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Updated: Aug 26, 2026

Quantitative Analysis and Characterization of Atherosclerotic Lesions in the Murine Aortic Sinus
Published on: December 7, 2013
Pathogenesis of atherosclerosis
1Department of Radiology, Thomas Jefferson University, Philadelphia, PA 19107.
Insights
Cardiovascular disease, a leading cause of death, is often caused by atherosclerosis. This review explores the development of atherosclerotic lesions, focusing on the modified response-to-injury hypothesis.
Area of Science:
- Cardiovascular Science
- Pathology
- Medical Research
Background:
- Cardiovascular disease is the primary cause of mortality in the United States.
- Atherosclerosis and its complications account for a significant portion of these deaths.
- The exact pathogenesis of atherosclerosis remains incompletely understood.
Purpose of the Study:
- To provide an overview of atherosclerotic lesion development.
- To focus on the modified response-to-injury hypothesis.
- To briefly describe alternative hypotheses for atherosclerosis development.
Main Methods:
- Literature review and synthesis of current understanding.
- Focus on a specific hypothesis (modified response-to-injury).
- Brief description of other relevant hypotheses.
Main Results:
- Atherosclerosis is a complex, multifactorial disease.
- The modified response-to-injury hypothesis offers a framework for understanding lesion development.
- Multiple hypotheses contribute to the understanding of atherosclerosis.
Conclusions:
- Current understanding suggests atherosclerosis develops through processes like the response to injury.
- Further research is needed to fully elucidate the multifactorial nature of this disease.
- This review provides a foundational framework for ongoing research into atherosclerosis.
Abstract:
Cardiovascular disease is the leading cause of death in the United States. According to numbers compiled by the American Heart Association, nearly one of every two Americans dies of cardiovascular disease. For example, in 1987, 976,706 (46%) of the estimated 2,127,000 deaths recorded in the United States were attributable to diseases of the heart and blood vessels [1]. Most of these deaths can be attributed to atherosclerosis and its ensuing complications. The pathogenesis of atherosclerosis is not completely understood. Nevertheless, the purpose of this review is to provide an overview of how an atherosclerotic lesion might develop on the basis of our current understanding. This overview will focus on one hypothesis of atherosclerosis development, the modified response-to-injury hypothesis. Several additional hypotheses will be described briefly. These descriptions can serve as a framework on which researchers can build a more complete understanding of the processes involved in this complicated, multifactorial disease.
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