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Updated: Oct 27, 2025

Immunometabolic Circuits in Infection for Advancing Host Directed Therapies
Published on: September 13, 2024
Immune-based therapies in cardiovascular and metabolic diseases: past, present and future
Andrew J Murphy1, Mark A Febbraio2
1Baker Heart & Diabetes Institute, Melbourne, Victoria, Australia. andrew.murphy@baker.edu.au.
Insights
Cardiometabolic disorders, once linked solely to lipid metabolism, are now understood to involve immune system roles. Immunotherapies show promise for treating these conditions, shifting focus from traditional lipid-lowering drugs.
Area of Science:
- Immunology
- Metabolic disease
- Cardiovascular research
Background:
- Cardiometabolic disorders were historically attributed to lipid metabolism dysregulation.
- Statins, lipid-lowering drugs, have been the primary treatment for cardiovascular disease.
- Recent discoveries highlight the significant role of the innate and adaptive immune systems in these disorders.
Purpose of the Study:
- To review the historical perspective of cardiometabolic disorders.
- To discuss the evolving understanding of immune system involvement.
- To explore the potential of immunotherapies in treating cardiometabolic diseases.
Main Methods:
- Literature review of historical and recent research.
- Analysis of preclinical studies on immune-targeted therapies.
- Discussion of clinical trial limitations and future directions.
Main Results:
- Cardiometabolic disorders involve complex immune system pathways.
- Immune-based interventions are emerging as a significant therapeutic strategy.
- Preclinical data strongly supports the efficacy of immune-targeted treatments.
Conclusions:
- The understanding of cardiometabolic disorders has expanded beyond lipid metabolism to include immune system dysregulation.
- Immunotherapies represent a promising frontier for managing and treating cardiometabolic diseases.
- Further clinical trials are warranted to validate the therapeutic potential of immune-targeted strategies.
Abstract:
Cardiometabolic disorders were originally thought to be driven primarily by changes in lipid metabolism that cause the accumulation of lipids in organs, thereby impairing their function. Thus, in the setting of cardiovascular disease, statins - a class of lipid-lowering drugs - have remained the frontline therapy. In the past 20 years, seminal discoveries have revealed a central role of both the innate and adaptive immune system in driving cardiometabolic disorders. As such, it is now appreciated that immune-based interventions may have an important role in reducing death and disability from cardiometabolic disorders. However, to date, there have been a limited number of clinical trials exploring this interventional strategy. Nonetheless, elegant preclinical research suggests that immune-targeted therapies can have a major impact in treating cardiometabolic disease. Here, we discuss the history and recent advancements in the use of immunotherapies to treat cardiometabolic disorders.
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