Atherothrombosis and Plaque Heterology: Different Location or a Unique Disease?
Formation of unstable plaques frequently results in atherothrombosis, the major cause for ischaemic stroke, myocardial infarction and peripheral arterial disease. Patients who have symptomatic thrombosis in one vascular bed are at increased risk of disease in other beds. However, the development of...
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Veröffentlicht in: | Pathobiology (Basel) 2008-01, Vol.75 (4), p.209-225 |
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description | Formation of unstable plaques frequently results in atherothrombosis, the major cause for ischaemic stroke, myocardial infarction and peripheral arterial disease. Patients who have symptomatic thrombosis in one vascular bed are at increased risk of disease in other beds. However, the development of the disease in carotid, coronary and peripheral arteries may have different pathophysiology suggesting that more complex treatment protocols may have to be designed to reduce plaque development at different locations. In this review we describe the known risk factors, compare the developmental features of coronary and carotid plaque development and determine their association with end-point ischaemic events. Differences are also seen in the genetic contribution to plaque development as well as in the deregulation of gene and protein expression and cellular signal transduction activity of active cells in regions susceptible to thrombosis. Differences between carotid and coronary artery plaque development might help to explain the differences in anatomopathological appearance and risk of rupture. |
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Angels ; Luque, A. ; Juan-Babot, Oriol ; Gaffney, J. ; Kumar, P. ; Kumar, S. ; Badimon, L. ; Krupinski, J.</creator><creatorcontrib>Slevin, M. ; Wang, Q. ; Font, M. Angels ; Luque, A. ; Juan-Babot, Oriol ; Gaffney, J. ; Kumar, P. ; Kumar, S. ; Badimon, L. ; Krupinski, J.</creatorcontrib><description>Formation of unstable plaques frequently results in atherothrombosis, the major cause for ischaemic stroke, myocardial infarction and peripheral arterial disease. Patients who have symptomatic thrombosis in one vascular bed are at increased risk of disease in other beds. However, the development of the disease in carotid, coronary and peripheral arteries may have different pathophysiology suggesting that more complex treatment protocols may have to be designed to reduce plaque development at different locations. In this review we describe the known risk factors, compare the developmental features of coronary and carotid plaque development and determine their association with end-point ischaemic events. Differences are also seen in the genetic contribution to plaque development as well as in the deregulation of gene and protein expression and cellular signal transduction activity of active cells in regions susceptible to thrombosis. Differences between carotid and coronary artery plaque development might help to explain the differences in anatomopathological appearance and risk of rupture.</description><identifier>ISSN: 1015-2008</identifier><identifier>EISSN: 1423-0291</identifier><identifier>DOI: 10.1159/000132382</identifier><identifier>PMID: 18580067</identifier><identifier>CODEN: PATHEF</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Blood clots ; Carotid Artery Diseases - blood ; Carotid Artery Diseases - genetics ; Carotid Artery Diseases - pathology ; Cholesterol, HDL - blood ; Cholesterol, LDL - blood ; Coronary Artery Disease - blood ; Coronary Artery Disease - genetics ; Coronary Artery Disease - pathology ; Coronary vessels ; Deregulation ; Female ; Health risks ; Humans ; Male ; Middle Aged ; Myocardial infarction ; Pathology ; Review ; Risk factors ; Rupture, Spontaneous ; Thromboembolism ; Tunica Intima - pathology</subject><ispartof>Pathobiology (Basel), 2008-01, Vol.75 (4), p.209-225</ispartof><rights>2008 S. Karger AG, Basel</rights><rights>Copyright 2008 S. Karger AG, Basel.</rights><rights>Copyright (c) 2008 S. 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Angels</au><au>Luque, A.</au><au>Juan-Babot, Oriol</au><au>Gaffney, J.</au><au>Kumar, P.</au><au>Kumar, S.</au><au>Badimon, L.</au><au>Krupinski, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Atherothrombosis and Plaque Heterology: Different Location or a Unique Disease?</atitle><jtitle>Pathobiology (Basel)</jtitle><addtitle>Pathobiology</addtitle><date>2008-01-01</date><risdate>2008</risdate><volume>75</volume><issue>4</issue><spage>209</spage><epage>225</epage><pages>209-225</pages><issn>1015-2008</issn><eissn>1423-0291</eissn><coden>PATHEF</coden><abstract>Formation of unstable plaques frequently results in atherothrombosis, the major cause for ischaemic stroke, myocardial infarction and peripheral arterial disease. Patients who have symptomatic thrombosis in one vascular bed are at increased risk of disease in other beds. However, the development of the disease in carotid, coronary and peripheral arteries may have different pathophysiology suggesting that more complex treatment protocols may have to be designed to reduce plaque development at different locations. In this review we describe the known risk factors, compare the developmental features of coronary and carotid plaque development and determine their association with end-point ischaemic events. Differences are also seen in the genetic contribution to plaque development as well as in the deregulation of gene and protein expression and cellular signal transduction activity of active cells in regions susceptible to thrombosis. Differences between carotid and coronary artery plaque development might help to explain the differences in anatomopathological appearance and risk of rupture.</abstract><cop>Basel, Switzerland</cop><pub>S. 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subjects | Adult Aged Aged, 80 and over Blood clots Carotid Artery Diseases - blood Carotid Artery Diseases - genetics Carotid Artery Diseases - pathology Cholesterol, HDL - blood Cholesterol, LDL - blood Coronary Artery Disease - blood Coronary Artery Disease - genetics Coronary Artery Disease - pathology Coronary vessels Deregulation Female Health risks Humans Male Middle Aged Myocardial infarction Pathology Review Risk factors Rupture, Spontaneous Thromboembolism Tunica Intima - pathology |
title | Atherothrombosis and Plaque Heterology: Different Location or a Unique Disease? |
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