[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.

Giornale Italiano Di Cardiologia (2006)
|December 12, 2022
PubMed

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.

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