Department of Medicine, University of California, San Diego, La Jolla, California 92093; email:
Annu Rev Pathol. 2014;9:73-102. doi: 10.1146/annurev-pathol-020712-163936. Epub 2013 Aug 7.
Both the chronic development of atherosclerotic lesions and the acute changes in lesion phenotype that lead to clinical cardiovascular events are significantly influenced by the innate and adaptive immune responses to lipoprotein deposition and oxidation in the arterial wall. The rapid pace of discovery of mechanisms of immunologic recognition, effector functions, and regulation has significantly influenced the study of atherosclerosis, and our new knowledge is beginning to affect how we treat this ubiquitous disease. In this review, we discuss recent advances in our understanding of how innate and adaptive immunity contribute to atherosclerosis, as well as therapeutic opportunities that arise from this knowledge.
动脉壁内脂蛋白沉积和氧化所引起的固有和适应性免疫反应,对动脉粥样硬化病变的慢性发展以及导致临床心血管事件的病变表型的急性变化,均有显著影响。免疫识别、效应功能和调节机制的发现速度非常快,这极大地推动了对动脉粥样硬化的研究,我们的新知识也开始影响我们对这种普遍疾病的治疗方式。在这篇综述中,我们讨论了目前对固有和适应性免疫如何促进动脉粥样硬化的理解方面的最新进展,以及由此产生的治疗机会。