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Editorials |
to Treat AtherosclerosisFrom the Heart Institute (I.G.), Hadassah University Hospital, Jerusalem, Israel; and Immunology and Vascular Research Divisions (A.H.L.), Department of Pathology, Brigham and Womens Hospital and Harvard Medical School, Boston, Mass.
Correspondence to Andrew H. Lichtman, MD, PhD, Department of Pathology, Brigham and Womens Hospital, 77 Ave Louis Pasteur, NRB 752N, Boston, MA 02115. E-mail lichtman@rics.bwh.harvard.edu
See related article, pages 348–356
Key Words: atherosclerosis cytokines interferon-
gene therapy
An extract of the first 250 words of the full text is provided, because this article has no abstract. |
The chronic inflammatory nature of atherosclerotic disease is now widely appreciated. Abnormal deposition and oxidative modification of serum lipoproteins in arterial walls stimulates the recruitment of monocytes and their conversion into foam cells. Concurrently, both innate and adaptive immune responses are induced. Cytokines and growth factors produced as part of these responses lead to the remodeling of the arterial wall that typifies atherosclerotic lesions, including SMC accumulation and collagenous matrix deposition in the intima.1 The predominant inflammatory cells found in the atherosclerotic plaques are macrophages and T lymphocytes.2 The majority of T lymphocytes in atherosclerotic lesions are CD4+ T-helper cells expressing markers of activation.3 These activated T lymphocytes have been shown to be important in propagating the inflammatory processes that enhance lesion development.4,5 The majority of these T cells have a phenotype characteristic of the proinflammatory T-helper 1 (Th1) subset, and Th1-mediated immune responses have been shown to correlate with the development of atherosclerosis in mouse models.6–8
The signature cytokine produced by Th1 cells is interferon (IFN)
. Immunohistochemical and in situ hybridization studies indicate that IFN
is present in human atherosclerotic plaques.2,9–11 Numerous studies in mice have demonstrated a central role of IFN
in atherosclerosis. Genetic ablation of IFN
or IFN
receptor (IFN
R) expression in mice significantly reduces atherosclerosis,12,13 whereas administration of exogenous IFN
potentiates atherosclerosis.14 IFN
has many different biologic effects that contribute to lesion development, including enhancement of antigen presenting capabilities of endothelium and macrophages, enhancement of inflammatory cell recruitment via upregulation of endothelial adhesion molecules,
Related Article:
Function Blocking in ApoE-Knockout Mice
Circ. Res. 2007 101: 348-356.
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