Immune cells and molecular mediators in the pathogenesis of the abdominal aortic aneurysm.

Abstract:

:Abdominal aortic aneurysm is a multifactorial disease with genetic risk factors and an immunologic component. Immune cells, including macrophages, neutrophils, mast cells, B- and T- lymphocytes, along with vascular smooth muscle cells and adventitial fibroblasts, produce cytokines and enzymes, promoting an inflammatory reaction, extracellular matrix degradation, and neovascularization. Among the different enzymes secreted by immune and stromal cells, matrix metalloproteinase (MMP)-2, MMP-9, MMP-12, cathepsins, and neutrophil elastase cause medial degeneration. Chymase causes smooth muscle cell apoptosis, and MMP-3, MMP-8, and MMP-13 cause adventitial collagen degradation, promoting abdominal aortic aneurysm rupture. At the same time chemokines (interleukin 8, macrophage inflammatory protein 1 alpha, monocyte chemotactic protein-1) cause recruitment and proliferation of inflammatory cells, whereas cytokines (vascular endothelial growth factor and transforming growth factor-beta) promote neoangiogenesis.

journal_name

Cardiol Rev

journal_title

Cardiology in review

authors

Rizas KD,Ippagunta N,Tilson MD 3rd

doi

10.1097/CRD.0b013e3181b04698

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

201-10

issue

5

eissn

1061-5377

issn

1538-4683

pii

00045415-200909000-00001

journal_volume

17

pub_type

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