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Altered Vascular Extracellular Matrix in the Pathogenesis of Atherosclerosis
Rohit Mohindra1, Devendra K Agrawal1, Finosh G Thankam2
1Department of Translational Research, Western University of Health Sciences, 309 E. Second Street, Pomona, CA, 91766-1854, USA.
Insights
Cardiovascular disease, particularly atherosclerosis, involves changes in the blood vessel
Area of Science:
- Cardiovascular Medicine
- Biomedical Engineering
- Pathology
Background:
- Cardiovascular disease poses a significant global health challenge.
- Atherosclerosis, a primary cause of coronary artery disease, involves complex vascular changes.
- Extracellular matrix (ECM) homeostasis is crucial in vascular health.
Purpose of the Study:
- To review the role of the extracellular matrix (ECM) in atherosclerosis pathogenesis.
- To discuss ECM components and their alterations in blood vessels.
- To explore how ECM changes influence cellular behavior and disease progression.
Main Methods:
- Literature review of scientific articles.
- Analysis of ECM's role in vascular pathophysiology.
- Focus on cellular phenotypes within blood vessel structures.
Main Results:
- ECM alterations significantly impact inflammatory responses.
- Changes in ECM affect vascular smooth muscle cell proliferation and migration.
- ECM modifications contribute to neointimal formation and vascular fibrosis in atherosclerosis.
Conclusions:
- Understanding ECM's role in atherosclerosis pathogenesis is key.
- Targeting ECM alterations presents potential therapeutic strategies.
- Mitigating ECM's detrimental effects could reduce the burden of atherosclerosis.
Abstract:
Cardiovascular disease continues to grow as a massive global health burden, with coronary artery disease being one of its most lethal varieties. The pathogenesis of atherosclerosis induces changes in the blood vessel and its extracellular matrix (ECM) in each vascular layer. The alteration of the ECM homeostasis has significant modulatory effects on the inflammatory response, the proliferation and migration of vascular smooth muscle cells, neointimal formation, and vascular fibrosis seen in atherosclerosis. In this literature review, the role of the ECM, the multitude of components, and alterations to these components in the pathogenesis of atherosclerosis are discussed with a focus on versatile cellular phenotypes in the structure of blood vessel. An understanding of the various effects of ECM alterations opens up a plethora of therapeutic options that would mitigate the substantial health toll of atherosclerosis on the global population.
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