Immunomodulation Therapies for Atherosclerosis: The Past, the Present, and the Future

Dalgisio Lecis1, Gianluca Massaro1, Daniela Benedetto1

  • 1Division of Cardiology, "Tor Vergata" University Hospital, Viale Oxford 81, 00133 Rome, Italy.

Insights

Atherosclerotic cardiovascular disease, a major global health issue, involves chronic inflammation. This review explores immune-based therapies, particularly vaccination, as novel strategies to reduce persistent cardiovascular risk in patients.

Area of Science:

  • Cardiovascular Research
  • Immunology
  • Inflammation Biology

Background:

  • Atherosclerotic cardiovascular disease is a leading cause of global mortality.
  • Chronic inflammation of the arterial wall is a key characteristic of this disease.
  • Current treatments leave many patients with significant residual cardiovascular risk due to persistent inflammation.

Purpose of the Study:

  • To review experimental and clinical evidence for immune-based therapies in cardiovascular disease.
  • To specifically evaluate vaccination strategies for reducing cardiovascular risk.
  • To identify novel treatment avenues for patients with high residual cardiovascular risk.

Main Methods:

  • Literature review of experimental studies on immune modulation in atherosclerosis.
  • Analysis of clinical trial data for immune-based cardiovascular interventions.
  • Focus on vaccination strategies targeting inflammatory pathways in cardiovascular disease.

Main Results:

  • Evidence suggests immune system modulation can control atherosclerotic cardiovascular disease.
  • Vaccination strategies show promise in preclinical and clinical settings for cardiovascular risk reduction.
  • Inflammation remains a critical target for managing residual cardiovascular risk.

Conclusions:

  • Immune-based therapies, including vaccination, represent a promising frontier for managing atherosclerotic cardiovascular disease.
  • Targeting inflammation through novel immune strategies is crucial for improving outcomes in high-risk patients.
  • Further research into vaccination for cardiovascular disease holds potential for significant clinical impact.

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