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Novel Inflammatory Biomarkers in Coronary Artery Disease: Potential Therapeutic Approaches
Konstantinos V Voudris, Jake Chanin, Dmitriy N Feldman
1Division of Cardiology, University of Texas Health Science Center at Houston, Houston, Texas. Konstantinos.Charitakis@uth.tmc.edu.
Insights
This review explores inflammatory biomarkers for diagnosing and predicting outcomes in acute coronary syndrome (ACS). Understanding these markers, including C-reactive protein (CRP) and novel ones, is crucial for better patient care.
Area of Science:
- Cardiology
- Biochemistry
- Pathophysiology
Background:
- Coronary artery disease is a leading cause of death globally.
- Inflammation is a key factor in atherosclerosis development and plaque instability, leading to acute coronary syndrome (ACS).
Purpose of the Study:
- To review the clinical utility of established and novel inflammatory biomarkers in diagnosing and predicting outcomes for patients with ACS.
Main Methods:
- A literature search was conducted on the PubMed database.
- Included original articles in English using terms like "biomarkers", "acute coronary syndrome", and "infarction".
Main Results:
- The study highlights a diverse range of novel biomarkers for coronary artery disease.
- These biomarkers offer insights into the complex pathophysiology of the disease.
Conclusions:
- Assessing established (e.g., CRP) and novel inflammatory biomarkers is vital for ACS diagnosis and prognosis.
- Integrating these biomarkers into clinical practice is essential for future patient management and care.
Abstract:
Coronary artery disease constitutes the leading cause of mortality and morbidity in the modern world. Inflammation has been implicated to play a key role in the initiation and promotion of atherosclerosis, and the induction of plaque instability, possibly leading to acute coronary syndrome (ACS). This review aims to assess the clinical utility of well established (CRP) and novel inflammatory biomarkers (Homocyesteine, SAA, sCD40L, sLOX-1, IMA, MPO, PAPP-A and MMPs) in the diagnosis and outcome prediction of patients with ACS. The PubMed database was searched for reports using the terms "biomarkers", "acute coronary syndrome", "infarction", "markers" and only original articles written in English were included. The diversity of novel biomarkers for coronary artery disease provides an insight of the varied pathophysiology of this disease. A better understanding of their properties and assimilation in daily clinical use is essential for optimal management and patient care in the future.
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