Moving from lipids to leukocytes: inflammation and immune cells in atherosclerosis

Maxim E Annink1, Jordan M Kraaijenhof1, Erik S G Stroes1

  • 1Department of Vascular Medicine, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, Netherlands.

Insights

Inflammation drives atherosclerosis, the main cause of heart disease. This review examines immune cells

Area of Science:

  • Cardiovascular Science
  • Immunology
  • Atherosclerosis Research

Background:

  • Atherosclerotic cardiovascular disease (ASCVD) is a leading global cause of death.
  • While lipid accumulation is a known factor, plaque inflammation is increasingly recognized as a key driver of atherogenesis.
  • Current anti-inflammatory treatments show promise but lack specificity, necessitating new therapeutic targets.

Purpose of the Study:

  • To explore the dual role of immune cells in promoting and mitigating atherosclerosis.
  • To identify novel, atherosclerosis-specific therapeutic targets.
  • To integrate diverse research findings for a comprehensive understanding of immune involvement.

Main Methods:

  • Review of experimental studies on immune cell contributions to atherosclerosis.
  • Integration of high-throughput multi-omics data.
  • Analysis of epidemiological research findings.

Main Results:

  • Immune cells from both innate and adaptive systems significantly influence atherogenesis.
  • Specific immune cell subsets and their inflammatory pathways are critical in ASCVD development.
  • Understanding these cellular contributions can guide targeted anti-atherosclerosis therapies.

Conclusions:

  • Targeting specific immune mechanisms offers a promising strategy for ASCVD treatment.
  • Further research into immune cell functions in atherosclerosis is crucial for developing effective therapies.
  • A multi-faceted approach combining experimental, omics, and epidemiological data provides a robust understanding of ASCVD pathogenesis.

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