PMID- 31868918 OWN - NLM STAT- MEDLINE DCOM- 20201208 LR - 20201214 IS - 1365-2362 (Electronic) IS - 0014-2972 (Linking) VI - 50 IP - 2 DP - 2020 Feb TI - Atherosclerosis: Beyond the lipid storage hypothesis. The role of autoimmunity. PG - e13195 LID - 10.1111/eci.13195 [doi] AB - Atherosclerosis has long been considered as a lipid storage disease. Recent data suggest that autoimmune mechanisms seem to be involved in the pathophysiology of atherosclerosis. The presence of activated endothelial vascular cells, neutrophils, macrophages, T and to a lesser extent B cells in atherosclerotic plaques, together with the proinflammatory cytokine burden suggest mobilization of both innate and adaptive immune pathways in atherosclerosis pathobiology. The development of antibodies to oxidized low-density lipoprotein (ox-LDL), the experimental induction of atherosclerosis either via the transfer of T cells or immunization with autoantigens such as beta2 glycoprotein Iota (beta2-GPI) and heat shock proteins (HSP) further support the autoimmune nature of atherosclerosis. However, classical immunosuppressive and immune-modulatory drugs, successfully used in the therapy of autoimmune rheumatic diseases have shown limited benefits so far in the treatment of atherosclerosis. CI - (c) 2019 Stichting European Society for Clinical Investigation Journal Foundation. FAU - Cinoku, Ilir I AU - Cinoku II AUID- ORCID: 0000-0003-2362-5591 AD - Department of Physiology, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece. FAU - Mavragani, Clio P AU - Mavragani CP AUID- ORCID: 0000-0002-8214-7406 AD - Department of Physiology, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece. AD - Department of Pathophysiology, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece. FAU - Moutsopoulos, Haralampos M AU - Moutsopoulos HM AUID- ORCID: 0000-0003-3287-4821 AD - Department of Pathophysiology, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece. AD - Academy of Athens, Athens, Greece. LA - eng PT - Journal Article PT - Review DEP - 20200118 PL - England TA - Eur J Clin Invest JT - European journal of clinical investigation JID - 0245331 RN - 0 (Autoantibodies) RN - 0 (Autoantigens) RN - 0 (Cytokines) RN - 0 (Heat-Shock Proteins) RN - 0 (Immunologic Factors) RN - 0 (Immunosuppressive Agents) RN - 0 (Lipoproteins, LDL) RN - 0 (beta 2-Glycoprotein I) RN - 0 (oxidized low density lipoprotein) SB - IM MH - Adaptive Immunity/immunology MH - Adoptive Transfer MH - Animals MH - Atherosclerosis/drug therapy/*immunology/metabolism MH - Autoantibodies/*immunology MH - Autoantigens/immunology MH - Autoimmunity/*immunology MH - Cytokines/*immunology MH - Disease Models, Animal MH - Endothelial Cells/immunology MH - Heat-Shock Proteins/immunology MH - Humans MH - Immunity, Innate/immunology MH - Immunologic Factors/therapeutic use MH - Immunosuppressive Agents/therapeutic use MH - Inflammation/*immunology MH - Lipoproteins, LDL/immunology MH - Macrophages/immunology MH - Neutrophils/immunology MH - Plaque, Atherosclerotic/*immunology MH - T-Lymphocytes/*immunology/transplantation MH - Vaccination MH - beta 2-Glycoprotein I/immunology OTO - NOTNLM OT - atherosclerosis OT - autoimmune disease OT - autoimmune response OT - oxidized form of low-density lipoprotein EDAT- 2019/12/24 06:00 MHDA- 2020/12/15 06:00 CRDT- 2019/12/24 06:00 PHST- 2019/10/05 00:00 [received] PHST- 2019/12/04 00:00 [revised] PHST- 2019/12/09 00:00 [accepted] PHST- 2019/12/24 06:00 [pubmed] PHST- 2020/12/15 06:00 [medline] PHST- 2019/12/24 06:00 [entrez] AID - 10.1111/eci.13195 [doi] PST - ppublish SO - Eur J Clin Invest. 2020 Feb;50(2):e13195. doi: 10.1111/eci.13195. Epub 2020 Jan 18.