The role of inflammation and infection in coronary artery disease.

Abstract:

:New insights into atherosclerosis, the most common disease affecting coronary arteries, may change therapeutic strategies from largely symptomatic to causal. Atherosclerotic plaques contain a lipid-related, immune-mediated inflammation, with release of secretory products capable of changing plaque morphology. Plaques prone to complications contain large numbers of inflammatory cells; stable plaques contain little inflammation. Similarly, atherectomy specimens from patients with coronary syndromes revealed more inflammatory cells in unstable than in stable patients. These observations, and the fact that acute coronary syndromes are associated with increased blood levels of inflammatory markers, have renewed interest in the possible relationship between infection and atherogenesis. Of all potential candidate antigens, Chlamydia pneumoniae presently is considered the most likely because a substantial number of patients with unstable syndromes contain C. pneumoniae-reactive T cells, both in blood and within the atherosclerotic plaque, suggesting enhancement of intraplaque inflammation.

journal_name

Annu Rev Med

authors

Becker AE,de Boer OJ,van Der Wal AC

doi

10.1146/annurev.med.52.1.289

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

289-97

eissn

0066-4219

issn

1545-326X

pii

52/1/289

journal_volume

52

pub_type

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