4.4 Article

Re-evaluating the causes and consequences of non-resolving inflammation in chronic cardiovascular disease

Journal

HEART FAILURE REVIEWS
Volume 25, Issue 2, Pages 381-391

Publisher

SPRINGER
DOI: 10.1007/s10741-019-09817-x

Keywords

Cardiovascular disease; Chronic inflammation; Cardiac repair; Heart failure; Leukocytes

Funding

  1. NCCIH NIH HHS [R00 AT006704, K99 AT006704] Funding Source: Medline
  2. NHLBI NIH HHS [R01 HL132989] Funding Source: Medline

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Cardiac injuries, like heart attacks, drive the secondary pathology with advanced heart failure. In this process, non-resolving inflammation is a prime component of accelerated cardiovascular disease and subsequent fatal events associated with imbalanced diet, physical inactivity, disrupted circadian rhythms, neuro-hormonal stress, and poly- or co-medication. Laboratory rodents have established that splenic leukocyte-directed resolution mechanisms are essential for cardiac repair after injury. Here, we discuss the impact of three lifestyle-related factors that are prime causes of derailed cardiac healing, putative non-resolving inflammation-resolution mechanisms in cardiovascular diseases, and progressive heart failure after cardiac injury. The presented review resurfaces the lifestyle-related risks and future research directions required to understand the molecular and cellular mechanisms between the causes of cardiovascular disease and their related consequences of non-resolving inflammation.

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