Regression of Atherosclerosis: Insights from Animal and Clinical Studies

Background: Based on studies that date back to the 1920s, regression and stabilization of atherosclerosis in humans has gone from just a dream to one that is achievable. Review of the literature indicates that the successful attempts at regression generally applied robust measures to improve plasma...

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Autor principal: Jonathan E. Feig
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Lenguaje:EN
Publicado: Ubiquity Press 2014
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HDL
Acceso en línea:https://doaj.org/article/11c9ad3c925b426f943e823a2cba8faa
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spelling oai:doaj.org-article:11c9ad3c925b426f943e823a2cba8faa2021-12-02T11:13:41ZRegression of Atherosclerosis: Insights from Animal and Clinical Studies2214-999610.1016/j.aogh.2013.12.001https://doaj.org/article/11c9ad3c925b426f943e823a2cba8faa2014-04-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/51https://doaj.org/toc/2214-9996Background: Based on studies that date back to the 1920s, regression and stabilization of atherosclerosis in humans has gone from just a dream to one that is achievable. Review of the literature indicates that the successful attempts at regression generally applied robust measures to improve plasma lipoprotein profiles. Examples include extensive lowering of plasma concentrations of atherogenic apolipoprotein B and enhancement of reverse cholesterol transport from atheromata to the liver. Findings: Possible mechanisms responsible for lesion shrinkage include decreased retention of atherogenic apolipoprotein B within the arterial wall, efflux of cholesterol and other toxic lipids from plaques, emigration of lesional foam cells out of the arterial wall, and influx of healthy phagocytes that remove necrotic debris as well as other components of the plaque. This review will highlight the role key players such as LXR, HDL and CCR7 have in mediating regression. Conclusion: Although much progress has been made, there are many unanswered questions. There is, therefore, a clear need for preclinical and clinical testing of new agents expected to facilitate atherosclerosis regression with the hope that additional mechanistic insights will allow further progress.Jonathan E. FeigUbiquity PressarticleatherosclerosisCCR7HDLmacrophagesregressionInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 80, Iss 1, Pp 13-23 (2014)
institution DOAJ
collection DOAJ
language EN
topic atherosclerosis
CCR7
HDL
macrophages
regression
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle atherosclerosis
CCR7
HDL
macrophages
regression
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Jonathan E. Feig
Regression of Atherosclerosis: Insights from Animal and Clinical Studies
description Background: Based on studies that date back to the 1920s, regression and stabilization of atherosclerosis in humans has gone from just a dream to one that is achievable. Review of the literature indicates that the successful attempts at regression generally applied robust measures to improve plasma lipoprotein profiles. Examples include extensive lowering of plasma concentrations of atherogenic apolipoprotein B and enhancement of reverse cholesterol transport from atheromata to the liver. Findings: Possible mechanisms responsible for lesion shrinkage include decreased retention of atherogenic apolipoprotein B within the arterial wall, efflux of cholesterol and other toxic lipids from plaques, emigration of lesional foam cells out of the arterial wall, and influx of healthy phagocytes that remove necrotic debris as well as other components of the plaque. This review will highlight the role key players such as LXR, HDL and CCR7 have in mediating regression. Conclusion: Although much progress has been made, there are many unanswered questions. There is, therefore, a clear need for preclinical and clinical testing of new agents expected to facilitate atherosclerosis regression with the hope that additional mechanistic insights will allow further progress.
format article
author Jonathan E. Feig
author_facet Jonathan E. Feig
author_sort Jonathan E. Feig
title Regression of Atherosclerosis: Insights from Animal and Clinical Studies
title_short Regression of Atherosclerosis: Insights from Animal and Clinical Studies
title_full Regression of Atherosclerosis: Insights from Animal and Clinical Studies
title_fullStr Regression of Atherosclerosis: Insights from Animal and Clinical Studies
title_full_unstemmed Regression of Atherosclerosis: Insights from Animal and Clinical Studies
title_sort regression of atherosclerosis: insights from animal and clinical studies
publisher Ubiquity Press
publishDate 2014
url https://doaj.org/article/11c9ad3c925b426f943e823a2cba8faa
work_keys_str_mv AT jonathanefeig regressionofatherosclerosisinsightsfromanimalandclinicalstudies
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