2022
DOI: 10.3390/ijms232415645
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microRNAs Associated with Carotid Plaque Development and Vulnerability: The Clinician’s Perspective

Abstract: 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 … Show more

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Cited by 19 publications
(17 citation statements)
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“…26 For example, miR-126, miR-155, miR-206, and miR-223 prevent unfavourable lipid metabolism and reduce inflammation via many signalling pathways; other miRs, such as miR-let-7g, miR-143, and miR-34a, modulate endothelial cell senescence by regulating related protein; also, miR-10a, miR-31, and miR-17-3p regulate inflammation by modulating the expression of adhesion molecules. 27 Most recently, miR-22-3p has been reported to inhibit human aortic SMC proliferation and migration, affecting vascular pathologies. 17 However, the mechanism of miR-22-3p has not been fully explored in AS.…”
Section: Discussionmentioning
confidence: 99%
“…26 For example, miR-126, miR-155, miR-206, and miR-223 prevent unfavourable lipid metabolism and reduce inflammation via many signalling pathways; other miRs, such as miR-let-7g, miR-143, and miR-34a, modulate endothelial cell senescence by regulating related protein; also, miR-10a, miR-31, and miR-17-3p regulate inflammation by modulating the expression of adhesion molecules. 27 Most recently, miR-22-3p has been reported to inhibit human aortic SMC proliferation and migration, affecting vascular pathologies. 17 However, the mechanism of miR-22-3p has not been fully explored in AS.…”
Section: Discussionmentioning
confidence: 99%
“…Early atherosclerotic lesions begin with lipid infiltrates and are highly dynamic lesions containing inflammatory cells (monocytes, leukocytes, and macrophages); inflammatory cytokines (interleukins such as IL-1β and IL-6; tumor necrosis and growth factors such as TNF-α and TGF-β1; and metalloproteinases such as MMP-2 and MMP-9); oxidation products (e.g., oxy-LDL cholesterol); and in diabetic patients, glycation products [ 34 , 37 ]. Atherosclerosis is not solely initiated by atherogenic lipoproteins such as Lp(a), LDL, IDL, or VRDL, but also by genetic factors, such as short non-coding nucleotide sequences of microRNAs [ 37 , 38 , 39 , 40 , 41 ]. These microRNAs play a role in the regulation of all metabolic pathways through the selective blocking of mRNA, which then affects the production of proteins and enzymes [ 42 ].…”
Section: The Faces Of Atherosclerosismentioning
confidence: 99%
“…The second approach involves early intervention at the level of atherosclerotic growth initiation [4,5,74]. The optimal point for early intervention would be during the identification of intima-media complex thickening or the presence of early plaques [127][128][129].…”
Section: Future Directions and Conclusionmentioning
confidence: 99%
“…Atherosclerosis initiation and progression are driven by multiple pro-inflammatory and pro-thrombotic microRNAs that overcome micro-RNAs with protective functions against atherosclerosis [4][5][6]. Atherosclerotic plaque rupture is the leading cause of cardiovascular death resulting from acute coronary syndromes (ACS), both in ST-segment (STEMI) and non-ST segment elevation (NSTEMI) myocardial infarction, as well as cardiac remodeling and fibrosis following ACS [4][5][6].…”
mentioning
confidence: 99%