✔ The risk of cardiovascular diseases, inflammation
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Cardiovascular disease (CVD) is one of the main causes of morbidity and mortality. In the last decades, the scientific research on the underlying mechanisms, with an important role of chronic inflammation was identified.
Pathophysiological Bases
A chronic, systemic inflammation of low intensity is a key factor in the development and Progression of atherosclerosis — the basis of many cardiovascular diseases. Inflammatory processes are involved in all stages of atherosclerosis: from the initial injury of the endothelium to plaque rupture and thrombus formation.
During the inflammatory response of various cells, including macrophages, T‑lymphocytes and endothelial cells. These cells secrete Pro-inflammatory cytokines such as tumor necrosis factor‑α (TNF‑α), Interleukin‑1β (IL‑1β) and Interleukin‑6 (IL‑6), get the inflammation to maintain and progression of atherosclerosis contribute.
Biomarkers of inflammation
An important laboratory parameter for the evaluation of the inflammatory degree of C‑reactive Protein (CRP) is. Studies show that increased CRP levels are associated with an increased risk for heart attacks and strokes, even in patients with normal LDL‑Cholesterol levels. Other inflammatory markers, which are examined in the research include:
Lipoprotein‑associated Phospholipase A₂ (Lp‑PLA₂);
Myeloperoxidase (MPO);
Adhesion molecules (e.g. ICAM‑1 and VCAM‑1).
Risk factors and inflammatory component
Certain traditional risk factors for CVD are closely linked to inflammatory processes:
Overweight and obesity: fat, in particular visceral adipose tissue produces Pro-inflammatory Adipokines (e.g., Leptin, Resistin), and reduced the secretion of anti-inflammatory substances such as Adiponectin.
Type 2 Diabetes mellitus: hyperglycemia promotes oxidative stress reactions and the formation of advanced Glykierungs‑end-products (AGEs), which trigger inflammatory processes.
Smoking: tobacco smoke-induced endothelial damage and increased the Expression of Pro-inflammatory cytokines.
Hypertension: high blood pressure causes mechanical stress on the endothelium, which leads to a chronic inflammatory response.
Therapeutic Implications
Dieufassung the role of inflammation in CVD opens up new therapeutic approaches. In addition to tried-and-tested measures, such as statins not only lower cholesterol, but also anti-inflammatory effect, are currently being explored specific anti-inflammatory therapies:
Clinical studies (e.g. CANTOS study) showed that the Blockade of IL‑1β can reduce the risk of cardiovascular events.
Other approaches include the inhibition of NLRP3‑inflamma omen or the Modulation of inflammatory signaling pathways via Nrf2 activation.
Conclusion
The relationship between chronic inflammation and cardiovascular risk is complex and multifactorial. The identification of inflammatory markers and their role in the pathogenesis of atherosclerosis not only allows a better risk stratification, but also opens up new therapeutic possibilities. Further research is necessary to verify the exact mechanisms educate and develop effective, safe anti-inflammatory strategies.
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