Atherosclerotic Plaque Flashcards
Macrophages
plaque-forming foam cells
Dendritic cells are found in endovascular wall.
DCs are the classical antigen-presenting cells of our immune system and efficient stimulators of -B and T-cells.
Dendritic cells upregulate
CD80, CD86, or CD40
Dendritic cells
CD40 receptor
CD40 Ligand
Expressed in platelets
T-cells, monocytes, macrophages, and endothelial cells express this protein,
Atherosclerosis reduced
Interleukin 1beta inhibition
CD40/CD40L, disruption
CD40 ligand
Transmembrane glycoprotein (belongs to TNF family) present in granules of the resting platelet and T cells.
Binds to CD40 on dendritic cells and release pro inflammatory cytokines.
Atherosclerosis
immunoinflammatory responses
Activated T cells involved in atherosclerotic plaque
Th1, Th2, or natural killer T
Inside atherosclerosis contains higher. Levels of:
sCD40L/sCD40 and interferon-y concentrations
T regulatory cells
CD4(+)CD25(+) regulatory T cells,
Interleukin-1 beta plays a role in development of atherothrombotic plaque
NEJM 9/21/2017 vol 377 No 12
Induction of procoagulant activity
Promoting monocytes & leukocyte adhesion to vascular endothelial cells
Promotes growth of vascular smooth muscle
Macrophages become
Foam cells in atherosclerotic plaque
NEJM 8/31/3024
We found that a single combined measure of high-sensitivity CRP, LDL cholesterol, and lipoprotein(a)
colchicine (0.5 mg daily), approved by the FDA for secondary prevention of atherosclerotic disease and for primary prevention in high-risk patients.5 Other antiinflammatory agents, including interleukin-6 inhibitors, are currently under investigation in large-scale trials,22 and both sodium–glucose cotransporter 2 inhibitors and glucagon-like peptide 1 receptor agonists have been shown to lower high-sensitivity CRP levels and reduce the incidence of vascular events.