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Cited by 387

The DOI matches its Crossref record; 5 of the 5 references it cites were found in a registry or an index.

Inhibition of lipoprotein-associated phospholipase A2 reduces complex coronary atherosclerotic plaque development

Open access
Wilensky, Robert L, Shi, Yi, Mohler, Emile R, Hamamdzic, Damir, Burgert, Mark E, Li, Jun, Postle, Anthony, Fenning, Robert S, Bollinger, James G, Hoffman, Bryan E, Pelchovitz, Daniel J, Yang, Jisheng, Mirabile, Rosanna C, Webb, Christine L, Zhang, LeFeng, Zhang, Ping, Gelb, Michael H, Walker, Max C, Zalewski, Andrew, Macphee, Colin H·2008·Nature Medicine

Abstract

Increased lipoprotein-associated phospholipase A2 (Lp-PLA2) activity is associated with increased risk of cardiac events, but it is not known whether Lp-PLA2 is a causative agent. Here we show that selective inhibition of Lp-PLA2 with darapladib reduced development of advanced coronary atherosclerosis in diabetic and hypercholesterolemic swine. Darapladib markedly inhibited plasma and lesion Lp-PLA2 activity and reduced lesion lysophosphatidylcholine content. Analysis of coronary gene expression showed that darapladib exerted a general anti-inflammatory action, substantially reducing the expression of 24 genes associated with macrophage and T lymphocyte functioning. Darapladib treatment resulted in a considerable decrease in plaque area and, notably, a markedly reduced necrotic core area and reduced medial destruction, resulting in fewer lesions with an unstable phenotype. These data show that selective inhibition of Lp-PLA2 inhibits progression to advanced coronary atherosclerotic lesions and confirms a crucial role of vascular inflammation independent from hypercholesterolemia in the development of lesions implicated in the pathogenesis of myocardial infarction and stroke.

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Crossref · 10.1038/nm.1870

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Metadata

Authors
Wilensky, R. L., Shi, Y., Mohler, E. R., Hamamdzic, D., Burgert, M. E., Li, J., Postle, A., Fenning, R. S., Bollinger, J. G., Hoffman, B. E., Pelchovitz, D. J., Yang, J., Mirabile, R. C., Webb, C. L., Zhang, L., Zhang, P., Gelb, M. H., Walker, M. C., Zalewski, A., & Macphee, C. H.
Venue
Nature Medicine
Published
2008-09-21
Volume
14
Issue
10
Pages
1059-1066
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2099917925
Cited by
387
References
5
FWCI
13.32
Type
journal article
Language
en
Open access
green

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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