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Physiol. Rev. 86: 515-581, 2006; doi:10.1152/physrev.00024.2005
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Cytokines in Atherosclerosis: Pathogenic and Regulatory Pathways

Alain Tedgui and Ziad Mallat

Institut National de la Santé et de la Recherche Médicale U. 689, Cardiovascular Research Center Lariboisiere, and University Paris 7, Paris, France

Atherosclerosis is a chronic disease of the arterial wall where both innate and adaptive immunoinflammatory mechanisms are involved. Inflammation is central at all stages of atherosclerosis. It is implicated in the formation of early fatty streaks, when the endothelium is activated and expresses chemokines and adhesion molecules leading to monocyte/lymphocyte recruitment and infiltration into the subendothelium. It also acts at the onset of adverse clinical vascular events, when activated cells within the plaque secrete matrix proteases that degrade extracellular matrix proteins and weaken the fibrous cap, leading to rupture and thrombus formation. Cells involved in the atherosclerotic process secrete and are activated by soluble factors, known as cytokines. Important recent advances in the comprehension of the mechanisms of atherosclerosis provided evidence that the immunoinflammatory response in atherosclerosis is modulated by regulatory pathways, in which the two anti-inflammatory cytokines interleukin-10 and transforming growth factor-beta play a critical role. The purpose of this review is to bring together the current information concerning the role of cytokines in the development, progression, and complications of atherosclerosis. Specific emphasis is placed on the contribution of pro- and anti-inflammatory cytokines to pathogenic (innate and adaptive) and regulatory immunity in the context of atherosclerosis. Based on our current knowledge of the role of cytokines in atherosclerosis, we propose some novel therapeutic strategies to combat this disease. In addition, we discuss the potential of circulating cytokine levels as biomarkers of coronary artery disease.





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Am. J. Physiol. Renal Physiol.Home page
N. M. Caplice, S. Wang, M. Tracz, A. J. Croatt, J. P. Grande, Z. S. Katusic, and K. A. Nath
Neoangiogenesis and the presence of progenitor cells in the venous limb of an arteriovenous fistula in the rat
Am J Physiol Renal Physiol, August 1, 2007; 293(2): F470 - F475.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
J. Barlic, Y. Zhang, and P. M. Murphy
Atherogenic Lipids Induce Adhesion of Human Coronary Artery Smooth Muscle Cells to Macrophages by Up-regulating Chemokine CX3CL1 on Smooth Muscle Cells in a TNF{alpha}-NF{kappa}B-dependent Manner
J. Biol. Chem., June 29, 2007; 282(26): 19167 - 19176.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
Q. Li, Y. Laumonnier, T. Syrovets, and T. Simmet
Plasmin Triggers Cytokine Induction in Human Monocyte-Derived Macrophages
Arterioscler Thromb Vasc Biol, June 1, 2007; 27(6): 1383 - 1389.
[Abstract] [Full Text] [PDF]


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BloodHome page
P. Dentelli, A. Rosso, A. Balsamo, S. Colmenares Benedetto, A. Zeoli, M. Pegoraro, G. Camussi, L. Pegoraro, and M. F. Brizzi
C-KIT, by interacting with the membrane-bound ligand, recruits endothelial progenitor cells to inflamed endothelium
Blood, May 15, 2007; 109(10): 4264 - 4271.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
D. J. Grainger
TGF-{beta} and atherosclerosis in man
Cardiovasc Res, May 1, 2007; 74(2): 213 - 222.
[Abstract] [Full Text] [PDF]


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CirculationHome page
H. Ait-Oufella, K. Kinugawa, J. Zoll, T. Simon, J. Boddaert, S. Heeneman, O. Blanc-Brude, V. Barateau, S. Potteaux, R. Merval, et al.
Lactadherin Deficiency Leads to Apoptotic Cell Accumulation and Accelerated Atherosclerosis in Mice
Circulation, April 24, 2007; 115(16): 2168 - 2177.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
X. Wang, W. Jin, and D. J. Rader
Upregulation of Macrophage Endothelial Lipase by Toll-Like Receptors 4 and 3 Modulates Macrophage Interleukin-10 and -12 Production
Circ. Res., April 13, 2007; 100(7): 1008 - 1015.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
R. Marfella, M. Siniscalchi, M. Portoghese, C. Di Filippo, F. Ferraraccio, C. Schiattarella, B. Crescenzi, P. Sangiuolo, G. Ferraro, S. Siciliano, et al.
Morning Blood Pressure Surge as a Destabilizing Factor of Atherosclerotic Plaque: Role of Ubiquitin-Proteasome Activity
Hypertension, April 1, 2007; 49(4): 784 - 791.
[Abstract] [Full Text] [PDF]


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Hum Mol GenetHome page
K. Oda, N. Tanaka, T. Arai, J. Araki, Y. Song, L. Zhang, A. Kuchiba, T. Hosoi, T. Shirasawa, M. Muramatsu, et al.
Polymorphisms in pro- and anti-inflammatory cytokine genes and susceptibility to atherosclerosis: a pathological study of 1503 consecutive autopsy cases
Hum. Mol. Genet., March 15, 2007; 16(6): 592 - 599.
[Abstract] [Full Text] [PDF]


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CirculationHome page
T. B. Dahl, A. Yndestad, M. Skjelland, E. Oie, A. Dahl, A. Michelsen, J. K. Damas, S. H. Tunheim, T. Ueland, C. Smith, et al.
Increased Expression of Visfatin in Macrophages of Human Unstable Carotid and Coronary Atherosclerosis: Possible Role in Inflammation and Plaque Destabilization
Circulation, February 27, 2007; 115(8): 972 - 980.
[Abstract] [Full Text] [PDF]


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J. Lipid Res.Home page
G. Qiu, A. C. Ho, W. Yu, and J. S. Hill
Suppression of endothelial or lipoprotein lipase in THP-1 macrophages attenuates proinflammatory cytokine secretion
J. Lipid Res., February 1, 2007; 48(2): 385 - 394.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
V. Braunersreuther, A. Zernecke, C. Arnaud, E. A. Liehn, S. Steffens, E. Shagdarsuren, K. Bidzhekov, F. Burger, G. Pelli, B. Luckow, et al.
Ccr5 But Not Ccr1 Deficiency Reduces Development of Diet-Induced Atherosclerosis in Mice
Arterioscler Thromb Vasc Biol, February 1, 2007; 27(2): 373 - 379.
[Abstract] [Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
E. J.A van Wanrooij, G. H.M van Puijvelde, P. de Vos, H. Yagita, T. J.C. van Berkel, and J. Kuiper
Interruption of the Tnfrsf4/Tnfsf4 (OX40/OX40L) Pathway Attenuates Atherogenesis in Low-Density Lipoprotein Receptor-Deficient Mice
Arterioscler Thromb Vasc Biol, January 1, 2007; 27(1): 204 - 210.
[Abstract] [Full Text] [PDF]


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J. Clin. Endocrinol. Metab.Home page
R. T. de Jongh, R. G. Ijzerman, E. H. Serne, J. J. Voordouw, J. S. Yudkin, H. A. D.-v. de Waal, C. D. A. Stehouwer, and M. M. van Weissenbruch
Visceral and Truncal Subcutaneous Adipose Tissue Are Associated with Impaired Capillary Recruitment in Healthy Individuals
J. Clin. Endocrinol. Metab., December 1, 2006; 91(12): 5100 - 5106.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
A. N. Mazzadi, X. Andre-Fouet, N. Costes, P. Croisille, D. Revel, and M. F. Janier
Mechanisms leading to reversible mechanical dysfunction in severe CAD: alternatives to myocardial stunning
Am J Physiol Heart Circ Physiol, December 1, 2006; 291(6): H2570 - H2582.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
G. Caligiuri and A. Nicoletti
Lymphocyte responses in acute coronary syndromes: lack of regulation spawns deviant behaviour
Eur. Heart J., November 1, 2006; 27(21): 2485 - 2486.
[Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
A.-K. L. Robertson and G. K Hansson
T Cells in Atherogenesis: For Better or For Worse?
Arterioscler Thromb Vasc Biol, November 1, 2006; 26(11): 2421 - 2432.
[Abstract] [Full Text] [PDF]


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CirculationHome page
J. J. Goronzy and C. M. Weyand
Immunosuppression in Atherosclerosis: Mobilizing the Opposition Within
Circulation, October 31, 2006; 114(18): 1901 - 1904.
[Full Text] [PDF]


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Circ. Res.Home page
S. Lehoux and B. I. Levy
Collateral Artery Growth: Making the Most of What You Have
Circ. Res., September 15, 2006; 99(6): 567 - 569.
[Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
G. Caligiuri, S. V. Kaveri, and A. Nicoletti
IL-20 and Atherosclerosis: Another Brick In the Wall.
Arterioscler Thromb Vasc Biol, September 1, 2006; 26(9): 1929 - 1930.
[Full Text] [PDF]


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Arterioscler. Thromb. Vasc. Bio.Home page
S. Potteaux, C. Combadiere, B. Esposito, C. Lecureuil, H. Ait-Oufella, R. Merval, P. Ardouin, A. Tedgui, and Z. Mallat
Role of Bone Marrow-Derived CC-Chemokine Receptor 5 in the Development of Atherosclerosis of Low-Density Lipoprotein Receptor Knockout Mice
Arterioscler Thromb Vasc Biol, August 1, 2006; 26(8): 1858 - 1863.
[Abstract] [Full Text] [PDF]




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