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Published on: February 20, 2019
Tackling inflammation in atherosclerosis: Are we there yet and what lies beyond?
Purbasha Bhattacharya1, Ragulan Kanagasooriyan2, Manikandan Subramanian3
1CSIR-Institute of Genomics and Integrative Biology, New Delhi, India; Academy of Scientific and Innovative Research, Ghaziabad, India.
Insights
Atherosclerosis, a chronic inflammatory artery disease, persists despite lipid therapies. Targeting inflammation shows promise for preventing cardiovascular events, but challenges remain for clinical application.
Area of Science:
- Cardiovascular Medicine
- Inflammation Research
- Translational Therapeutics
Background:
- Atherosclerosis is a chronic, non-resolving inflammatory disease of the arteries.
- It remains a leading global cause of death and disability, despite effective lipid-lowering treatments.
- Recent trials indicate that reducing inflammation can prevent adverse cardiovascular outcomes.
Purpose of the Study:
- To review key anti-inflammatory and pro-resolution pathways relevant to atherosclerosis.
- To discuss the potential of targeting these pathways to modify disease progression.
- To identify challenges in translating inflammation-targeting therapies into clinical practice for atherosclerotic heart disease.
Main Methods:
- Literature review of anti-inflammatory and pro-resolution mechanisms in atherosclerosis.
- Analysis of recent clinical trial data supporting inflammation suppression.
- Discussion of therapeutic targets and clinical translation hurdles.
Main Results:
- Several key anti-inflammatory and pro-resolution pathways are implicated in atherosclerosis.
- Evidence suggests that targeting inflammation can significantly impact clinical manifestations.
- Significant challenges exist in developing and implementing these therapies effectively.
Conclusions:
- Targeting inflammation represents a promising strategy to combat atherosclerosis.
- Further research and development are needed to overcome barriers to clinical application.
- Successful translation could revolutionize the management of atherosclerotic heart disease.
Abstract:
Atherosclerosis is a lipid-driven disease of the artery characterized by chronic non-resolving inflammation. Despite availability of excellent lipid-lowering therapies, atherosclerosis remains the leading cause of disability and death globally. The demonstration that suppressing inflammation prevents the adverse clinical manifestations of atherosclerosis in recent clinical trials has led to heightened interest in anti-inflammatory therapies. In this review, we briefly highlight some key anti-inflammatory and pro-resolution pathways, which could be targeted to modulate pathogenesis and stall atherosclerosis progression. We also highlight key challenges that must be overcome to turn the concept of inflammation targeting therapies into clinical reality for atherosclerotic heart disease.
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