Angiolillo Dominick J, Biasucci Luigi M, Liuzzo Giovanna, Crea Filippo
Institute of Cardiology-Catholic University of the Sacred Heart, Roma, Italy.
Rev Esp Cardiol. 2004 May;57(5):433-46.
Inflammation plays a pivotal role in the pathogenesis of atherosclerosis and its complications. In particular, atherosclerosis is an active process and the inflammatory component appears to be particularly correlated with the development of acute coronary syndromes (ACS). Accumulating data demonstrate that in ACS, elevated levels of circulating inflammatory markers, such as C-reactive protein, predict an unfavorable cardiovascular outcome. A better knowledge of the molecular and cellular mechanisms of inflammation might not only further improve prognostic stratification but also allow us to identify novel therapeutic targets. The present review summarizes the mechanisms of the inflammatory response in ACS, its clinical implications, and the potential treatment strategies to contrast this phenomenon.
炎症在动脉粥样硬化及其并发症的发病机制中起关键作用。特别是,动脉粥样硬化是一个活跃的过程,炎症成分似乎与急性冠状动脉综合征(ACS)的发生发展密切相关。越来越多的数据表明,在ACS中,循环炎症标志物如C反应蛋白水平升高预示着不良的心血管结局。更好地了解炎症的分子和细胞机制不仅可能进一步改善预后分层,还能使我们识别出新的治疗靶点。本综述总结了ACS中炎症反应的机制、其临床意义以及对抗这一现象的潜在治疗策略。