One source of great mortality and morbidity in Europe and North America is the cardiovascular disease, Atherosclerosis. It is recognized as a chronic inflammatory disease of the intermediate and large arteries characterized by the thickening of the arterial wall and is the primary cause of coronary and cerebrovascular heart disease (Wilson, 2005). It accounts for 4.35 million deaths in Europe and 35% death in the UK each year. Mortality rate are generally higher in men than pre-menopausal woman. Past the menopause, a woman’s risk is similar to a man’s (George and Johnston, 2010). Clinical trials have confirmed that lipid accumulation, endothelial dysfunction, cell proliferation, inflammation matrix alteration and foam cell formation are …show more content…
Macrophage which is now foam-like accumulates on the blood vessel to form visible fatty streak which then undergoes apoptosis. The plaque continues to grow and hardens narrowing the arteries. This ruptures and causes a blood clot which limits the flow of oxygen-rich blood to the body causing a heart attack, stroke or even death. Factors that are known to predispose to atherosclerosis are physical inactivity, diabetes mellitus, hyperlipidemia, cigarette smoking and hypertension which increase the chances by two-fold by damaging the vascular endothelium. Experimental studies have just shown that excess blood levels of iron can lead to atherosclerosis (Guyton and Hall, 2011).
2.0 Molecular and Cell-based therapies
Presently, the treatment strategies used are risk factor modification, conventional pharmacology and surgical revascularization. These strategies have hitherto not been of enormous solution as the disease progression still result in recurrent symptoms. This has now led to the exploitation of advances in comprehending the vascular biology of atherogenesis to introduce novel cell and molecular-based therapies. The application of immunomodulation, lipid-lowering agents like statins, gene transfer, antisense technology and so on has resulted in new therapeutic strategies to interrupt cell proliferation and disorder of the vessel wall. In this essay, immunomudulation and lipid-lowering agent shall be discussed.
2.1 Immunomodulation
Many of the risk factors for cardiovascular disease cause problems because they lead to atherosclerosis. Atherosclerosis is the narrowing and thickening of arteries and develops for years without causing symptoms. It can happen in any part of the body. Around the heart, it is known as coronary artery disease, in the legs it is known as peripheral arterial disease. The narrowing and thickening of the arteries is due to the deposition of fatty material, cholesterol and other substances in the walls of blood vessels. The deposits are known as plaques. The rupture of a plaque can lead to stroke or a heart attack. (World Heart Federation).
Many studies were conducted on coronary artery disease (CAD) because it is the leading cause of mortality and premature disability so studies investigated those at risk of coronary atherosclerosis aiming to provide early treatment (Kolovou et al., 2005), (Akhabue et al., 2014).
Atherosclerosis is the process in which substances known as plaques, which are made up of cholesterol and platelets, adhere to tears in the walls of arteries. Over time these plaques build up to the point where they occlude blood flow in the arteries. When this happens in the coronary arteries, either directly, as the result of buildup in the arteries themselves, indirectly in the form a clot from another part of the body breaking loose and becoming lodged in the coronary arteries, the usual result is a heart attack.3
Atherosclerosis (ath"er-o-skleh-RO'sis) comes from the Greek words athero (meaning gruel or paste) and sclerosis (hardness). It's the name of the process in which deposits of fatty substances, cholesterol, cellular waste products, calcium and other substances build up in the inner lining of an artery. This buildup is called plaque. It usually affects large and medium-sized arteries. Some
Capingana, D. P., Magalhaes, P., Silca, A. T., Goncalves, M. A., Baldo, M. P., Rodrigues, S. L. (2013). Prevalence of cardiovascular risk factors and socioeconomic level among public-sector workers in Angola. BMC Public Health, 13(1), 1-9. Doi: 10.1186/1471-2458-13-732
Nevertheless, there is an understandable and noticeable link between circulatory related diseases and lifestyle diseases, such as Coronary Heart Disease. Coronary heart disease can occur when fatty acids, such as cholesterol in an inadequate diet, build up in the walls of the coronary artery. These fatty deposits collect minerals and harden to become a plaque. Eventually, this plaque grows and can swells up, forming an aneurism. In some cases, this aneurism may burst leading to instant death. As it continues to grow and swell up, it finally blocks the artery completely and forms blood clots. This is known as coronary thrombosis. A myocardial infarction, or in other words as heart attack, occurs when no oxygen is able to reach the coronary artery and thus it is unable to fulfil its role in providing the heart muscle with a sufficient supply of blood. Heart attacks are very common in the society nowadays, especially occurring in smokers or obesity related diseases (Millar, June 2014)
Coronary Artery Disease, also known as CAD, is the most common form of heart disease. (Heart and Stroke Foundation, 2009) Coronary Artery Disease obstructs the blood flow in vessels that provides blood to the heart which is caused by the buildup of plaque on the artery walls. (Rogers, 2011, p.87) (Heart and Stroke Foundation, 2009) Plaque is a yellow substance that consists of fat substances, like cholesterol, and narrows or clogs the arteries which prevents blood flow. (Heart and Stroke Foundation, 2009) Plaque can build up in any artery but usually favors large and medium sized arteries. (Heart and Stroke Foundation, 2009)
Artery coronariasLa artery disease coronary (EAC) affects more than 15 million Americans, being both the most common type of cardiovascular disease. The EAC and its complications, such as arrhythmia, angina pectoris and heart attack, are the main causes of death in the United States. The most frequent cause of EAC is a disease known as 'atherosclerosis' that occurs when forms a waxy substance within the arteries that irrigate the heart. This substance, called «plate», is composed of cholesterol, fatty, calcium and a coagulant substance called «fibrin». Identified two types of plate: plate hard and soft plate.
Eagleton (2012) explains the pathological process inflammation has in weakening the arterial wall through the release of cellular and cytokine messengers which initiate various actions
Atherosclerosis is a disease in which fatty materials and plaque buildup on the inner lining of arteries. Arteries are blood vessels which carry rich blood to the heart and throughout the body. They’re lined by the endothelium, a thin layer of cells. The endothelium keeps blood flowing by keeping the inside of arteries smooth. However, when Atherosclerosis starts due to high blood pressure, smoking, or high cholesterol, it damages the endothelium. Atherosclerosis tends to happen throughout the body and arises when people grow older. This disease is mainly due to the deposition of fatty materials i.e., cholesterol, calcium and other substances found in the blood. The buildup of fat then hardens causing narrowing of the arteries. This
784). The immune system attempts to attack the inflamed area in the artery with special white blood cells and “cells full of fatty nutrients, foam cells, begin to form there, too” (Sapolsky, 2004, p. 43). The white blood cells are unable to properly fight the affected area, and in turn, end up adding more substance to the build up. As this process continues, the affected area becomes inflamed and physically hardens. This produces a blockage in the artery and reduces blood flow, while also causing an increase in blood pressure. At this point of the atherosclerosis build up, many people, especially women, experience angina.
Cardiovascular disease is the most common cause of mortality and morbidity and is accounted for almost 1 out of 5 deaths in the world. Atherosclerosis is a chronic heart disease that causes most of the vascular deaths. The fat deposition in arterial walls progressively develop into atheroma leading to restriction in blood circulation thus increasing risk of local thrombosis. Local thrombosis often forms the base that leads to partial or total obstruction of the artery. At the time of birth, the probability of a cardiovascular disease is 47%. The impact of Atherosclerosis on morbidity and mortality and its economic implications created a necessity for new treatments and prevention strategies. It
In today’s society, people are gaining medical knowledge at quite a fast pace. Treatments, cures, and vaccines for various diseases and disorders are being developed constantly, and yet, coronary disease remains the number one killer in the world.
Atherosclerosis is a type of arteriosclerosis. Arteriosclerosis is a general term for the thickening and hardening of arteries. Atherosclerosis, or hardening of the arteries, is a pathological situation in which plaque builds up inside the arteries. Plaque is usually made of cholesterol, fatty substances, cellular products, calcium and fibrin (a clotting material in the blood). Atherosclerosis is the leading cause of mortality and morbidity from cardiovascular disease (CVD) around the world. The magnitude of this problem is so high that atherosclerosis claims more lives than all types of cancer combined and the financial burden are considerable1. It a complex, chronic pathological