microRNAs Associated with Carotid Plaque Development and Vulnerability: The Clinician's Perspective

Ischemic stroke (IS) related to atherosclerosis of large arteries is one of the leading causes of mortality and disability in developed countries. Atherosclerotic internal carotid artery stenosis (ICAS) contributes to 20% of all cerebral ischemia cases. Nowadays, atherosclerosis prevention and treat...

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Veröffentlicht in:International journal of molecular sciences 2022-12, Vol.23 (24), p.15645
Hauptverfasser: Badacz, Rafał, Przewłocki, Tadeusz, Legutko, Jacek, Żmudka, Krzysztof, Kabłak-Ziembicka, Anna
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container_start_page 15645
container_title International journal of molecular sciences
container_volume 23
creator Badacz, Rafał
Przewłocki, Tadeusz
Legutko, Jacek
Żmudka, Krzysztof
Kabłak-Ziembicka, Anna
description Ischemic stroke (IS) related to atherosclerosis of large arteries is one of the leading causes of mortality and disability in developed countries. Atherosclerotic internal carotid artery stenosis (ICAS) contributes to 20% of all cerebral ischemia cases. Nowadays, atherosclerosis prevention and treatment measures aim at controlling the atherosclerosis risk factors, or at the interventional (surgical or endovascular) management of mature occlusive lesions. There is a definite lack of the established circulating biomarkers which, once modulated, could prevent development of atherosclerosis, and consequently prevent the carotid-artery-related IS. Recent studies emphasize that microRNA (miRNA) are the emerging particles that could potentially play a pivotal role in this approach. There are some research studies on the association between the expression of small non-coding microRNAs with a carotid plaque development and vulnerability. However, the data remain inconsistent. In addition, all major studies on carotid atherosclerotic plaque were conducted on cell culture or animal models; very few were conducted on humans, whereas the accumulating evidence demonstrates that it cannot be automatically extrapolated to processes in humans. Therefore, this paper aims to review the current knowledge on how miRNA participate in the process of carotid plaque formation and rupture, as well as stroke occurrence. We discuss potential target miRNA that could be used as a prognostic or therapeutic tool.
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Atherosclerotic internal carotid artery stenosis (ICAS) contributes to 20% of all cerebral ischemia cases. Nowadays, atherosclerosis prevention and treatment measures aim at controlling the atherosclerosis risk factors, or at the interventional (surgical or endovascular) management of mature occlusive lesions. There is a definite lack of the established circulating biomarkers which, once modulated, could prevent development of atherosclerosis, and consequently prevent the carotid-artery-related IS. Recent studies emphasize that microRNA (miRNA) are the emerging particles that could potentially play a pivotal role in this approach. There are some research studies on the association between the expression of small non-coding microRNAs with a carotid plaque development and vulnerability. However, the data remain inconsistent. 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source MDPI - Multidisciplinary Digital Publishing Institute; MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Animal models
Animals
Arteriosclerosis
Atherosclerosis
Atherosclerosis - metabolism
Biomarkers
Cardiovascular system
Carotid arteries
Carotid Arteries - metabolism
Carotid Artery Diseases - genetics
Carotid Artery Diseases - pathology
Carotid Stenosis - metabolism
Cell culture
Cholesterol
Cytokines
Endothelium
Gene expression
Humans
Inflammation
Ischemia
Ischemic Stroke - pathology
Kinases
Lipids
Metabolism
MicroRNAs
MicroRNAs - genetics
miRNA
Morphology
Mortality
Nanoparticles
Plaque, Atherosclerotic - metabolism
Review
Risk analysis
Risk Factors
Risk management
Senescence
Stenosis
Stroke
Tomography
Vascular endothelial growth factor
Veins & arteries
title microRNAs Associated with Carotid Plaque Development and Vulnerability: The Clinician's Perspective
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