PMID- 32282296 OWN - NLM STAT- MEDLINE DCOM- 20210319 LR - 20210319 IS - 1873-4286 (Electronic) IS - 1381-6128 (Linking) VI - 26 IP - 36 DP - 2020 TI - Pro-inflammatory Cytokines in Acute Coronary Syndromes. PG - 4624-4647 LID - 10.2174/1381612826666200413082353 [doi] AB - BACKGROUND: Over the last decades, the role of inflammation and immune system activation in the initiation and progression of coronary artery disease (CAD) has been established. OBJECTIVES: The study aimed to present the interplay between cytokines and their actions preceding and shortly after ACS. METHODS: We searched in a systemic manner the most relevant articles to the topic of inflammation, cytokines, vulnerable plaque and myocardial infarction in MEDLINE, COCHRANE and EMBASE databases. RESULTS: Different classes of cytokines (intereleukin [IL]-1 family, Tumor necrosis factor-alpha (TNF-alpha) family, chemokines, adipokines, interferons) are implicated in the entire process leading to destabilization of the atherosclerotic plaque, and consequently, to the incidence of myocardial infarction. Especially IL-1 and TNF-alpha family are involved in inflammatory cell accumulation, vulnerable plaque formation, platelet aggregation, cardiomyocyte apoptosis and adverse remodeling following the myocardial infarction. Several cytokines such as IL-6, adiponectin, interferon-gamma, appear with significant prognostic value in ACS patients. Thus, research interest focuses on the modulation of inflammation in ACS to improve clinical outcomes. CONCLUSION: Understanding the unique characteristics that accompany each cytokine-cytokine receptor interaction could illuminate the signaling pathways involved in plaque destabilization and indicate future treatment strategies to improve cardiovascular prognosis in ACS patients. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Mourouzis, Konstantinos AU - Mourouzis K AD - 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece. FAU - Oikonomou, Evangelos AU - Oikonomou E AD - 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece. FAU - Siasos, Gerasimos AU - Siasos G AD - 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece. FAU - Tsalamadris, Sotiris AU - Tsalamadris S AD - 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece. FAU - Vogiatzi, Georgia AU - Vogiatzi G AD - 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece. FAU - Antonopoulos, Alexios AU - Antonopoulos A AD - 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece. FAU - Fountoulakis, Petros AU - Fountoulakis P AD - 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece. FAU - Goliopoulou, Athina AU - Goliopoulou A AD - 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece. FAU - Papaioannou, Spyridon AU - Papaioannou S AD - 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece. FAU - Tousoulis, Dimitris AU - Tousoulis D AD - 1st Department of Cardiology, 'Hippokration' Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece. LA - eng PT - Journal Article PL - United Arab Emirates TA - Curr Pharm Des JT - Current pharmaceutical design JID - 9602487 RN - 0 (Cytokines) SB - IM MH - *Acute Coronary Syndrome/drug therapy MH - *Coronary Artery Disease/drug therapy MH - Cytokines MH - Humans MH - Inflammation MH - *Myocardial Infarction MH - *Plaque, Atherosclerotic OTO - NOTNLM OT - Acute coronary syndrome OT - adipokines OT - atherosclerosis OT - cytokines OT - inflammation OT - vulnerable plaque EDAT- 2020/04/14 06:00 MHDA- 2021/03/20 06:00 CRDT- 2020/04/14 06:00 PHST- 2019/12/05 00:00 [received] PHST- 2020/04/01 00:00 [accepted] PHST- 2020/04/14 06:00 [pubmed] PHST- 2021/03/20 06:00 [medline] PHST- 2020/04/14 06:00 [entrez] AID - CPD-EPUB-105763 [pii] AID - 10.2174/1381612826666200413082353 [doi] PST - ppublish SO - Curr Pharm Des. 2020;26(36):4624-4647. doi: 10.2174/1381612826666200413082353.