Coronary artery calcification and cardiovascular risk: the role of RANKL/OPG signalling.

Abstract:

BACKGROUND:Coronary artery disease (CAD) represents the most relevant cause of death and morbidity in the adult population of developed and developing countries. During the last decades, a strong research effort has been performed to identify more selective markers and better assess the cardiovascular risk in both primary and secondary prevention. MATERIALS AND METHODS:This review updates current knowledge regarding the pathophysiological relevance as possible markers of coronary calcification of the receptor activator of nuclear factor-kappa ligand (RANKL)/osteoprotegerin (OPG) system. Furthermore, the potential clinical use of both RANKL/OPG and coronary calcium score (CAC) to assess cardiovascular vulnerability has been discussed. RESULTS:Emerging evidence indicates that atherosclerotic plaque calcification is positively correlated with vulnerability. Several inflammatory mediators have been shown to modulate arterial calcification, thus increasing the risk of plaque rupture. Among these factors, RANKL/OPG axis might be of particular interest as a promising biomarker of plaque vulnerability in subjects with diffuse coronary calcification. CONCLUSION:Together with clinical parameters of coronary calcification (such as CAC), circulating RANKL/OPG levels could contribute to better assess and predict cardiac events.

journal_name

Eur J Clin Invest

authors

Quercioli A,Montecucco F,Bertolotto M,Ottonello L,Pende A,Mach F,Dallegri F

doi

10.1111/j.1365-2362.2010.02308.x

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

645-54

issue

7

eissn

0014-2972

issn

1365-2362

pii

ECI2308

journal_volume

40

pub_type

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