C-reactive protein in atherosclerosis: A causal factor?

Abstract:

:Atherosclerosis is considered a to be multifactorial disease driven by inflammatory reactions. The process of inflammation also contributes to the pathogenesis of acute atherothrombotic events. C-reactive protein (CRP) is an acute phase protein and its concentration in serum reflects the inflammatory condition of the patient. Levels of CRP are consistently associated with cardiovascular disease (CVD) and predict myocardial infarctions and stroke. Since CRP is present in the atherosclerotic lesion, it may actively contribute to the progression and/or instability of the atherosclerotic plaque. The role of CRP in inflammation and its causality in atherosclerosis are the subject of many investigations but are not yet fully elucidated. This review focuses on recently identified mechanisms by which CRP may modulate and evolve the process of atherosclerosis. We discuss the function of CRP and review the most recent evidence for an independent role of CRP in the development of atherosclerosis. Many studies suggest such a role, but a number of the described effects may be the result of contamination of the CRP preparations.

journal_name

Cardiovasc Res

journal_title

Cardiovascular research

authors

Paffen E,DeMaat MP

doi

10.1016/j.cardiores.2006.03.004

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

30-9

issue

1

eissn

0008-6363

issn

1755-3245

pii

S0008-6363(06)00118-0

journal_volume

71

pub_type

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