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Updated: Jan 29, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Chemokines as Therapeutic Targets in Cardiovascular Disease
Heidi Noels1, Christian Weber2,3,4, Rory R Koenen2,3
1From the Institute for Molecular Cardiovascular Research (IMCAR), RWTH Aachen University, Germany (H.N.).
Insights
Targeting inflammation, a key driver of atherosclerotic cardiovascular disease, is a promising therapeutic strategy. This review highlights recent advances in chemokine and macrophage migration inhibitory factor (MIF) therapies for treating inflammatory conditions.
Area of Science:
- Cardiovascular Science
- Inflammation Research
- Drug Discovery
Background:
- Atherosclerotic cardiovascular disease (ASCVD) incidence and impact are increasing globally.
- Lowering inflammation, as shown by the CANTOS trial, offers a viable therapeutic avenue.
- Understanding inflammation mechanisms, such as leukocyte recruitment, is crucial for developing new treatments.
Purpose of the Study:
- To provide an overview of recent developments in targeting chemokines and macrophage migration inhibitory factor (MIF) for inflammatory diseases.
- To explore innovative therapeutic approaches for chemokine-based anti-inflammatory treatments.
- To discuss the potential of targeting leukocyte trafficking in ASCVD.
Main Methods:
- Review of recent scientific literature on chemokines and MIF.
- Analysis of therapeutic strategies targeting leukocyte recruitment.
- Discussion of challenges and advancements in drug development for chemokine-based therapies.
Main Results:
- Chemokines are key regulators of leukocyte trafficking and remain attractive therapeutic targets.
- Innovative approaches are emerging for developing chemokine-based anti-inflammatory drugs.
- Macrophage migration inhibitory factor (MIF) is also discussed as a relevant target.
Conclusions:
- Targeting inflammation through chemokines and MIF offers a promising strategy for managing ASCVD.
- Continued research and development in chemokine-based therapies could lead to the first approved treatments.
- Focusing on leukocyte recruitment mechanisms presents a feasible path for novel anti-inflammatory interventions.
Abstract:
With the incidence and impact of atherosclerotic cardiovascular disease and its clinical manifestations still rising, therapeutic options that target the causal mechanisms of this disorder are highly desired. Since the CANTOS trial (Canakinumab Antiinflammatory Thrombosis Outcome Study) has demonstrated that lowering inflammation can be beneficial, focusing on mechanisms underlying inflammation, for example, leukocyte recruitment, is feasible. Being key orchestrators of leukocyte trafficking, chemokines have not lost their attractiveness as therapeutic targets, despite the difficult road to drug approval thus far. Still, innovative therapeutic approaches are being developed, paving the road towards the first chemokine-based therapeutic against inflammation. In this overview, recent developments for chemokines and for the chemokine-like factor MIF (macrophage migration inhibitory factor) will be discussed.
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