Document Detail


Potential role for immunomodulatory therapy in atherosclerotic plaque stabilisation.
MedLine Citation:
PMID:  16218879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our understanding of the mechanisms underlying acute coronary syndromes has evolved beyond the view that this syndrome reflects a progressive collection of lipids and cellular debris in the vascular wall. Current evidence has implicated a role for inflammation in the pathogenesis of this process. Thus, inflammatory cytokines may attenuate interstitial collagen synthesis, increase matrix degradation and promote apoptosis in several atheroma-associated cell types, and all these cellular events may enhance plaque vulnerability. Recently, a series of experimental studies have reported the plaque-stabilising effects of immunomodulatory therapy such as chemokine blockade, anti-CD40 ligand and IL-10. It is conceivable that some of these approaches will be tested clinically and, if successful, they could provide novel treatment strategies for atherosclerotic plaque stabilisation.
Authors:
Pål Aukrust; Arne Yndestad; Camilla Smith; Wiggo J Sandberg; Thor Ueland; Torgun Waehre; Bente Halvorsen; Lars Gullestad; Jan Kristian Damås
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Expert opinion on pharmacotherapy     Volume:  6     ISSN:  1744-7666     ISO Abbreviation:  Expert Opin Pharmacother     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-10-12     Completed Date:  2007-07-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100897346     Medline TA:  Expert Opin Pharmacother     Country:  England    
Other Details:
Languages:  eng     Pagination:  2169-80     Citation Subset:  IM    
Affiliation:
Research Institute for Internal Medicine, Norway. pal.aukrust@rikshospitalet.no
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MeSH Terms
Descriptor/Qualifier:
Angiotensin-Converting Enzyme Inhibitors / therapeutic use
Animals
Anti-Inflammatory Agents / pharmacology*,  therapeutic use
Antibodies, Monoclonal / therapeutic use
CD40 Ligand / antagonists & inhibitors,  immunology
Chemokines / antagonists & inhibitors,  immunology
Coronary Artery Disease / drug therapy*,  immunology,  prevention & control
Drug Evaluation, Preclinical
Endothelium, Vascular / drug effects*,  immunology,  pathology
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / pharmacology,  therapeutic use
Immunologic Factors / pharmacology*,  therapeutic use
Inflammation / drug therapy,  immunology
Interleukin-10 / pharmacology*,  therapeutic use
Muscle, Smooth, Vascular / drug effects*,  immunology
Chemical
Reg. No./Substance:
0/Angiotensin-Converting Enzyme Inhibitors; 0/Anti-Inflammatory Agents; 0/Antibodies, Monoclonal; 0/Chemokines; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors; 0/Immunologic Factors; 130068-27-8/Interleukin-10; 147205-72-9/CD40 Ligand

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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