Update on cholesterol metabolism and its influence on atherosclerosis

Authors

Keywords:

Atherosclerosis, Cholesterol, Metabolism, Prevention

Abstract

Introduction: Atherosclerosis is a disease that begins at the molecular level with metabolism - cholesterol and is the cause of several ailments, including cardiovascular and cerebrovascular diseases, responsible for high morbidity and mortality worldwide. Currently, the best way to prevent this disease is to control unhealthy lifestyles.

Objective: to provide an update on cholesterol metabolism, highlighting its influence on atherosclerosis.

Method: a bibliographic review was carried out using reference books, printed articles, journals and the PubMed, EBSCO, HINARI, LILACS and CUMED databases, searching up to the year 2022 in English and Spanish. Finally, 21 references were consulted.

Development: atherosclerotic lesions occur in the arterial intima and, according to their severity, are divided in ascending order into: fatty streaks, fibrous plaques and severe plaques. Its pathogenesis is associated with endothelial lesions and is closely related to multiple risk factors. The atherometric system of José E. Fernández-Britto Rodríguez and researchers from the Higher Institute of Medical Sciences of Havana, has made it possible to measure arterial lesions in different sectors in deceased patients.

Conclusions: cholesterol metabolism shows the fundamental cause of an unhealthy lifestyle causing atherosclerosis, which in turn brings health problems that occupy a place among the first causes of death worldwide, which is why its exhaustive study is necessary, applying the atherometric system, which is irreplaceable to this day for its prevention.

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References

1. Moroni F, Ammirati E, Norata GD, Magnoni M, Camici PG. The Role of Monocytes and Macrophages in Human Atherosclerosis, Plaque Neoangiogenesis, and Atherothrombosis. Mediators Inflamm. [Internet] 2019 [citado 08/01/2023]; 7434376. Disponible en: https://doi.org/10.1155/2019/7434376

2. Mushenkova NV, Summerhill VI, Silaeva YY, Deykin AV, Orekhov AN. Modelling of atherosclerosis in genetically modified animals. Am J Transl Res. [Internet] 2019 [citado 08/01/2023]; 11(8): 4614–4633. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6731422/pdf/ajtr0011-4614.pdf

3. Cuba. Ministerio de Salud Pública. Dirección Nacional de Estadísticas. [Internet]. La Habana: MINSAP. [Internet]. 2020 [citado 08/01/2023]; [aprox. 10 p.]. Disponible en: https://temas.sld.cu/estadisticassalud/

4. Libby P. The changing landscape of atherosclerosis. Nature. [Internet] 2021 [citado 08/01/2023]; 592(7855):524-533. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33883728/

5. Tay C, Kanellakis P, Hosseini H, et al. B Cell and CD4 T Cell Interactions Promote Development of Atherosclerosis. Front Immunol. [Internet] 2020 [citado 08/01/2023]; 10:3046. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6965321/pdf/fimmu-10-03046.pdf

6. Hernández Á, Soria Florido MT, Schro ̈der H, Ros E, Pintó X, Estruch R, et al. Role of HDL function and LDL atherogenicity on cardiovascular risk: A comprehensive examination. PLoS ONE. [Internet] 2019 [citado 08/01/2023]. Disponible en: https://doi.org/10.1371/journal.pone.0218533

7. Herrero-Fernandez B, Gomez-Bris R, Somovilla-Crespo B, Gonzalez-Granado JM. Immunobiology of Atherosclerosis: A Complex Net of Interactions. Int J Mol Sci. [Internet] 2019 [citado 08/01/2023]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6862594/pdf/ijms-20-05293.pdf

8. Centa M, Jin H, Hofste L, et al. Germinal Center-Derived Antibodies Promote Atherosclerosis Plaque Size and Stability. Circulation. [Internet] 2019 [citado 08/01/2023]; 139(21):2466-2482. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30894016/

9. Ruiz-León AM, Lapuente M, Estruch R, Casas R. Clinical Advances in Immunonutrition and Atherosclerosis: A Review. Front Immunol. [Internet] 2019 [citado 08/01/2023]; 10:837. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31068933/

10. Deroissart J, Porsch F, Koller T, Binder CJ. Anti-inflammatory and Immunomodulatory Therapies in Atherosclerosis. Handb Exp Pharmacol. [Internet] 2022 [citado 08/01/2023]; 270:359-404. Disponible en: https://pubmed.ncbi.nlm.nih.gov/34251531/

Published

2023-04-30

How to Cite

1.
Pérez-Alvarez A, Gálvez-Vila RM, Ruiz-Reyes D, Ordóñez-Smith Y. Update on cholesterol metabolism and its influence on atherosclerosis. MedEst [Internet]. 2023 Apr. 30 [cited 2024 Nov. 7];3(1):e235. Available from: https://revmedest.sld.cu/index.php/medest/article/view/235

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Section

REVIEW ARTICLES