to assess translational success.
Main Results:
- Several molecular inflammatory targets show clinical relevance.
- Ongoing trials are evaluating anti-inflammatory strategies for cardiovascular events.
- The translation of basic science findings into clinical practice for atherosclerosis has been limited.
Conclusions:
- Targeting specific inflammatory pathways holds promise for novel atherosclerosis therapies.
- Enhanced translational science efforts are crucial for improving patient outcomes.
- Future research should focus on bridging the gap between basic science and clinical application in atherosclerosis management.
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