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Recent Progress of Chronic Stress in the Development of Atherosclerosis
Shang Gao1,2, Xiang Wang2,3, Ling-Bing Meng2,3
1Department of Vascular Surgery, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, No. 1 DaHua Road, Dong Dan, Beijing 100730, China.
Insights
Chronic stress significantly contributes to atherosclerosis, a major cause of death in aging populations. Understanding its role in endothelial injury and inflammation is crucial for preventing cardiovascular events.
Area of Science:
- Cardiovascular Science
- Pathophysiology
- Stress Research
Background:
- Cardiovascular diseases are the leading cause of death in aging societies, imposing a significant social burden.
- Atherosclerosis, characterized by plaque buildup and endothelial injury, underlies major vascular diseases.
- Chronic stress is increasingly recognized for its role in atherosclerosis development.
Purpose of the Study:
- To review the role of chronic stress in the occurrence and development of atherosclerosis.
- To focus on the pathophysiological mechanisms linking chronic stress to atherosclerosis.
- To highlight molecular targets involved in stress-induced vascular damage.
Main Methods:
- Literature review of recent studies on chronic stress and atherosclerosis.
- Analysis of pathophysiological mechanisms including endothelial injury and inflammation.
- Examination of molecular pathways affected by chronic stress.
Main Results:
- Chronic stress is implicated in endothelial injury, lipid metabolism dysregulation, and chronic inflammation.
- Long-term stress, combined with genetic susceptibility and environmental factors, can trigger atherosclerosis.
- Stress-related pathogenesis can lead to vessel blockage, plaque instability, and adverse cardiovascular events.
Conclusions:
- Chronic stress is a significant factor in the pathogenesis of atherosclerosis.
- Understanding the molecular mechanisms is key to developing targeted interventions.
- Managing chronic stress may be vital for preventing atherosclerosis and its complications.
Abstract:
With the development of the times, cardiovascular diseases have become the biggest cause of death in the global aging society, causing a serious social burden. Atherosclerosis is a chronic inflammatory disease, which can occur in large and medium-sized blood vessels in the whole body. It takes atherosclerotic plaque as the typical pathological change and endothelial injury as the core pathophysiological mechanism. It is the pathological basis of coronary heart disease, peripheral artery disease, cerebrovascular disease, and other diseases. Recent studies have shown that chronic stress plays an important role in the occurrence and development of atherosclerosis, endothelial injury, lipid metabolism, and chronic inflammation. This process involves a large number of molecular targets. It is usually the cause of atherosclerotic cardiovascular and cerebrovascular diseases. If chronic stress factors exist for a long time, patients have genetic susceptibility, and the combination of environmental factors triggers the pathogenesis, which may eventually lead to complete blockage of the blood vessels, unstable rupture of plaques, and serious adverse cardiovascular events. This paper reviews the role of chronic stress in the occurrence and development of atherosclerosis, focusing on the pathophysiological mechanism.
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