Chyu Kuang-Yuh, Dimayuga Paul C, Shah Prediman K
Oppenheimer Atherosclerosis Research Center, Division of Cardiology, Cedars-Sinai Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Cedars-Sinai Medical Center, 127 South San Vicente Blvd., Suite A-3307, Los Angeles, CA 90048, USA.
Ther Adv Vaccines. 2017 Apr;5(2):39-47. doi: 10.1177/2051013617693753. Epub 2017 Feb 1.
Substantial data from experimental and clinical investigation support the role of immune-mediated mechanisms in atherogenesis, with immune systems responding to many endogenous and exogenous antigens that play either proatherogenic or atheroprotective roles. An active immunization strategy against many of these antigens could potentially alter the natural history of atherosclerosis. This review mainly focuses on the important studies on the search for antigens that have been tested in vaccine formulations to reduce atherosclerosis in preclinical models. It will also address the opportunities and challenges associated with potential clinical application of this novel therapeutic paradigm.
来自实验和临床研究的大量数据支持免疫介导机制在动脉粥样硬化发生中的作用,免疫系统会对许多内源性和外源性抗原作出反应,这些抗原发挥着促动脉粥样硬化或抗动脉粥样硬化的作用。针对其中许多抗原的主动免疫策略可能会改变动脉粥样硬化的自然病程。本综述主要关注在临床前模型中测试过的用于减少动脉粥样硬化的疫苗制剂中寻找抗原的重要研究。它还将探讨这种新型治疗模式潜在临床应用所带来的机遇和挑战。