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
Hauptverfasser: Slevin, M., Wang, Q., Font, M. Angels, Luque, A., Juan-Babot, Oriol, Gaffney, J., Kumar, P., Kumar, S., Badimon, L., Krupinski, J.
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container_end_page 225
container_issue 4
container_start_page 209
container_title Pathobiology (Basel)
container_volume 75
creator Slevin, M.
Wang, Q.
Font, M. Angels
Luque, A.
Juan-Babot, Oriol
Gaffney, J.
Kumar, P.
Kumar, S.
Badimon, L.
Krupinski, J.
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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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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