Molecular and Technological Advances in the Diagnosis and Therapy of Cardiovascular Diseases

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Molecular Targeted Therapy".

Deadline for manuscript submissions: 31 March 2025 | Viewed by 1945

Special Issue Editor

Special Issue Information

Dear Colleagues,

Atherosclerotic cardiovascular diseases (ASCVDs) are the leading cause of morbidity and mortality in the Western world. The escalating global prevalence of ASCVDs necessitates modern advancements in molecular diagnostics and technology. Primary prevention strategies should prioritize the early identification of atherosclerosis. This is a very demanding process involving genetic, biochemical, pathophysiological and cardiovascular imaging studies, which will enable personalized treatment approaches. Similarly, secondary prevention of ASCVDs should follow with the principles of precision medicine determining the extent of follow-up and the intensity of therapy. Multiple and complex pathophysiologic mechanisms are involved in atherosclerosis progression. Hence, there is still an increasing need to develop and apply more personalized diagnostic tests (molecular and imaging) and therapeutic regimens for ASCVDs. We invite the submission of research and narrative reviews focusing on basic atherosclerosis studies to advance prevention, diagnosis, risk assessment, and treatment through personalized medicine. This Special Issue aims to acquaint medical professionals and researchers with recent advances in ASCVDs within the context of personalized medicine. Original research and reviews are encouraged for this Special Issue. 

Topics include, but are not confined to the following:

  • Experimental atherosclerosis research;
  • Novel biomarkers in ASCVDs;
  • Genomics, GWAS, and population genetics;
  • Atherosclerosis epigenetics and microRNAs;
  • Lipids, lipoproteins, and apolipoproteins;
  • Proteomic and metabolomic exploration of atherosclerosis;
  • Inflammation and/or immunology within atherosclerotic lesions;
  • Arterial expansive and constrictive remodeling;
  • Advances in cardiovascular imaging;
  • Oxidative stress influence;
  • Arterial calcification;
  • Medications stabilizing atherosclerotic plaques. 

Dr. Nikolaos Kadoglou
Guest Editor

Manuscript Submission Information

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Keywords

  • atherosclerosis
  • personalized medicine
  • molecular diagnostics
  • biomarkers
  • cardiovascular imaging
  • atherosclerotic cardiovascular diseases
  • basic research
  • gene therapy
  • precision medicine for diagnosis and treatment

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Published Papers (2 papers)

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Research

15 pages, 1196 KiB  
Article
Associations Between Plasma Levels of NLRP3 Protein, Interleukin-1 Beta and Features of Acute ST-Elevation Myocardial Infarction
by Vyacheslav Ryabov, Yulia Samoilova, Aleksandra Gombozhapova, Anastasiia Nesova and Irina Kologrivova
J. Pers. Med. 2024, 14(11), 1103; https://doi.org/10.3390/jpm14111103 - 13 Nov 2024
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Abstract
Background. Phenotyping inflammation in ST-elevation myocardial infarction (STEMI) is a challenge for modern cardiology. NLRP3 inflammasome is a proven predictor of adverse outcomes in cardiovascular disease, but its specificity in stratifying inflammatory activity in patients with myocardial infarction (MI) has not been demonstrated. [...] Read more.
Background. Phenotyping inflammation in ST-elevation myocardial infarction (STEMI) is a challenge for modern cardiology. NLRP3 inflammasome is a proven predictor of adverse outcomes in cardiovascular disease, but its specificity in stratifying inflammatory activity in patients with myocardial infarction (MI) has not been demonstrated. The aim of this paper is to describe the levels of NLRP3 protein and IL-1β concentrations and their changes in dynamics and associations with clinical, laboratory and instrumental characteristics of patients with STEMI. Methods. A total of 45 patients with STEMI were enrolled. Concentrations of NLRP3 and IL-1β were evaluated in arterial and venous EDTA blood from the infarct-related coronary and peripheral arteries and veins on days 1, 3 and 7 after MI. Results and Conclusions. The concentrations of markers were higher on the first day after MI with a maximum decrease on the third day. The levels of both markers in venous plasma correlated with those in arterial blood, allowing their routine determination in venous plasma on the first day after MI. IL-1β levels correlated directly with the wall motion index and inversely with left ventricular ejection fraction and stroke volume, which characterize the potential contribution to adverse myocardial remodeling. There were two multidirectional trends in changes in NLRP3 and IL-1β levels during hospitalization. Initially higher levels with a gradual decrease by day 7 were associated with a longer duration of myocardial ischemia and higher plasma troponin I levels. Further evaluation of the long-term outcomes of MI will allow identifying inflammatory factors that input to the development of secondary major adverse cardiac events and will provide a new step in the understanding of inflammatory phenotyping. Full article
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12 pages, 3829 KiB  
Article
The Prognostic Role of Global Longitudinal Strain and NT-proBNP in Heart Failure Patients Receiving Cardiac Resynchronization Therapy
by Nikolaos P. E. Kadoglou, Sjoerd Bouwmeester, Anouk G. W. de Lepper, Marloes C. de Kleijn, Ingeborg H. F. Herold, Arthur R. A. Bouwman, Ioannis Korakianitis, Tim Simmers, Franke A. L. E. Bracke and Patrick Houthuizen
J. Pers. Med. 2024, 14(2), 188; https://doi.org/10.3390/jpm14020188 - 8 Feb 2024
Cited by 3 | Viewed by 1143
Abstract
Background: We aimed to evaluate whether baseline GLS (global longitudinal strain), NT-proBNP, and changes in these after cardiac resynchronization therapy (CRT) can predict long-term clinical outcomes and the echocardiographic-based response to CRT (defined by 15% relative reduction in left ventricular end-systolic volume). Methods: [...] Read more.
Background: We aimed to evaluate whether baseline GLS (global longitudinal strain), NT-proBNP, and changes in these after cardiac resynchronization therapy (CRT) can predict long-term clinical outcomes and the echocardiographic-based response to CRT (defined by 15% relative reduction in left ventricular end-systolic volume). Methods: We enrolled 143 patients with stable ischemic heart failure (HF) undergoing CRT-D implantation. NT-proBNP and echocardiography were obtained before and 6 months after. The patients were followed up (median: 58 months) for HF-related deaths and/or HF hospitalizations (primary endpoint) or HF-related deaths (secondary endpoint). Results: A total of 84 patients achieved the primary and 53 the secondary endpoint, while 104 patients were considered CRT responders and 39 non-responders. At baseline, event-free patients had higher absolute GLS values (p < 0.001) and lower NT-proBNP serum levels (p < 0001) than those achieving the primary endpoint. A similar pattern was observed in favor of CRT responders vs. non-responders. On Cox regression analysis, baseline absolute GLS value (HR = 0.77; 95% CI, 0.51–1.91; p = 0.002) was beneficially associated with lower primary endpoint incidence, while baseline NT-proBNP levels (HR = 1.55; 95% CI, 1.43–2.01; p = 0.002) and diabetes presence (HR = 1.27; 95% CI, 1.12–1.98; p = 0.003) were related to higher primary endpoint incidence. Conclusions: In HF patients undergoing CRT-D, baseline GLS and NT-proBNP concentrations may serve as prognostic factors, while they may predict the echocardiographic-based response to CRT. Full article
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