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Saturday, February 20, 2010

Atherosclerosis


Atherosclerosis is an inflammatory disease in which plaque is made inside the arteries. These blood vessels are responsible for carrying oxygen-rich blood to the vital organs such as heart and other parts of the body. Gradually, growing and hardening of the plaque results in narrowing arteries, which in turn limits the flow of blood to the organs or tissues (Picture from Ohiohealth). Any artery can be affected by atherosclerosis. This can lead to different diseases such as heart attack or stroke causing serious problems and even death. Lack of physical activity, smoking and an unhealthy diet are among most important causes of atherosclerosis.

Immunology of atherosclerosis

It has now become clear that atherosclerosis is an immune system-mediated inflammatory disorder involving antibodies, components of the complement system, immune cells such as macrophages and lymphocytes infiltrating the walls of the arteries, by which participating in the formation of the plaques. Cytokines that regulate a broad range of inflammatory responses are also involved in the pathogenesis of atherosclerosis. In addition, chemokines, which are involved in recruitment of leukocytes to the site of inflammation have also been reported to play a role in atherosclerosis. It is believed that the inflammatory reactions are triggered by the damaged artery, caused by the oxidized low-density lipoprotein molecules. These molecules carry cholesterol throughout the body.

4 comments:

  1. Very interesting article. To think that the immune system's role in this was unknown just a few years ago. When/where did they announce their discovery regarding the immune system affecting atherosclerosis?

    Many thanks,
    EP

    ReplyDelete
  2. Thanks for your comments. I should say that few thousands articles have been published about this issue. The primary reports started before 1980. However, it was not generally accepted. On the other hand, we can't rely on publications to find out the origin of a discovery. Hope it was a helpful answer.

    Ahmad Pazirandeh

    ReplyDelete
  3. Yes, I was just wondering when the theories started. Thank you for your answer. Could you then please suggest a good review article on your site? It could be interesting for the readers.

    Many thanks,
    EP

    ReplyDelete
  4. Thanks again for your interesting suggestion. I guess the following articles, published in Nature Review journals can be of the readers' interest:

    1: Macrophage death and defective inflammation resolution in atherosclerosis.
    Nat Rev Immunol. 2010 Jan;10(1):36-46.

    2: Obesity, inflammation, and atherosclerosis. Nat Rev Cardiol. 2009 Jun;6(6):399-409.

    ReplyDelete