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Quantification of Atherosclerosis in Mice
Published on: June 12, 2019
Vaccination in Atherosclerosis
Felix Sebastian Nettersheim1, Lauren De Vore1, Holger Winkels1
1Department III of Internal Medicine III, Heart Center, Faculty of Medicine and University Hospital of Cologne, 50937 Cologne, Germany.
Insights
New vaccination strategies target atherosclerosis by leveraging the adaptive immune response against plaque autoantigens. This approach aims for precise treatment without compromising host defense, offering a promising therapeutic avenue for cardiovascular disease.
Area of Science:
- Cardiovascular Science
- Immunology
- Inflammation Research
Background:
- Atherosclerosis, a primary cause of global mortality, involves chronic vascular inflammation and plaque formation.
- Current anti-atherosclerosis treatments are limited, with inflammation-targeting therapies raising safety concerns regarding host defense impairment.
- Decades of research link adaptive immune responses to autoantigens in plaque development (atherogenesis).
Purpose of the Study:
- To review current vaccination strategies for atherosclerosis.
- To explore the mechanisms of action and therapeutic potential of these immunotherapies.
- To identify challenges in translating atherosclerosis vaccination into clinical practice.
Main Methods:
- Review of scientific literature and preclinical data on atherosclerosis vaccination.
- Analysis of adaptive immune responses against plaque-associated autoantigens.
- Evaluation of proposed mechanisms of action for anti-atherosclerosis vaccines.
Main Results:
- Preclinical studies suggest immunization against specific autoantigens offers protective effects.
- Vaccination strategies aim to precisely target atherosclerotic plaques, potentially avoiding host defense impairment.
- Evidence supports the role of adaptive immunity in atherogenesis, indicating potential for immunomodulation.
Conclusions:
- Vaccination represents a promising, targeted approach for atherosclerosis treatment.
- Further research is needed to overcome challenges for clinical translation of these immunotherapies.
- Developing safe and effective atherosclerosis vaccines could significantly impact cardiovascular disease prevention and treatment.
Abstract:
Atherosclerosis is the major underlying pathology of cardiovascular diseases that together are the leading cause of death worldwide. The formation of atherosclerotic plaques is driven by chronic vascular inflammation. Although several risk factors have been identified and significant progress in disease prevention and treatment has been made, no therapeutic agents targeting inflammation are clinically available. Recent clinical trials established the potential of anti-inflammatory therapies as a treatment of atherosclerosis. However, adverse impacts on host defense have raised safety concerns about these therapies. Scientific evidence during the past 40 years implicated an adaptive immune response against plaque-associated autoantigens in atherogenesis. Preclinical data have underscored the protective potential of immunization against such targets precisely and without the impairment of host defense. In this review, we discuss the current vaccination strategies against atherosclerosis, supposed mechanisms of action, therapeutic potential, and the challenges that must be overcome in translating this idea into clinical practice.
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