Gomes Quinderé Ana Luíza, Benevides Norma Maria Barros, Carbone Federico, Mach François, Vuilleumier Nicolas, Montecucco Fabrizio
Fabrizio Montecucco, MD, PhD, Division of Laboratory Medicine, Department of Genetics and Laboratory Medicine, Geneva University Hospitals, 4 rue Gabrielle-Perret-Gentil, 1205 Geneva, Switzerland, Tel: +41 22 38 27 238, Fax: +41 22 38 27 245, E mail:
Thromb Haemost. 2014 Apr 1;111(4):634-46. doi: 10.1160/TH13-08-0712. Epub 2013 Nov 28.
Atherosclerosis is the most common pathological process underlying cardiovascular diseases. Current therapies are largely focused on alleviating hyperlipidaemia and preventing thrombotic complications, but do not completely eliminate risk of suffering recurrent acute ischaemic events. Specifically targeting the inflammatory processes may help to reduce this residual risk of major adverse cardiovascular events in atherosclerotic patients. The involvement of neutrophils in the pathophysiology of atherosclerosis is an emerging field, where evidence for their causal contribution during various stages of atherosclerosis is accumulating. Therefore, the identification of neutrophils as a potential therapeutic target may offer new therapeutic perspective to reduce the current atherosclerotic burden. This narrative review highlights the expanding role of neutrophils in atherogenesis and discusses on the potential treatment targeting neutrophil-related inflammation and associated atherosclerotic plaque vulnerability.
动脉粥样硬化是心血管疾病最常见的病理过程。目前的治疗主要集中在减轻高脂血症和预防血栓形成并发症,但并不能完全消除复发性急性缺血事件的风险。特异性靶向炎症过程可能有助于降低动脉粥样硬化患者发生主要不良心血管事件的残余风险。中性粒细胞参与动脉粥样硬化的病理生理学是一个新兴领域,目前关于其在动脉粥样硬化各个阶段因果作用的证据正在不断积累。因此,将中性粒细胞确定为潜在的治疗靶点可能为减轻当前的动脉粥样硬化负担提供新的治疗前景。本叙述性综述强调了中性粒细胞在动脉粥样硬化发生中的作用不断扩大,并讨论了针对中性粒细胞相关炎症及相关动脉粥样硬化斑块易损性的潜在治疗方法。