The mechanism of progression and clinical intervention of atherosclerotic vulnerable plaque
Author:
Affiliation:

1.Department of Cardiology, the 2nd Affiliated Hospital of Harbin Medical University;2.The Key Laboratory of Myocardial Ischemia, Chinese Ministry of Education, Harbin, Heilongjiang 150001, China)

Clc Number:

R5

  • Article
  • | |
  • Metrics
  • |
  • Reference [28]
  • | | | |
  • Comments
    Abstract:

    Cardiovascular disease remains the major cause of death in China. Atherosclerosis (As) has been a crucial pathological foundation of cardiovascular diseases. It is known that the vulnerable plaques in coronary artery are instability high-risk plaques with a tendency to thrombosis who develop rapidly, which act as the pathologic mechanism of acute coronary syndrome (ACS) and ischemic stroke. Although the current anti-atherosclerosis therapy could reduce 30%~45% of acute myocardial infarction and stroke, residual risk of vulnerable plaques remains high. Therefore, it is critical to reach a better understanding of the pathogenesis for plaque vulnerability to identify and treat adverse cardiovascular events.

    Reference
    [1] Libby P, Pasterkamp G.Requiem for the ‘vulnerable plaque’.Eur Heart J, 5,6 (43):2984-2987.
    [2] Stone GW, Maehara A, Lansky AJ, et al.A prospective natural-history study of coronary atherosclerosis.N Engl J Med, 1,4(3):226-235.
    [3] Libby P.Mechanisms of acute coronary syndromes and their implications for therapy.N Engl J Med, 3,8(21):2004-2013.
    [4] Tian J, Dauerman H, Toma C, et al.Prevalence and characteristics of TCFA and degree of coronary artery stenosis:an OCT, IVUS, and angiographic study.J Am Coll Cardiol, 4,4 (7):672-680.
    [5] Ahmadi A, Leipsic J, Blankstein R, et al.Do plaques rapidly progress prior to myocardial infarction? The interplay between plaque vulnerability and progression.Circ Res, 5,7 (1):99-104.
    [6] Puri R, Nicholls SJ, Ellis SG, et al.High-risk coronary atheroma:the interplay between ischemia, plaque burden, and disease progression.J Am Coll Cardiol, 4,3 (12):1134-1140.
    [7] Dai J, Tian J, Hou J, et al.Association between cholesterol crystals and culprit lesion vulnerability in patients with acute coronary syndrome:an optical coherence tomography study.Atherosclerosis, 6,7:111-117.
    [8] 王海龙, 田进伟.微观结构在易损斑块进展中的作用.中国动脉硬化杂志, 9,7(4):307-309.
    [9] Hansson GK, Libby P.Tabas I inflammation and plaque vulnerability.J Intern Med, 5,8(5):483-493.
    [10] 范骎, 陶蓉, 张瑞岩, 等.炎症反应在易损斑块中的作用及其机制研究进展.中国动脉硬化杂志, 9,7(4):301-306.
    [11] 倪占玲, 杨宏辉, 陈岩, 等.血清甲壳质酶蛋白40水平与冠状动脉罪犯血管斑块易损性的相关性.中国动脉硬化杂志, 9,7(4):288-292.
    [12] Thorp EB.Proresolving lipid mediators restore balance to the vulnerable plaque.Circ Res, 6,9(9):972-974.
    [13] Li Z, Wang L, Hu X, et al.Effect of rosuvastatin on atherosclerotic plaque stability:an intravascular ultrasound elastography study.Atherosclerosis, 6,8:27-35.
    [14] Peng S, Xu L, Che X, et al.Atorvastatin inhibits inflammatory response, attenuates lipid deposition, and improves the stability of vulnerable atherosclerotic plaques by modulating autophagy.Front Pharmacol, 8,9:438.
    [15] 王钧, 李幸, 贾璐, 等.脂蛋白(a)水平与冠心病患者易损斑块独立相关.中国动脉硬化杂志, 9,7(4):293-300.
    [16] Gaudino M, Antoniades C, Benedetto U, et al.Mechanisms, consequences, and prevention of coronary graft failure.Circulation, 7,6(18):1749-1764.
    [17] 朱亚男, 张波.冠状动脉搭桥术后静脉桥狭窄与新生易损斑块形成机制的研究进展.中国动脉硬化杂志, 9,7(4):310-314.
    [18] Doyle B, Caplice N.Plaque neovascularization and antiangiogenic therapy for atherosclerosis.J Am Coll Cardiol, 7,9 (21):2073-2080.
    [19] Sluimer JC, Kolodgie FD, Bijnens AP, et al.Thin-walled microvessels in human coronary atherosclerotic plaques show incomplete endothelial junctions relevance of compromised structural integrity for intraplaque microvascular leakage.J Am Coll Cardiol, 9,3(17):1517-1527.
    [20] Xie Z, Wang X, Liu X, et al.Adipose-derived exosomes exert proatherogenic effects by regulating macrophage foam cell formation and polarization.J Am Heart Assoc, 8,7(5).doi:10.1161/JAHA.117.007442.
    [21] Puri R, Nicholls SJ, Ellis SG, et al.High-risk coronary atheroma the interplay between ischemia, plaque burden, and disease progression.J Am Coll Cardiol, 4,3(12):1134-1140.
    [22] Bom MJ, van der Heijden DJ, Kedhi E, et al.Early detection and treatment of the vulnerable coronary plaque:can we prevent acute coronary syndromes?.Circ Cardiovasc Imaging, 7,0(5).doi:10.1161/CIRCIMAGING.116.005973.
    [23] Tian J, Ren X, Vergallo R, et al.Distinct morphological features of ruptured culprit plaque for acute coronary events compared to those with silent rupture and thin-cap fibroatheroma a combined optical coherence tomography and intravascular ultrasound study.J Am Coll Cardiol, 4,3(21):2209-2216.
    [24] 孙鑫, 王腾玉, 郭淑媛, 等.5-氨基酮戊酸介导的声动力疗法快速抑制动脉粥样硬化斑块进展.中国动脉硬化杂志, 9,7(4):281-287.
    [25] Guo M, Cai Y, Yao X, et al.Mathematical modeling of atherosclerotic plaque destabilization:role of neovascularization and intraplaque hemorrhage.J Theor Biol, 8,0:53-65.
    [26] Ahmadi A, Leipsic J, Blankstein R, et al.Do plaques rapidly progress prior to myocardial infarction? The interplay between plaque vulnerability and progression.Circ Res, 5,7(1):99-104.
    [27] Finn AV, Narula J.Intraplaque hemorrhage:most dangerous is the wound that bleedeth inwardly.JACC Cardiovasc Imaging, 2,5(8):856-858.
    [28] Carmeliet P, Jain RK.Principles and mechanisms of vessel normalization for cancer and other angiogenic diseases.Nat Rev Drug Discov, 1,0(6):417-427.
    Related
    Cited by
    Comments
    Comments
    分享到微博
    Submit
Get Citation

TIAN Jinwei, FU Yahong. The mechanism of progression and clinical intervention of atherosclerotic vulnerable plaque[J]. Editorial Office of Chinese Journal of Arteriosclerosis,2019,27(4):277-280.

Copy
Share
Article Metrics
  • Abstract:1137
  • PDF: 1043
  • HTML: 0
  • Cited by: 0
History
  • Received:January 24,2019
  • Revised:March 01,2019
  • Online: April 08,2019
Article QR Code