Abstract
Atherosclerosis, the principal cause of heart attack, stroke and gangrene of the extremities, is responsible for 50% of all mortality in the USA, Europe and Japan. The lesions result from an excessive, inflammatory-fibroproliferative response to various forms of insult to the endothelium and smooth muscle of the artery wall. A large number of growth factors, cytokines and vasoregulatory molecules participate in this process. Our ability to control the expression of genes encoding these molecules and to target specific cell types provides opportunities to develop new diagnostic and therapeutic agents to induce the regression of the lesions and, possibly, to prevent their formation.
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References
Ross, R. N. Engl. J. Med. 314, 488–500 (1986).
World Health Organization WHO Tech. Rep. Serv. 143, 1–20 (1985).
Stary, H. C. Arteriosclerosis 9 (suppl. I), I19–I32 (1989).
McGill, H. C. Jr Arteriosclerosis 4, 443–451 (1984).
Faggiotto, A., Ross, R. & Harker, L. Arteriosclerosis 4, 323–340 (1984).
Faggiotto, A. & Ross, R. Arteriosclerosis 4, 341–356 (1984).
Masuda, J. & Ross, R. Arteriosclerosis 10, 164–177 (1990).
Masuda, J. & Ross, R. Arteriosclerosis 10, 178–187 (1990).
Rosenfeld, M. E., Tsukada, T., Gown, A. M. & Ross, R. Arteriosclerosis 7, 9–23 (1987).
Rosenfeld, M. E. et al. Arteriosclerosis 7, 24–34 (1987).
Gown, A. M., Tsukada, T. & Ross, R. Am. J. Path. 125, 191–207 (1986).
Jonasson, L., Holm, J., Skalli, O., Bondjers, G. & Hansson, G. K. Arteriosclerosis 6, 131–138 (1986).
Dartsch, P. C. et al. Atherosclerosis 80, 149–157 (1989).
Hansson, G. K., Seifert, P. S., Olsson, G. & Bondjers, G. Arterioscl. Thromb. 11, 745–750 (1991).
Libby, P. & Hansson, G. K. Lab. Invest. 64, 5–15 (1991).
Davies, M. J. & Thomas, A. N. Engl. J. Med. 310, 1137–1140 (1984).
Virchow, R. in Gesammelte Abhandlungen zur Wissenschaftlichen Medicin 458–463 (Meidinger Sohn, Berlin, 1856).
French, J. E. Int. Rev. expl. Pathol. 5, 253–353 (1966).
Ross, R. & Glomset, J. A. Science 180, 1332–1339 (1973).
Ross, R. & Glomset, J. A. N. Engl. J. Med. 295, 369–377, 420–425 (1976).
Ross, R. & Harker, L. Science 193, 1094–1100 (1976).
Ross, R. Arteriosclerosis 1, 293–311 (1981).
Mora, R., Lupu, F. & Simionescu, N. Atherosclerosis 67, 143–154 (1987).
Munro, J. M. & Cotran, R. S. Lab. Invest. 58, 249–261 (1988).
Davies, P. F. Lab. Invest. 55, 5–24 (1986).
Gerrity, R. G., Goss, J. A. & Soby, L. Arteriosclerosis 5, 55–66 (1985).
Nilsson, J. Atherosclerosis 62, 185–199 (1986).
Thomas, W. A., Lee, K. T. & Kim, D. N. Ann. N. Y. Acad. Sci. 454, 305–315 (1985).
Tsukada, T., Rosenfeld, M. E., Ross, R. & Gown, A. M. Arteriosclerosis 6, 601–613 (1986).
Davies, M. J., Woolf, N., Rowles, P. M. & Pepper, J. Br. Heart J. 60, 459–464 (1988).
Ross, R., Raines, E. W. & Bowen-Pope, D. F. Cell 46, 155–169 (1986).
Raines, E. W., Bowen-Pope, D. F. & Ross, R. in Handbook of Experimental Pharmacology: Peptide Growth Factors and their Receptors (eds Sporn, M. B. & Roberts, A. B.) 173–262 (Springer, Berlin, 1990).
Hart, C. E. et al. Science 240, 1529–1531 (1988).
Heldin, C.-H. & Westermark, B. Cell Reg. 1, 555–566 (1990).
Burgess, W. H. & Maciag, T. A. Rev. Biochem. 58, 575–606 (1989).
Klagsbrun, M. & Edelman, E. R. Arteriosclerosis 9, 269–278 (1989).
Folkman, J. et al. Am. J. Path. 130, 393–400 (1988).
Higashiyama, S., Abraham, J. A., Miller, J., Fiddes, J. C. & Klagsbrun, M. Science 251, 936–939 (1991).
Banskota, N. K., Taub, R., Zellner, K. & King, G. L. Molec. Endocrin. 3, 1183–1190 (1989).
Libby, P., Friedman, G. B. & Salomon, R. N. Am. Rev. resp. Dis. 140, 1114–1117 (1989).
Raines, E. W., Dower, S. K. & Ross, R. Science 243, 393–396 (1989).
Old, L. J. Science 230, 630–632 (1985).
Moses, H. L., Coffey, R. J. Jr, Leof, E. B., Lyons, R. M. & Keski-Oja, J. J. Cell Physiol. (suppl 5), 1–7 (1987).
Sporn, M. B., Roberts, A. B., Wakefield, L. M. & de Crombrugghe, B. J. Cell Biol. 105, 1039–1045 (1987).
Roberts, A. B. & Sporn, M. B. in Handbook of Experimental Pharmacology: Peptide Growth Factors and their Receptors I (eds Sporn, M. B. & Roberts, A. B.) 419–472 (Springer, Berlin, 1990).
Moses, H. L., Yang, E. Y. & Pietenpol, J. A. Cell 63, 245–247 (1990).
McCaffrey, T. A. et al. J. Cell Biol. 109, 441–448 (1989).
Chaudhury, A. R. & D'Amore, P. A. J. Cell Biochem. 47, 224–229 (1991).
Battegay, E. J., Raines, E. W., Seifert, R. A., Bowen-Pope, D. F. & Ross, R. Cell 63, 515–524 (1990).
Stanley, E. R. Meth. Enzym. 116, 564–587 (1985).
Ylä-Herttuala, S. et al. Proc. natn. Acad. Sci. U.S.A. 88, 5252–5256 (1991).
Leonard, E. J. & Yoshimura, T. Immun. Today 11, 97–101 (1990).
Cathcart, M. K., Morel, D. W. & Chisolm, G. M. J. Leuk. Biol. 38, 341–350 (1985).
Rosenfeld, M. E., Palinski, W., Ylä-Herttuala, S. & Carew, T. E. Toxicol. Path. 18, 560–571 (1990).
Quinn, M. T., Parthasarathy, S. & Steinberg, D. Proc. natn. Acad. Sci. U.S.A. 85, 2805–2809 (1988).
Ferns, G. A. A. et al. Science 253, 1129–1132 (1991).
Amento, E. P., Ehsani, N., Palmer, H. & Libby, P. Arterioscl. Thromb. 11, 1223–1230 (1991).
Steinbrecher, U. P., Zhang, H. F. & Lougheed, M. Free Radical Biol. Med. 9, 155–168 (1990).
Libby, P., Warner, S. J. C., Salomon, R. N. & Birinyi, L. K. N. Engl. J. Med. 318, 1493–1498 (1988).
Hajjar, K. A., Hajjar, D. P., Silverstein, R. L. & Nachman, R. L. J. exp. Med. 166, 235–245 (1987).
Wilcox, J. N., Smith, K. M., Williams, L. T., Schwartz, S. M. & Gordon, D. J. clin. Invest. 82, 1134–1143 (1988).
Ross, R. et al. Science 248, 1009–1012 (1990).
Barrett, T. B. & Benditt, E. P. Proc. natn. Acad. Sci. U.S.A. 85, 2810–2814 (1988).
Rubin, K. et al. Lancet I, 1353–1356 (1988).
Raines, E. W. & Ross, R. J. Cell Biol. 116, 533–543 (1992).
Yayon, A., Klagsbrun, M., Esko, J. D., Leder, P. & Ornitz, D. M. Cell 64, 841–848 (1991).
Rosenfeld, M. E. & Ross, R. Arteriosclerosis 10, 680–687 (1990).
Gordon, D., Reidy, M. A., Benditt, E. P. & Schwartz, S. M. Proc. natn. Acad. Sci. U.S.A. 87, 4600–4604 (1990).
Rosenfeld, M. E. et al. Am. J. Path. 140, 291–300 (1992).
Shimano, H. et al. J. biol. Chem. 265, 12869–12875 (1990).
Gimbrone, M. A. Jr Prog. Hemost. Thromb. 3, 1–28 (1976).
Steinberg, D. Circulation 84, 1420–1425 (1991).
Springer, T. A. Nature 346, 425–434 (1990).
Cybulsky, M. I. & Gimbrone, M. A. Jr Science 251, 788–791 (1991).
Carlos, T. M. & Harlan, J. M. Immun. Rev. 114, 5–28 (1990).
Ylä-Herttuala, S. et al. J. clin. Invest. 84, 1086–1095 (1989).
Minor, R. L., Myers, P. R., Guerra, R. Jr, Bates, J. N. & Harrison, D. G. J. clin. Invest. 86, 2109–2116 (1990).
Ylä-Herttuala, S. et al. Proc. natn. Acad. Sci. U.S.A. 87, 6959–6963 (1990).
McNally, A. K., Chisolm, G. M. III, Morel, D. W. & Cathcart, M. K. J. Immun. 145, 254–259 (1990).
Furchgott, R. F. Circ. Res. 53, 557–573 (1983).
Lüscher, T. F. Am. J. Hypertens. 3, 317–330 (1990).
Chester, A. H., O'Neil, G. S., Moncada, S., Tadjkarimi, S. & Yacoub, M. H. Lancet 336, 897–900 (1990).
Botting, R. & Vane, J. R. Arch. Mal. Coeur 82, 11–14 (1989).
Shimokawa, H. & Vanhoutte, P. M. Circ. Res. 64, 900–914 (1989).
Dzau, V. J. J. cardiovasc. Pharmac. 15 (suppl. 5), S59–S64 (1990).
Owens, G. K. Am. J. Physiol. 257, H1755–H1765 (1989).
Moncada, S. & Higgs, E. A. Clin. Haematol. 15, 273–292 (1986).
Hajjar, D. P. Am. J. Path. 139, 1195–1211 (1991).
Minick, C. R., Fabricant, C. G., Fabricant, J. & Litrenta, M. M. Am. J. Path. 96, 673–700 (1979).
Rosenberg, R. D. Fed. Proc. 44, 404–409 (1985).
Tolins, J. P., Shultz, P. J. & Raij, L. Hypertension 17, 909–916 (1991).
Loskutoff, D. J. & Curriden, S. A. Ann. N. Y. Acad. Sci. 598, 238–247 (1990).
Gordon, D., Augustine, A. J., Smith, K. M., Schwartz, S. M. & Wilcox, J. N. Thromb. Haemostasis 62, 131 (1989).
Sawdey, M. S. & Loskutoff, D. J. J. clin. Invest. 88, 1346–1353 (1991).
Goldstein, J. L., Ho, Y. K., Basu, S. K. & Brown, M. S. Proc. natn. Acad. Sci. U.S.A. 76, 333–337 (1979).
Parthasarathy, S., Wieland, E. & Steinberg, D. Proc. natn. Acad. Sci. U.S.A. 86, 1046–1050 (1989).
Rosenfeld, M. E. et al. J. clin. Invest. 87, 90–99 (1990).
Carew, T. E., Schwenke, D. C. & Steinberg, D. Proc. natn Acad. Sci. U.S.A. 84, 7725–7729 (1987).
Kita, T. et al. Proc. natn. Acad. Sci. U.S.A. 84, 5928–5931 (1987).
Shimokado, K. et al. Cell 43, 277–286 (1985).
Libby, P. et al. Am. J. Path. 124, 179–185 (1986).
Hansson, G. K., Jonasson, L., Seifert, P. S. & Stemme, S. Arteriosclerosis 9, 567–578 (1989).
Schwartz, S. M., Heimark, R. L. & Majesky, M. W. Physiol. Rev. 70, 1177–1209 (1990).
Hultgardh-Nilsson, A., Krondahl, U., Querol-Ferrer, V. & Ringertz, N. R. Differentiation 47, 99–105 (1991).
Campbell, G. R., Campbell, J. H., Manderson, J. A., Horrigan, S. & Rennick, R. E. Arch. Path. Lab. Med. 112, 977–986 (1988).
Thyberg, J., Hedin, U., Sjölund, M., Palmberg, L. & Bottger, B. A. Arteriosclerosis 10, 966–990 (1990).
Nagai, R., Kuro-o, M., Babij, P. & Periasamy, M. J. biol. Chem. 264, 9734–9737 (1989).
Yanagisawa, M. et al. Nature 332, 411–415 (1988).
Majesky, M. W., Daemen, M. J. A. P. & Schwartz, S. M. J. biol. Chem. 265, 1082–1088 (1990).
Taubman, M. B. et al. J. biol. Chem. 264, 526–530 (1989).
Owen, N. E. Am. J. Physiol. 250, C584–C588 (1986).
Morisaki, N., Kanzaki, T., Motoyama, N., Saito, Y. & Yoshida, S. Atherosclerosis 71, 165–171 (1988).
Nilsson, J., von Euler, A. M. & Dalsgaard, C.-J. Nature 315, 61–63 (1985).
Palmberg, L., Claesson, H.-E. & Thyberg, J. J. Cell Sci. 88, 151–159 (1987).
Moncada, S. & Higgs, E. A. (eds) Nitric Oxide from L-arginine: A Bioregulatory System (Excerpta Medica, Amsterdam, 1990).
Sjölund, M., Hedin, U., Sejersen, T., Heldin, C.-H. & Thyberg, J. J. Cell Biol. 106, 403–413 (1988).
Baird, A. & Böhlen, P. in Peptide Growth Factors and their Receptors I (eds Sporn, M. B. & Roberts. A. B.) 369–418 (Springer, Berlin, 1990).
Ferrell, M., Fusler, V., Gold, H. K. & Chesebro, J. H. Circulation 85, 1630–1631 (1992).
Fingerle, J., Johnson, R., Clowes, A. W., Majesky, M. W. & Reidy, M. A. Proc. natn. Acad. Sci. U.S.A. 86, 8412–8416 (1989).
Lindner, V. & Reidy, M. A. Proc. natn. Acad. Sci. U.S.A. 88, 3739–3743 (1991).
Hansson, G. K. & Holm, J. Circulation 84, 1266–1272 (1991).
Ross, R., Wight, T. N., Strandness, E. & Thiele, B. Am. J. Path. 114, 79–93 (1984).
Nikol, S. et al. J. clin. Invest 90, 1582–1592 (1992).
Simons, M., Edelman, E. R., DeKeyser, J.-L., Langer, R. & Rosenberg, R. D. Nature 359, 67–70 (1992).
Brown, B. G. et al. N. Engl. J. Med. 323, 1289–1298 (1990).
Kane, J. P., Malloy, M. J., Ports, T. A., Phillips, N. R., Diehl, J. C. & Havel, R. H. J. Am. med. Assoc. 264, 3007–3012 (1990).
Fuster, V., Badimon, L., Badimon, J. J. & Chesebro, J. H. Engl. J. Med. 326, 242–250 (1992).
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Ross, R. The pathogenesis of atherosclerosis: a perspective for the 1990s. Nature 362, 801–809 (1993). https://doi.org/10.1038/362801a0
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DOI: https://doi.org/10.1038/362801a0