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Emerging Roles for Neuropilin-2 in Cardiovascular Disease
Jennifer L Harman1, Jacob Sayers2, Chey Chapman1
1Department of Comparative Biomedical Sciences, Royal Veterinary College, Royal College Street, London NW1 0TU, UK.
Insights
Neuropilins (NRPs) are cell surface co-receptors involved in vascular signaling. This review highlights the role of Neuropilin 2 (NRP2) in atherosclerosis and occlusive vascular diseases, suggesting it as a therapeutic target.
Area of Science:
- Cardiovascular Biology
- Cellular and Molecular Medicine
- Immunology
Background:
- Cardiovascular disease, primarily atherosclerosis, is a leading global cause of mortality.
- Atherosclerosis involves arterial narrowing due to plaque buildup, leading to restricted blood flow and severe complications like heart attack and stroke.
- Re-occlusion after interventions such as percutaneous coronary intervention or bypass grafts remains a clinical challenge.
Purpose of the Study:
- To review recent findings on the role of Neuropilins (NRPs), specifically NRP2, in the development of occlusive vascular diseases.
- To explore the potential of targeting NRP2 for therapeutic interventions in cardiovascular disease.
Main Methods:
- Literature review of recent studies implicating NRP2 in vascular disease.
- Analysis of NRP2 expression and function in relevant cell types within the vasculature.
- Discussion of therapeutic strategies targeting NRP2.
Main Results:
- Neuropilins (NRPs) are cell surface co-receptors expressed on endothelial, immune, and vascular smooth muscle cells.
- NRP2 is implicated in the pathogenesis of atherosclerosis and other occlusive vascular diseases.
- NRP2 regulates critical signaling pathways within the vasculature relevant to disease development.
Conclusions:
- NRP2 plays a significant role in the development of occlusive vascular diseases.
- Targeting NRP2 presents a promising therapeutic avenue for managing cardiovascular diseases like atherosclerosis.
- Further research into NRP2-mediated pathways could lead to novel treatment strategies.
Abstract:
Cardiovascular disease, the leading cause of death worldwide, is predominantly associated with atherosclerosis. Atherosclerosis is a chronic inflammatory disease characterised by the narrowing of large to medium-sized arteries due to a build-up of plaque. Atherosclerotic plaque is comprised of lipids, extracellular matrix, and several cell types, including endothelial, immune, and vascular smooth muscle cells. Such narrowing of the blood vessels can itself restrict blood flow to vital organs but most severe clinical complications, including heart attacks and strokes, occur when lesions rupture, triggering the blood to clot and obstructing blood flow further down the vascular tree. To circumvent such obstructions, percutaneous coronary intervention or bypass grafts are often required; however, re-occlusion of the treated artery frequently occurs. Neuropilins (NRPs), a multifunctional family of cell surface co-receptors, are expressed by endothelial, immune, and vascular smooth muscle cells and are regulators of numerous signalling pathways within the vasculature. Here, we review recent studies implicating NRP2 in the development of occlusive vascular diseases and discuss how NRP2 could be targeted for therapeutic intervention.
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