Barungi Shivan, Hernández-Camarero Pablo, Moreno-Terribas Gerardo, Villalba-Montoro Rafael, Marchal Juan Antonio, López-Ruiz Elena, Perán Macarena
Department of Health Sciences, University of Jaén, Jaén, Spain.
San Cecilio University Hospital of Granada, Granada, Spain.
Front Cell Dev Biol. 2023 Mar 16;11:1148768. doi: 10.3389/fcell.2023.1148768. eCollection 2023.
Cardiovascular diseases (CVD) are the leading causes of death and disability in the world. Among all CVD, the most common is coronary artery disease (CAD). CAD results from the complications promoted by atherosclerosis, which is characterized by the accumulation of atherosclerotic plaques that limit and block the blood flow of the arteries involved in heart oxygenation. Atherosclerotic disease is usually treated by stents implantation and angioplasty, but these surgical interventions also favour thrombosis and restenosis which often lead to device failure. Hence, efficient and long-lasting therapeutic options that are easily accessible to patients are in high demand. Advanced technologies including nanotechnology or vascular tissue engineering may provide promising solutions for CVD. Moreover, advances in the understanding of the biological processes underlying atherosclerosis can lead to a significant improvement in the management of CVD and even to the development of novel efficient drugs. To note, over the last years, the observation that inflammation leads to atherosclerosis has gained interest providing a link between atheroma formation and oncogenesis. Here, we have focused on the description of the available therapy for atherosclerosis, including surgical treatment and experimental treatment, the mechanisms of atheroma formation, and possible novel therapeutic candidates such as the use of anti-inflammatory treatments to reduce CVD.
心血管疾病(CVD)是全球死亡和残疾的主要原因。在所有心血管疾病中,最常见的是冠状动脉疾病(CAD)。CAD是由动脉粥样硬化引发的并发症导致的,其特征是动脉粥样硬化斑块的积累,这些斑块会限制和阻塞参与心脏氧合的动脉的血流。动脉粥样硬化疾病通常通过支架植入和血管成形术进行治疗,但这些手术干预也容易引发血栓形成和再狭窄,进而常常导致器械失效。因此,患者易于获得的高效且持久的治疗选择需求迫切。包括纳米技术或血管组织工程在内的先进技术可能为心血管疾病提供有前景的解决方案。此外,对动脉粥样硬化潜在生物学过程认识的进展能够显著改善心血管疾病的管理,甚至推动新型高效药物的研发。需要注意的是,在过去几年中,炎症导致动脉粥样硬化这一观察结果引发了关注,为动脉粥样硬化形成与肿瘤发生之间建立了联系。在此,我们重点描述了动脉粥样硬化的现有治疗方法,包括手术治疗和实验性治疗、动脉粥样硬化形成的机制,以及可能的新型治疗候选方案,如使用抗炎治疗来降低心血管疾病风险。