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Circulation Research. 2002;91:281-291
doi: 10.1161/01.RES.0000029784.15893.10
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(Circulation Research. 2002;91:281.)
© 2002 American Heart Association, Inc.


Review

Innate and Adaptive Immunity in the Pathogenesis of Atherosclerosis

Göran K. Hansson, Peter Libby, Uwe Schönbeck, Zhong-Qun Yan

From the Center for Molecular Medicine and Department of Medicine (G.K.H., Z.-Q.Y.), Karolinska Institute, Stockholm, Sweden; and Leducq Center for Cardiovascular Research (P.L., U.S.), Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Mass.

Correspondence to Dr Göran K Hansson, CMM L8:03, Karolinska Hospital, SE-17176 Stockholm, Sweden. E-mail Goran.Hansson@ cmm.ki.se

This review considers critically the evidence for the involvement of mediators of innate and acquired immunity in various stages of atherosclerosis. Rapidly mobilized arms of innate immunity, including phagocytic leukocytes, complement, and proinflammatory cytokines, contribute to atherogenesis. In addition, adaptive immunity, with its T cells, antibodies, and immunoregulatory cytokines, powerfully modulates disease activity and progression. Atherogenesis involves cross talk between and shared pathways involved in adaptive and innate immunity. Immune processes can influence the balance between cell proliferation and death, between synthetic and degradative processes, and between pro- and antithrombotic processes. Various established and emerging risk factors for atherosclerosis modulate aspects of immune responses, including lipoproteins and their modified products, vasoactive peptides, and infectious agents. As we fill in the molecular details, new potential targets for therapies will doubtless emerge.


Key Words: lymphocytes • macrophages • antibody • inflammation • cytokines




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Am. J. Pathol.Home page
R. Elhage, P. Gourdy, J. Jawien, L. Brouchet, C. Castano, C. Fievet, G. K. Hansson, J.-F. Arnal, and F. Bayard
The Atheroprotective Effect of 17{beta}-Estradiol Depends on Complex Interactions in Adaptive Immunity
Am. J. Pathol., July 1, 2005; 167(1): 267 - 274.
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J. Histochem. Cytochem.Home page
Y. V. Bobryshev and R. S.A. Lord
Co-accumulation of Dendritic Cells and Natural Killer T Cells within Rupture-prone Regions in Human Atherosclerotic Plaques
J. Histochem. Cytochem., June 1, 2005; 53(6): 781 - 785.
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J. Lipid Res.Home page
R. Asmis, J. G. Begley, J. Jelk, and W. V. Everson
Lipoprotein aggregation protects human monocyte-derived macrophages from OxLDL-induced cytotoxicity
J. Lipid Res., June 1, 2005; 46(6): 1124 - 1132.
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J. Lipid Res.Home page
E. W. Raines and N. Ferri
Thematic Review Series: The Immune System and Atherogenesis. Cytokines affecting endothelial and smooth muscle cells in vascular disease
J. Lipid Res., June 1, 2005; 46(6): 1081 - 1092.
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Arterioscler. Thromb. Vasc. Bio.Home page
I. Goncalves, M.-L. M. Gronholdt, I. Soderberg, M. P.S. Ares, B. G. Nordestgaard, J. F. Bentzon, G. N. Fredrikson, and J. Nilsson
Humoral Immune Response Against Defined Oxidized Low-Density Lipoprotein Antigens Reflects Structure and Disease Activity of Carotid Plaques
Arterioscler. Thromb. Vasc. Biol., June 1, 2005; 25(6): 1250 - 1255.
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Cardiovasc ResHome page
R. Wessely
Interference by interferons: Janus faces in vascular proliferative diseases
Cardiovasc Res, June 1, 2005; 66(3): 433 - 443.
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Am. J. Physiol. Heart Circ. Physiol.Home page
A. Zampetaki, Z. Zhang, Y. Hu, and Q. Xu
Biomechanical stress induces IL-6 expression in smooth muscle cells via Ras/Rac1-p38 MAPK-NF-{kappa}B signaling pathways
Am J Physiol Heart Circ Physiol, June 1, 2005; 288(6): H2946 - H2954.
[Abstract] [Full Text] [PDF]


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CirculationHome page
H. Methe, J.-O. Kim, S. Kofler, M. Weis, M. Nabauer, and J. Koglin
Expansion of Circulating Toll-Like Receptor 4-Positive Monocytes in Patients With Acute Coronary Syndrome
Circulation, May 24, 2005; 111(20): 2654 - 2661.
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Circ. Res.Home page
V. Esteban, M. Ruperez, E. Sanchez-Lopez, J. Rodriguez-Vita, O. Lorenzo, H. Demaegdt, P. Vanderheyden, J. Egido, and M. Ruiz-Ortega
Angiotensin IV Activates the Nuclear Transcription Factor-{kappa}B and Related Proinflammatory Genes in Vascular Smooth Muscle Cells
Circ. Res., May 13, 2005; 96(9): 965 - 973.
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Arterioscler. Thromb. Vasc. Bio.Home page
T. Q. Nhan, W. C. Liles, and S. M. Schwartz
Role of Caspases in Death and Survival of the Plaque Macrophage
Arterioscler. Thromb. Vasc. Biol., May 1, 2005; 25(5): 895 - 903.
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Arterioscler. Thromb. Vasc. Bio.Home page
M. P.J. de Winther, E. Kanters, G. Kraal, and M. H. Hofker
Nuclear Factor {kappa}B Signaling in Atherogenesis
Arterioscler. Thromb. Vasc. Biol., May 1, 2005; 25(5): 904 - 914.
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Arterioscler. Thromb. Vasc. Bio.Home page
J. Guo, V. de Waard, M. Van Eck, R. B. Hildebrand, E. J.A. van Wanrooij, J. Kuiper, N. Maeda, G. M. Benson, P. H.E. Groot, and T. J.C. Van Berkel
Repopulation of Apolipoprotein E Knockout Mice With CCR2-Deficient Bone Marrow Progenitor Cells Does Not Inhibit Ongoing Atherosclerotic Lesion Development
Arterioscler. Thromb. Vasc. Biol., May 1, 2005; 25(5): 1014 - 1019.
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J. Biol. Chem.Home page
Z. Liu, C. Zhang, N. Dronadula, Q. Li, and G. N. Rao
Blockade of Nuclear Factor of Activated T Cells Activation Signaling Suppresses Balloon Injury-induced Neointima Formation in a Rat Carotid Artery Model
J. Biol. Chem., April 15, 2005; 280(15): 14700 - 14708.
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J Am Coll CardiolHome page
Y. Michowitz, E. Goldstein, A. Roth, A. Afek, A. Abashidze, Y. Ben Gal, G. Keren, and J. George
The involvement of tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) in atherosclerosis
J. Am. Coll. Cardiol., April 5, 2005; 45(7): 1018 - 1024.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
C. Tenger, A. Sundborger, J. Jawien, and X. Zhou
IL-18 Accelerates Atherosclerosis Accompanied by Elevation of IFN-{gamma} and CXCL16 Expression Independently of T Cells
Arterioscler. Thromb. Vasc. Biol., April 1, 2005; 25(4): 791 - 796.
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Arterioscler. Thromb. Vasc. Bio.Home page
S. L. Karackattu, M. H. Picard, and M. Krieger
Lymphocytes Are Not Required for the Rapid Onset of Coronary Heart Disease in Scavenger Receptor Class B Type I/Apolipoprotein E Double Knockout Mice
Arterioscler. Thromb. Vasc. Biol., April 1, 2005; 25(4): 803 - 808.
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Circ. Res.Home page
W. L. Chan, N. Pejnovic, H. Hamilton, T. V. Liew, D. Popadic, A. Poggi, and S. M. Khan
Atherosclerotic Abdominal Aortic Aneurysm and the Interaction Between Autologous Human Plaque-Derived Vascular Smooth Muscle Cells, Type 1 NKT, and Helper T Cells
Circ. Res., April 1, 2005; 96(6): 675 - 683.
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Circ. Res.Home page
X. Zhou, A.-K. L. Robertson, M. Rudling, P. Parini, and G. K. Hansson
Lesion Development and Response to Immunization Reveal a Complex Role for CD4 in Atherosclerosis
Circ. Res., March 4, 2005; 96(4): 427 - 434.
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J. Lipid Res.Home page
A. Chait, C. Y. Han, J. F. Oram, and J. W. Heinecke
Thematic review series: The Immune System and Atherogenesis. Lipoprotein-associated inflammatory proteins: markers or mediators of cardiovascular disease?
J. Lipid Res., March 1, 2005; 46(3): 389 - 403.
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Proc. Natl. Acad. Sci. USAHome page
J. Rupp, T. Hellwig-Burgel, V. Wobbe, U. Seitzer, E. Brandt, and M. Maass
Chlamydia pneumoniae infection promotes a proliferative phenotype in the vasculature through Egr-1 activation in vitro and in vivo
PNAS, March 1, 2005; 102(9): 3447 - 3452.
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J. Biol. Chem.Home page
S.-X. Wang, P. K. Elder, Y. Zheng, A. R. Strauch, and R. J. Kelm Jr.
Cell Cycle-mediated Regulation of Smooth Muscle {alpha}-Actin Gene Transcription in Fibroblasts and Vascular Smooth Muscle Cells Involves Multiple Adenovirus E1A-interacting Cofactors
J. Biol. Chem., February 18, 2005; 280(7): 6204 - 6214.
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J. Biol. Chem.Home page
N. Dronadula, Z. Liu, C. Wang, H. Cao, and G. N. Rao
STAT-3-dependent Cytosolic Phospholipase A2 Expression Is Required for Thrombin-induced Vascular Smooth Muscle Cell Motility
J. Biol. Chem., January 28, 2005; 280(4): 3112 - 3120.
[Abstract] [Full Text] [PDF]