Cytokines as therapeutic targets for cardio- and cerebrovascular diseases

Despite major advances in prevention and treatment, cardiac and cerebral atherothrombotic complications still account for substantial morbidity and mortality worldwide. In this context, inflammation is involved in the chronic process leading atherosclerotic plaque formation and its complications, as...

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Published inBasic research in cardiology Vol. 116; no. 1; p. 23
Main Authors Liberale, Luca, Ministrini, Stefano, Carbone, Federico, Camici, Giovanni G., Montecucco, Fabrizio
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 01.12.2021
Springer Nature B.V
Subjects
Online AccessGet full text
ISSN0300-8428
1435-1803
1435-1803
DOI10.1007/s00395-021-00863-x

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Abstract Despite major advances in prevention and treatment, cardiac and cerebral atherothrombotic complications still account for substantial morbidity and mortality worldwide. In this context, inflammation is involved in the chronic process leading atherosclerotic plaque formation and its complications, as well as in the maladaptive response to acute ischemic events. For this reason, modulation of inflammation is nowadays seen as a promising therapeutic strategy to counteract the burden of cardio- and cerebrovascular disease. Being produced and recognized by both inflammatory and vascular cells, the complex network of cytokines holds key functions in the crosstalk of these two systems and orchestrates the progression of atherothrombosis. By binding to membrane receptors, these soluble mediators trigger specific intracellular signaling pathways eventually leading to the activation of transcription factors and a deep modulation of cell function. Both stimulatory and inhibitory cytokines have been described and progressively reported as markers of disease or interesting therapeutic targets in the cardiovascular field. Nevertheless, cytokine inhibition is burdened by harmful side effects that will most likely prevent its chronic use in favor of acute administrations in well-selected subjects at high risk. Here, we summarize the current state of knowledge regarding the modulatory role of cytokines on atherosclerosis, myocardial infarction, and stroke. Then, we discuss evidence from clinical trials specifically targeting cytokines and the potential implication of these advances into daily clinical practice.
AbstractList Despite major advances in prevention and treatment, cardiac and cerebral atherothrombotic complications still account for substantial morbidity and mortality worldwide. In this context, inflammation is involved in the chronic process leading atherosclerotic plaque formation and its complications, as well as in the maladaptive response to acute ischemic events. For this reason, modulation of inflammation is nowadays seen as a promising therapeutic strategy to counteract the burden of cardio- and cerebrovascular disease. Being produced and recognized by both inflammatory and vascular cells, the complex network of cytokines holds key functions in the crosstalk of these two systems and orchestrates the progression of atherothrombosis. By binding to membrane receptors, these soluble mediators trigger specific intracellular signaling pathways eventually leading to the activation of transcription factors and a deep modulation of cell function. Both stimulatory and inhibitory cytokines have been described and progressively reported as markers of disease or interesting therapeutic targets in the cardiovascular field. Nevertheless, cytokine inhibition is burdened by harmful side effects that will most likely prevent its chronic use in favor of acute administrations in well-selected subjects at high risk. Here, we summarize the current state of knowledge regarding the modulatory role of cytokines on atherosclerosis, myocardial infarction, and stroke. Then, we discuss evidence from clinical trials specifically targeting cytokines and the potential implication of these advances into daily clinical practice.
Despite major advances in prevention and treatment, cardiac and cerebral atherothrombotic complications still account for substantial morbidity and mortality worldwide. In this context, inflammation is involved in the chronic process leading atherosclerotic plaque formation and its complications, as well as in the maladaptive response to acute ischemic events. For this reason, modulation of inflammation is nowadays seen as a promising therapeutic strategy to counteract the burden of cardio- and cerebrovascular disease. Being produced and recognized by both inflammatory and vascular cells, the complex network of cytokines holds key functions in the crosstalk of these two systems and orchestrates the progression of atherothrombosis. By binding to membrane receptors, these soluble mediators trigger specific intracellular signaling pathways eventually leading to the activation of transcription factors and a deep modulation of cell function. Both stimulatory and inhibitory cytokines have been described and progressively reported as markers of disease or interesting therapeutic targets in the cardiovascular field. Nevertheless, cytokine inhibition is burdened by harmful side effects that will most likely prevent its chronic use in favor of acute administrations in well-selected subjects at high risk. Here, we summarize the current state of knowledge regarding the modulatory role of cytokines on atherosclerosis, myocardial infarction, and stroke. Then, we discuss evidence from clinical trials specifically targeting cytokines and the potential implication of these advances into daily clinical practice.Despite major advances in prevention and treatment, cardiac and cerebral atherothrombotic complications still account for substantial morbidity and mortality worldwide. In this context, inflammation is involved in the chronic process leading atherosclerotic plaque formation and its complications, as well as in the maladaptive response to acute ischemic events. For this reason, modulation of inflammation is nowadays seen as a promising therapeutic strategy to counteract the burden of cardio- and cerebrovascular disease. Being produced and recognized by both inflammatory and vascular cells, the complex network of cytokines holds key functions in the crosstalk of these two systems and orchestrates the progression of atherothrombosis. By binding to membrane receptors, these soluble mediators trigger specific intracellular signaling pathways eventually leading to the activation of transcription factors and a deep modulation of cell function. Both stimulatory and inhibitory cytokines have been described and progressively reported as markers of disease or interesting therapeutic targets in the cardiovascular field. Nevertheless, cytokine inhibition is burdened by harmful side effects that will most likely prevent its chronic use in favor of acute administrations in well-selected subjects at high risk. Here, we summarize the current state of knowledge regarding the modulatory role of cytokines on atherosclerosis, myocardial infarction, and stroke. Then, we discuss evidence from clinical trials specifically targeting cytokines and the potential implication of these advances into daily clinical practice.
ArticleNumber 23
Author Carbone, Federico
Ministrini, Stefano
Montecucco, Fabrizio
Liberale, Luca
Camici, Giovanni G.
Author_xml – sequence: 1
  givenname: Luca
  orcidid: 0000-0003-1472-7975
  surname: Liberale
  fullname: Liberale, Luca
  email: luca.liberale@uzh.ch
  organization: Center for Molecular Cardiology, University of Zürich, First Clinic of Internal Medicine, Department of Internal Medicine, University of Genoa
– sequence: 2
  givenname: Stefano
  surname: Ministrini
  fullname: Ministrini, Stefano
  organization: First Clinic of Internal Medicine, Department of Internal Medicine, University of Genoa, Internal Medicine, Angiology and Atherosclerosis, Department of Medicine and Surgery, University of Perugia
– sequence: 3
  givenname: Federico
  surname: Carbone
  fullname: Carbone, Federico
  organization: First Clinic of Internal Medicine, Department of Internal Medicine, University of Genoa, IRCCS Ospedale Policlinico San Martino Genoa, Italian Cardiovascular Network
– sequence: 4
  givenname: Giovanni G.
  surname: Camici
  fullname: Camici, Giovanni G.
  organization: Center for Molecular Cardiology, University of Zürich, Department of Cardiology, University Heart Center, University Hospital Zurich, Department of Research and Education, University Hospital Zurich
– sequence: 5
  givenname: Fabrizio
  surname: Montecucco
  fullname: Montecucco, Fabrizio
  organization: IRCCS Ospedale Policlinico San Martino Genoa, Italian Cardiovascular Network, First Clinic of Internal Medicine, Department of Internal Medicine and Centre of Excellence for Biomedical Research (CEBR), University of Genoa
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33770265$$D View this record in MEDLINE/PubMed
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Issue 1
Keywords Cardiovascular disease
Cytokines
Interleukins
IL-1
IL-6
Cerebrovascular disease
Language English
License Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
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PublicationTitle Basic research in cardiology
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SubjectTerms Animals
Anti-Inflammatory Agents - adverse effects
Anti-Inflammatory Agents - therapeutic use
Arteriosclerosis
Atherosclerosis
Cardiology
Cardiovascular Diseases - drug therapy
Cardiovascular Diseases - immunology
Cardiovascular Diseases - metabolism
Cardiovascular Diseases - physiopathology
Cardiovascular System - drug effects
Cardiovascular System - immunology
Cardiovascular System - metabolism
Cardiovascular System - physiopathology
Cerebral infarction
Cerebrovascular diseases
Cerebrovascular Disorders - drug therapy
Cerebrovascular Disorders - immunology
Cerebrovascular Disorders - metabolism
Cerebrovascular Disorders - physiopathology
Clinical trials
Crosstalk
Cytokines
Cytokines - antagonists & inhibitors
Cytokines - metabolism
Humans
Inflammation
Inflammation - drug therapy
Inflammation - immunology
Inflammation - metabolism
Inflammation - physiopathology
Inflammation Mediators - antagonists & inhibitors
Inflammation Mediators - metabolism
Intracellular signalling
Ischemia
Medicine
Medicine & Public Health
Modulation
Molecular Targeted Therapy
Morbidity
Myocardial infarction
Review
Side effects
Signal Transduction
Therapeutic applications
Therapeutic targets
Transcription activation
Transcription factors
Vascular diseases
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Title Cytokines as therapeutic targets for cardio- and cerebrovascular diseases
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