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Chapter category: Atherosclerosis

Cytokine–Activated Target Cells in Atherogenesis: The Endothelial

This chapter appears in the following book:

Edited by: Ming K. Heng
ISBN:
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Chapter authors:
Ming K. Heng and Madalene C.Y. Heng

Cell–mediated immunity involving activated lymphocytes and macrophages is believed to play a significant role in atherogenesis. A variety of cytokines secreted by both activated lymphocytes and macrophages, including IL–1 and TNF and IFNg, have been detected within atherosclerotic arteries (Kishikawa et al, 1993); Tipping and Hancock 1993). These cytokines are capable of activating cells normally constituent in the vascular system, resulting in the alteration of their phenotype, behavior, gene expression and transcriptional regulation of these cytokine–activated target cells. Of the many types of constituent cells found in the arterial intima and media, the endothelial cells, smooth muscle cells and fibroblasts are the predominant species. Activation of endothelial cells by cytokines, growth factors and chemokines produced by activated macrophages, lymphocytes and platelets result in altered properties of the activated endothelium, which predispose to the formation of platelet thrombi and accumulation of inflammatory cells at sites of vascular stress. In this Chapter, we detail how these altered properties of vascular endothelium contribute to the atherosclerotic process.

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Additional chapters from this book:

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