Jonasson Lena, Hansson Göran
Universitetssjukhuset i Linköping Kardiologiska kliniken - Linköping, Sweden - Linköping, Sweden.
Karolinska Institutet Department of Medicine Solna - Stockholm, Sweden Karolinska Institutet Department of Medicine Solna - Stockholm, Sweden.
Lakartidningen. 2017 Oct 30;114:EU6R.
Inflammation and atherosclerosis - last piece of the puzzle has fallen into place Inflammation is a major component of atherosclerotic lesions and inflammatory biomarkers can be used to predict cardiovascular disease. Still, it has been unclear whether inflammation is a driving force in atherosclerosis, or merely an epiphenomenon. The recently published results of the CANTOS trial shows that treatment with canacinumab, a monoclonal antibody to the proinflammatory cytokine interleukin-1β, led to a significantly lower rate of recurrent cardiovascular events, compared to placebo. Thus, it establishes beyond doubt that inflammation is a treatable pathogenetic mechanism in atherosclerosis.
炎症与动脉粥样硬化——谜团的最后一块已然落定 炎症是动脉粥样硬化病变的主要组成部分,炎症生物标志物可用于预测心血管疾病。然而,炎症究竟是动脉粥样硬化的驱动因素,还是仅仅是一种附带现象,一直尚不明晰。CANTOS试验最近公布的结果表明,与安慰剂相比,使用抗促炎细胞因子白细胞介素-1β的单克隆抗体卡那单抗进行治疗,可使心血管事件复发率显著降低。因此,毫无疑问地证实了炎症是动脉粥样硬化中一种可治疗的致病机制。