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The pleiotropic role of interleukin-17 in atherosclerosis
Gamal Allam1, Adel Abdel-Moneim2, Asmaa M Gaber2
1Immunology Section, Department of Microbiology, College of Medicine, Taif University, Taif, Saudi Arabia; Immunology Section, Department of Zoology, Faculty of Science, Beni-Suef University, Beni-Suef, Egypt.
Insights
Interleukin-17 (IL-17) has complex roles in atherosclerosis, a key driver of cardiovascular disease. This review explores IL-17
Area of Science:
- Immunology
- Cardiovascular Research
- Inflammation
Background:
- Atherosclerosis, a chronic arterial wall inflammation, drives cardiovascular diseases (CVDs), the leading global cause of mortality.
- Immune cells, including CD4+ T cell subtypes, significantly influence lipoprotein modification and plaque development in atherosclerosis.
- While T helper-1 (Th1) cells are proatherogenic and T regulatory (Treg) cells are atheroprotective, the role of T helper-17 (Th17) cells and IL-17 remains debated.
Purpose of the Study:
- To review the current understanding of the dual roles of Interleukin-17 (IL-17) in atherogenesis and plaque stability.
- To discuss the synergistic and antagonistic interactions of IL-17 with other cytokines in the context of atherosclerosis.
- To explore the potential for developing novel therapeutic strategies targeting IL-17 pathways for atherosclerosis treatment.
Main Methods:
- Comprehensive literature review of recent investigations on IL-17 and its role in atherosclerosis.
- Analysis of studies examining both proatherogenic and atheroprotective effects of IL-17.
- Discussion of cytokine interactions involving IL-17 in the context of arterial wall inflammation.
Main Results:
- Evidence suggests IL-17 can exert both proatherogenic and atheroprotective effects in atherosclerosis, depending on the context.
- The precise role of IL-17 in disease progression and plaque destabilization is still under investigation and considered debatable.
- Interactions between IL-17 and other inflammatory cytokines significantly modulate its impact on atherosclerosis.
Conclusions:
- The role of IL-17 in atherosclerosis is complex and context-dependent, presenting challenges for therapeutic targeting.
- Further research into the intricate mechanisms of IL-17 signaling and its interactions is crucial for understanding its impact on cardiovascular disease.
- Elucidating these roles may pave the way for innovative therapeutic strategies aimed at managing atherosclerosis.
Abstract:
Atherosclerosis is the main cause of cardiovascular diseases (CVDs), which considers the leading cause of mortality worldwide. Atherosclerosis is a chronic inflammatory condition of arterials' wall in which the development and the destabilization of plaque occur. Both innate and adaptive immunity play a significant role in modifying lipoproteins in arterials' wall. Recent investigations have demonstrated the opposing roles of CD4+ T cells subtypes in atherosclerosis. T helper-1 (Th1) response and pro-inflammatory cytokines possess proatherogenic effects, whereas T regulatory (Treg) cells have an atheroprotective role. Th17 cells have emerged as a new CD4+ T-cell subtype, which produce IL-17 that plays a crucial role in numerous inflammatory and autoimmune diseases. Recently, several studies have investigated the potential role of IL-17 in atherosclerosis. Some investigations have suggested a proatherogenic effect, however the others proposed an atheroprotective role. Hence, the exact role of IL-17 in the disease development and plaque stability is still debatable. In this review, we summarize the current knowledge on both atherogenesis and atheroprotective roles of IL-17. In addition, the synergistic and antagonistic effects of IL-17 with other cytokines in atherosclerosis will be discussed. On the basis of the current understanding of these roles, the possibility of developing novel therapeutic strategies against atherosclerosis may be evolved.
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