Articles |
From the Vascular Medicine and Atherosclerosis Unit, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Correspondence to Richard T. Lee, MD, Cardiovascular Division, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115. E-mail rtlee@bics.bwh.harvard.edu
Key Words: unstable lesions fibrous cap plaque rupture
| Introduction |
|---|
In light of this major clinical progress, it is reasonable to consider
whether further basic understanding of the unstable atherosclerotic
lesion will be translated into a clinical benefit beyond these recent
advances.6 We propose that the basic biology of the
unstable lesion will now assume even greater importance for two
fundamental reasons. First, even with aspirin and
cholesterol-lowering therapy, acute vascular events will
continue to be a major cause of morbidity and mortality in developed
countries. Performing clinical trials and epidemiological studies in
the United States and other developed countries will become more
difficult and expensive as the number of patients needed for each study
increases. Thus, developing new successful approaches to the prevention
of acute vascular syndromes will require a sound understanding of the
pathogenesis of lesion destabilization, and proceeding to clinical
breakthroughs will require strong justification from vascular biology
before clinical trials are undertaken. Second, even as the age-adjusted
incidence
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F. D. Kolodgie, J. Narula, A. P. Burke, N. Haider, A. Farb, Y. Hui-Liang, J. Smialek, and R. Virmani Localization of Apoptotic Macrophages at the Site of Plaque Rupture in Sudden Coronary Death Am. J. Pathol., October 1, 2000; 157(4): 1259 - 1268. [Abstract] [Full Text] [PDF] |
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W. DURANTE, L. LIAO, S. V. REYNA, K. J. PEYTON, and A. I. SCHAFER Physiological cyclic stretch directs L-arginine transport and metabolism to collagen synthesis in vascular smooth muscle FASEB J, September 1, 2000; 14(12): 1775 - 1783. [Abstract] [Full Text] |
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C. L. de Korte, G. Pasterkamp, A. F. W. van der Steen, H. A. Woutman, and N. Bom Characterization of Plaque Components With Intravascular Ultrasound Elastography in Human Femoral and Coronary Arteries In Vitro Circulation, August 8, 2000; 102(6): 617 - 623. [Abstract] [Full Text] [PDF] |
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H. C. McGill Jr, C. A. McMahan, A. W. Zieske, R. E. Tracy, G. T. Malcom, E. E. Herderick, and J. P. Strong Association of Coronary Heart Disease Risk Factors With Microscopic Qualities of Coronary Atherosclerosis in Youth Circulation, July 25, 2000; 102(4): 374 - 379. [Abstract] [Full Text] [PDF] |
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U. Schonbeck, G. K. Sukhova, K. Shimizu, F. Mach, and P. Libby Inhibition of CD40 signaling limits evolution of established atherosclerosis in mice PNAS, June 20, 2000; 97(13): 7458 - 7463. [Abstract] [Full Text] [PDF] |
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U. J. F. Tietge, C. Maugeais, W. Cain, D. Grass, J. M. Glick, F. C. de Beer, and D. J. Rader Overexpression of Secretory Phospholipase A2 Causes Rapid Catabolism and Altered Tissue Uptake of High Density Lipoprotein Cholesteryl Ester and Apolipoprotein A-I J. Biol. Chem., March 31, 2000; 275(14): 10077 - 10084. [Abstract] [Full Text] [PDF] |
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Z. Mallat, H. Benamer, B. Hugel, J. Benessiano, P. G. Steg, J.-M. Freyssinet, and A. Tedgui Elevated Levels of Shed Membrane Microparticles With Procoagulant Potential in the Peripheral Circulating Blood of Patients With Acute Coronary Syndromes Circulation, February 29, 2000; 101(8): 841 - 843. [Abstract] [Full Text] [PDF] |
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M. D. Rekhter, G. W. Hicks, D. W. Brammer, H. Hallak, E. Kindt, J. Chen, W. S. Rosebury, M. K. Anderson, P. J. Kuipers, and M. J. Ryan Hypercholesterolemia Causes Mechanical Weakening of Rabbit Atheroma : Local Collagen Loss as a Prerequisite of Plaque Rupture Circ. Res., January 7, 2000; 86(1): 101 - 108. [Abstract] [Full Text] [PDF] |
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Y. Feng, J.-H. Yang, H. Huang, S. P. Kennedy, T. G. Turi, J. F. Thompson, P. Libby, and R. T. Lee Transcriptional Profile of Mechanically Induced Genes in Human Vascular Smooth Muscle Cells Circ. Res., December 3, 1999; 85(12): 1118 - 1123. [Abstract] [Full Text] [PDF] |
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Z. Mallat, S. Besnard, M. Duriez, V. Deleuze, F. Emmanuel, M. F. Bureau, F. Soubrier, B. Esposito, H. Duez, C. Fievet, et al. Protective Role of Interleukin-10 in Atherosclerosis Circ. Res., October 15, 1999; 85 (8): e17 - e24. [Abstract] [Full Text] [PDF] |
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C. A. Gunnett, D. J. Berg, F. M. Faraci, and G. Feuerstein Vascular Effects of Lipopolysaccharide Are Enhanced in Interleukin-10-Deficient Mice • Editorial Comment Stroke, October 1, 1999; 30(10): 2191 - 2196. [Abstract] [Full Text] [PDF] |
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A. B. Zaltsman, S. J. George, and A. C. Newby Increased Secretion of Tissue Inhibitors of Metalloproteinases 1 and 2 From the Aortas of Cholesterol Fed Rabbits Partially Counterbalances Increased Metalloproteinase Activity Arterioscler Thromb Vasc Biol, July 1, 1999; 19(7): 1700 - 1707. [Abstract] [Full Text] [PDF] |
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K. R. Coleman, G. A. Braden, M. C. Willingham, and D. C. Sane Vitaxin, a Humanized Monoclonal Antibody to the Vitronectin Receptor ({alpha}vß3), Reduces Neointimal Hyperplasia and Total Vessel Area After Balloon Injury in Hypercholesterolemic Rabbits Circ. Res., June 11, 1999; 84(11): 1268 - 1276. [Abstract] [Full Text] [PDF] |
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W. Y. Craig, M. W. Rawstron, C. A. Rundell, E. Robinson, S. E. Poulin, L. M. Neveux, P. M. Nishina, and L. M. Keilson Relationship Between Lipoprotein- and Oxidation-Related Variables and Atheroma Lipid Composition in Subjects Undergoing Coronary Artery Bypass Graft Surgery Arterioscler Thromb Vasc Biol, June 1, 1999; 19(6): 1512 - 1517. [Abstract] [Full Text] [PDF] |
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A. J. Moss, R. E. Goldstein, V. J. Marder, C. E. Sparks, D. Oakes, H. Greenberg, H. J. Weiss, W. Zareba, M. W. Brown, C.-S. Liang, et al. Thrombogenic Factors and Recurrent Coronary Events Circulation, May 18, 1999; 99(19): 2517 - 2522. [Abstract] [Full Text] [PDF] |
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Z. Mallat, C. Heymes, J. Ohan, E. Faggin, G. Leseche, and A. Tedgui Expression of Interleukin-10 in Advanced Human Atherosclerotic Plaques : Relation to Inducible Nitric Oxide Synthase Expression and Cell Death Arterioscler Thromb Vasc Biol, March 1, 1999; 19(3): 611 - 616. [Abstract] [Full Text] [PDF] |
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A. C Newby and A. B Zaltsman Fibrous cap formation or destruction -- the critical importance of vascular smooth muscle cell proliferation, migration and matrix formation Cardiovasc Res, February 1, 1999; 41(2): 345 - 360. [Abstract] [Full Text] [PDF] |
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M. D. Rekhter Collagen synthesis in atherosclerosis: too much and not enough Cardiovasc Res, February 1, 1999; 41(2): 376 - 384. [Abstract] [Full Text] [PDF] |
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M. Braun, P. Pietsch, K. Schror, G. Baumann, and S. B. Felix Cellular adhesion molecules on vascular smooth muscle cells Cardiovasc Res, February 1, 1999; 41(2): 395 - 401. [Abstract] [Full Text] [PDF] |
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R. Rabbani and E. J. Topol Strategies to achieve coronary arterial plaque stabilization Cardiovasc Res, February 1, 1999; 41(2): 402 - 417. [Abstract] [Full Text] [PDF] |
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E. Lutgens, E. D. de Muinck, P. J.E.H.M. Kitslaar, J. H.M. Tordoir, H. J.J. Wellens, and M. J.A.P. Daemen Biphasic pattern of cell turnover characterizes the progression from fatty streaks to ruptured human atherosclerotic plaques Cardiovasc Res, February 1, 1999; 41(2): 473 - 479. [Abstract] [Full Text] [PDF] |
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R. Ross Atherosclerosis -- An Inflammatory Disease N. Engl. J. Med., January 14, 1999; 340(2): 115 - 126. [Full Text] [PDF] |
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G. Pasterkamp, A. H. Schoneveld, A. C. van der Wal, D.-J. Hijnen, W. J. A. van Wolveren, S. Plomp, H. L. J. M. Teepen, and C. Borst Inflammation of the Atherosclerotic Cap and Shoulder of the Plaque Is a Common and Locally Observed Feature in Unruptured Plaques of Femoral and Coronary Arteries Arterioscler Thromb Vasc Biol, January 1, 1999; 19(1): 54 - 58. [Abstract] [Full Text] [PDF] |
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M. D. Rekhter, G. W. Hicks, D. W. Brammer, C. W. Work, J.-S. Kim, D. Gordon, J. A. Keiser, and M. J. Ryan Animal Model That Mimics Atherosclerotic Plaque Rupture Circ. Res., October 5, 1998; 83(7): 705 - 713. [Abstract] [Full Text] [PDF] |
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N. Kume, T. Murase, H. Moriwaki, T. Aoyama, T. Sawamura, T. Masaki, and T. Kita Inducible Expression of Lectin-like Oxidized LDL Receptor-1 in Vascular Endothelial Cells Circ. Res., August 10, 1998; 83(3): 322 - 327. [Abstract] [Full Text] [PDF] |
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