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Published on: September 15, 2017
Anti-Inflammatory Therapy for Atherosclerosis: Focusing on Cytokines
Anastasia V Poznyak1, Dwaipayan Bharadwaj2,3, Gauri Prasad3
1Institute for Atherosclerosis Research, Skolkovo Innovative Center, 121609 Moscow, Russia.
Insights
Targeting inflammation, a key factor in atherosclerosis, shows promise in animal models but requires more clinical data for effective atheroprotective drugs. Anti-inflammatory therapy may be part of a complex treatment strategy.
Area of Science:
- Cardiovascular Research
- Immunology
- Molecular Medicine
Background:
- Atherosclerosis is a prevalent global health issue with incompletely understood pathogenesis.
- Atherogenesis involves a complex interplay of altered lipid metabolism, oxidative stress, and inflammation.
- Inflammation in atherosclerosis involves innate and adaptive immune cells and cytokine cascades.
Purpose of the Study:
- To review current data on targeting key inflammatory molecular targets in atherosclerosis.
- To evaluate the efficacy of anti-inflammatory therapies based on existing research.
- To identify challenges and future directions for developing atheroprotective drugs.
Main Methods:
- Literature review summarizing studies on targeting inflammatory markers.
- Analysis of data from animal models and clinical trials.
- Focus on specific molecular targets: C-reactive protein (CRP), Interleukin-1 beta (IL-1β), Interleukin-6 (IL-6), Interferon-gamma (IFN-γ), and Tumor Necrosis Factor-alpha (TNF-α).
Main Results:
- Animal studies demonstrate the efficacy of anti-inflammatory therapy in atherosclerosis models.
- Clinical studies show insufficient data to support the development of effective atheroprotective drugs targeting inflammation.
- Evidence suggests anti-inflammatory approaches could be a component of multifaceted treatment strategies.
Conclusions:
- Targeting specific inflammatory molecules like CRP, IL-1β, IL-6, IFN-γ, and TNF-α is a focus in atherosclerosis research.
- While animal models show promise, clinical translation of anti-inflammatory therapies for atherosclerosis remains challenging.
- Anti-inflammatory strategies may contribute to a comprehensive treatment plan for atherosclerosis, but further research is needed.
Abstract:
Atherosclerosis is a well-known global health problem. Despite the high prevalence of the disease, numerous aspects of pathogenesis remain unclear. Subsequently, there are still no cure or adequate preventive measures available. Atherogenesis is now considered a complex interplay between lipid metabolism alterations, oxidative stress, and inflammation. Inflammation in atherogenesis involves cellular elements of both innate (such as macrophages and monocytes) and adaptive immunity (such as B-cells and T-cells), as well as various cytokines cascades. Because inflammation is, in general, a well-investigated therapeutic target, and strategies for controlling inflammation have been successfully used to combat a number of other diseases, inflammation seems to be the preferred target for the treatment of atherosclerosis as well. In this review, we summarized data on targeting the most studied inflammatory molecular targets, CRP, IL-1β, IL-6, IFN-γ, and TNF-α. Studies in animal models have shown the efficacy of anti-inflammatory therapy, while clinical studies revealed the incompetence of existing data, which blocks the development of an effective atheroprotective drug. However, all data on cytokine targeting give evidence that anti-inflammatory therapy can be a part of a complex treatment.
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