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Trained Immunity as a Trigger for Atherosclerotic Cardiovascular Disease-A Literature Review
Natalia Anna Zieleniewska1,2, Małgorzata Kazberuk3, Małgorzata Chlabicz1,4
1Department of Population Medicine and Lifestyle Diseases Prevention, Medical University of Białystok, 15-259 Bialystok, Poland.
Insights
Trained immunity, an enhanced innate immune response, significantly impacts atherosclerosis development and cardiovascular diseases like heart attack and stroke. Understanding this mechanism is crucial for managing these conditions.
Area of Science:
- Immunology
- Cardiovascular Medicine
- Pathogenesis of Atherosclerosis
Background:
- Atherosclerosis is a leading cause of cardiovascular diseases, including myocardial infarction and stroke.
- While lipid metabolism and inflammation are key, the full pathogenesis of atherosclerosis remains unclear.
- Trained immunity, characterized by an enhanced innate immune response to restimulation, has emerged as a significant factor.
Purpose of the Study:
- To review the recent findings on the role of trained immunity in atherosclerotic plaque formation and development.
- To elucidate the impact of trained immunity on cardiovascular syndromes.
Main Methods:
- Literature review of recent studies on trained immunity and atherosclerosis.
- Analysis of the mechanisms linking trained immunity to plaque development.
- Examination of clinical implications in acute and chronic coronary syndromes.
Main Results:
- Trained immunity demonstrates significant effects on atherosclerotic plaque formation and progression.
- The enhanced innate immune response contributes to the pathogenesis of atherosclerotic cardiovascular disease.
- Trained immunity plays a prominent role in both acute and chronic coronary syndromes.
Conclusions:
- Trained immunity is a critical factor in the development and progression of atherosclerosis.
- Further research into trained immunity may offer new therapeutic targets for cardiovascular diseases.
- Understanding trained immunity is essential for managing patients with coronary syndromes.
Abstract:
Atherosclerosis remains the leading cause of cardiovascular diseases and represents a primary public health challenge. This chronic state may lead to a number of life-threatening conditions, such as myocardial infarction and stroke. Lipid metabolism alterations and inflammation remain at the forefront of the pathogenesis of atherosclerotic cardiovascular disease, but the overall mechanism is not yet fully understood. Recently, significant effects of trained immunity on atherosclerotic plaque formation and development have been reported. An increased reaction to restimulation with the same stimulator is a hallmark of the trained innate immune response. The impact of trained immunity is a prominent factor in both acute and chronic coronary syndrome, which we outline in this review.
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