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Screening Assays to Characterize Novel Endothelial Regulators Involved in the Inflammatory Response
Published on: September 15, 2017
[Anti-inflammatory therapies for cardiovascular diseases: novel evidence, clinical implications, and future
Felice Gragnano1, Paolo Calabrò1, Vincenzo De Sio1
1Dipartimento di Scienze Mediche Traslazionali, Università degli Studi della Campania Luigi Vanvitelli, Napoli - Divisione di Cardiologia, Dipartimento Cardio-Vascolare, AORN Sant'Anna e San Sebastiano, Caserta.
Insights
Inflammation drives cardiovascular disease and atherosclerosis. Targeting inflammatory pathways, like interleukin-1/6, offers new hope for managing residual cardiovascular and kidney disease risk.
Area of Science:
- Cardiovascular Medicine
- Immunology
- Nephrology
Background:
- Inflammation is a key factor in cardiovascular disease (CVD) and atherosclerosis development.
- Residual inflammatory risk, indicated by high-sensitivity C-reactive protein, persists in patients despite optimal medical therapy for atherosclerotic cardiovascular disease (ASCVD).
Approach:
- This review examines the intricate relationship between inflammation and ASCVD.
- It synthesizes current evidence on anti-inflammatory therapies targeting pathways like interleukin (IL)-1 and IL-6.
- The review also discusses the implications for managing cardiovascular and kidney diseases.
Key Points:
- Residual inflammatory risk is a significant contributor to cardiovascular events.
- Therapeutic targeting of the IL-1/IL-6 pathway shows promise for cardiovascular and renal protection.
- Anti-inflammatory strategies may reduce residual risk in ASCVD patients.
Conclusions:
- Modulating inflammation represents a promising therapeutic strategy for cardiovascular and kidney diseases.
- Future clinical practice may incorporate anti-inflammatory treatments to address residual risk in ASCVD.
- Further research is needed to fully elucidate the role of inflammation in cardiovascular and renal outcomes.
Abstract:
Inflammation plays an important role in cardiovascular disease. Growing evidence suggests a profound involvement of the inflammatory response in the development and progression of atherosclerosis and its complications. In patients with atherosclerotic cardiovascular disease (ASCVD), residual cardiovascular risk often remains high despite optimal medical therapy and the achievement of the therapeutic targets recommended by current guidelines. Among the multiple components of residual risk, residual inflammatory risk, assessed by plasma levels of high-sensitivity C-reactive protein, has shown a strong association with the incidence of cardiovascular events. Recent studies suggest that therapeutic modulation of inflammation, particularly the interleukin (IL)-1/IL-6 pathway, is a promising strategy for the prevention and treatment of cardiovascular and kidney diseases. This review aims to discuss pragmatically the interaction between inflammation and ASCVD, describe current evidence on anti-inflammatory therapies in patients with cardiovascular and renal diseases, and outline the potential implications of these new therapeutic approaches in contemporary and future practice.
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