4.4 Review

Sex Differences in Coronary Atherosclerosis

Journal

CURRENT ATHEROSCLEROSIS REPORTS
Volume 24, Issue 1, Pages 23-32

Publisher

CURRENT MEDICINE GROUP
DOI: 10.1007/s11883-022-00980-5

Keywords

Coronary artery disease; Acute myocardial infarction; Cardiovascular disease; Women; Plaque erosion

Ask authors/readers for more resources

The importance of cardiovascular disease in women has been underestimated, highlighting the need to understand the impact of sex differences on CVD, including risk factors and plaque morphology. Recent findings show that there are different risk factors and presentations of coronary artery disease in women compared to men.
Purpose of Review The importance of cardiovascular disease (CVD) in women has long been underestimated. Therefore, we need to understand the impact of sex differences on CVD. Recent Findings Traditional risk factors contribute to coronary artery disease (CAD) differently in women and men. There are female-specific risk factors and comorbid conditions that affect the risk of CAD. Plaque erosion is frequently seen in younger women who smoke, while plaque rupture is common in older women and men who have elevated blood cholesterol. Coronary artery calcification is also different in both sexes. Thus, coronary artery calcification score-based risk stratification in women is challenging. A deeper understanding of the sex differences in the risk factors and plaque morphology of coronary atherosclerosis may lead to improved outcomes of CVD in women.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.4
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Letter Cardiac & Cardiovascular Systems

Characterization of Cerebral Embolic Capture Using the SENTINEL Device During Transcatheter Aortic Valve Implantation in Low to Intermediate-Risk Patients: The SENTINEL-LIR Study

Rika Kawakami, Hemal Gada, Michael J. Rinaldi, Tamim M. Nazif, Martin B. Leon, Samir Kapadia, Amar Krishnaswamy, Atsushi Sakamoto, Yu Sato, Masayuki Mori, Kenji Kawai, Anne Cornelissen, Ji-Eun Park, Saikat Kumar B. Ghosh, Biniyam G. Abebe, Maria Romero, Renu Virmani, Aloke V. Finn

CIRCULATION-CARDIOVASCULAR INTERVENTIONS (2022)

Review Health Care Sciences & Services

Generalized Arterial Calcification of Infancy (GACI): Optimizing Care with a Multidisciplinary Approach

Kenji Kawai, Yu Sato, Rika Kawakami, Atsushi Sakamoto, Anne Cornelissen, Masayuki Mori, Saikat Ghosh, Robert Kutys, Renu Virmani, Aloke Finn

Summary: It is rare to see evidence of arterial calcification in infants and children, and when detected, genetic disorders of calcium metabolism should be suspected. Generalized arterial calcification of infancy (GACI) is a hereditary disease characterized by severe arterial calcification, mostly involving the media with marked intimal proliferation and ectopic mineralization. ENPP1 and ABCC6 gene variants are associated with the disease, with higher mortality in subjects carrying ENPP1 variants. Overall mortality in individuals with GACI is high, and there is currently no ideal therapy, but gene-targeted treatments are being developed.

JOURNAL OF MULTIDISCIPLINARY HEALTHCARE (2022)

Review Cardiac & Cardiovascular Systems

Understanding the role of alternative macrophage phenotypes in human atherosclerosis

Kenji Kawai, Aimee E. Vozenilek, Rika Kawakami, Yu Sato, Saikat Kumar B. Ghosh, Renu Virmani, Aloke V. Finn

Summary: This article comprehensively reviews various macrophage phenotypes and how they contribute to the development and progression of atherosclerotic plaques. Different signals from atherosclerotic lesions can drive macrophages into complex subsets with diverse gene expression profiles, phenotypes, and functions, some of which are not fully understood. Targeting specific macrophage phenotypes may offer a promising and novel approach to preventing the progression of atherosclerosis.

EXPERT REVIEW OF CARDIOVASCULAR THERAPY (2022)

Article Cardiac & Cardiovascular Systems

Relationships between neighborhood disadvantage and cardiovascular findings at autopsy in subjects with sudden death

Anne Cornelissen, Liang Guo, Sam J. Neally, Leah Kleinberg, Ashley Forster, Rajeev Nair, Neel Gadhoke, Saikat Kumar B. Ghosh, Atsushi Sakamoto, Yu Sato, Rika Kawakami, Masayuki Mori, Kenji Kawai, Raquel Fernandez, Armelle Dikongue, Biniyam Abebe, Robert Kutys, Maria E. Romero, Frank D. Kolodgie, Yvonne Baumer, Tiffany M. Powell-Wiley, Renu Virmani, Aloke Finn

Summary: This study investigated the association between neighborhood disadvantage and cardiovascular findings at autopsy in cases of sudden death, and found that after adjusting for traditional risk factors and race, the association no longer existed, indicating that social determinants of health play a more prominent role in sudden cardiac death.

AMERICAN HEART JOURNAL (2023)

Article Cardiac & Cardiovascular Systems

Atherosclerosis risk classification with computed tomography angiography: A radiologic-pathologic validation study

Andrew J. Buckler, Antonio M. Gotto Jr, Akshay Rajeev, Anna Nicolaou, Atsushi Sakamoto, Samantha St Pierre, Matthew Phillips, Renu Virmani, Todd C. Villines

Summary: This study evaluated the accuracy of a machine-learning software for determining plaque risk phenotype by comparing it with expert pathologists. The software demonstrated high accuracy in delineating plaque morphology and identifying plaque types.

ATHEROSCLEROSIS (2023)

Article Radiology, Nuclear Medicine & Medical Imaging

Virtual pathology: Reaching higher standards for noninvasive CTA tissue characterization capability by using histology as a truth standard

Andrew J. Buckler, Atsushi Sakamoto, Samantha St. Pierre, Renu Virmani, Matthew J. Budoff

Summary: This study demonstrates the accurate discrimination and quantitation of lipid-rich necrotic core, intraplaque hemorrhage, and fibrotic tissues using histopathologic correlates. These markers can be used singly or in combination to optimize patient care and contribute to the development of novel drugs and clinical decision support tools.

EUROPEAN JOURNAL OF RADIOLOGY (2023)

Article Medicine, General & Internal

Drug-refractory Heart Failure in Female Carrier of Duchenne Muscular Dystrophy: A Case of X-linked Dilated Cardiomyopathy

Hayato Ohtani, Masao Saotome, Atsushi Sakamoto, Kenichiro Suwa, Yuichiro Maekawa

Summary: A 56-year-old woman with drug-refractory heart failure was found to have a family history of Duchenne muscular dystrophy (DMD). Despite not having skeletal muscle disorder, she exhibited reduced dystrophin expression in cardiac myocytes. Genetic analysis revealed a duplication in exon 8-9 on Xp21, indicating X-linked dilated cardiomyopathy (XLDCM) as a cardiac-specific phenotype of dystrophinopathy. Family history interviews and dystrophinopathy investigation are necessary for detecting XLDCM in women.

INTERNAL MEDICINE (2023)

Article Cardiac & Cardiovascular Systems

Diagnostic value of heart-to-mediastinum ratio in 99mTc-pyrophospate SPECT/CT for transthyretin cardiac amyloidosis

Takenori Ikoma, Hayato Ohtani, Kazuto Ohno, Keisuke Iguchi, Kenichiro Suwa, Michifumi Sawada, Yukichi Tanahashi, Atsushi Sakamoto, Masao Saotome, Shintaro Ichikawa, Satoshi Goshima, Yuichiro Maekawa

Summary: The heart-to-mediastinum (H/M) ratio of Tc-99m-PYP obtained at 3 hours post-injection has the potential to be a novel indicator for the diagnosis of ATTR-CA. A ratio greater than 1.41 can accurately identify ATTR-CA patients with a sensitivity of 100%.

JOURNAL OF NUCLEAR CARDIOLOGY (2023)

Article Medicine, Research & Experimental

CD163+macrophages restrain vascular calcification, promoting the development of high-risk plaque

Atsushi Sakamoto, Rika Kawakami, Masayuki Mori, Liang Guo, Ka Hyun Paek, Jose Verdezoto Mosquera, Anne Cornelissen, Saikat Kumar B. Ghosh, Kenji Kawai, Takao Konishi, Raquel Fernandez, Daniela T. Fuller, Weili Xu, Aimee E. Vozenilek, Yu Sato, Hiroyuki Jinnouchi, Sho Torii, Adam W. Turner, Hirokuni Akahori, Salome Kuntz, Craig C. Weinkauf, Parker J. Lee, Robert Kutys, Kathryn Harris, Alfred Lawrence Killey, Christina M. Mayhew, Matthew Ellis, Leah M. Weinstein, Neel V. Gadhoke, Roma Dhingra, Jeremy Ullman, Armella Dikongue, Maria E. Romero, Frank D. Kolodgie, Clint I. Miller, Renu Virmani, Aloke V. Finn

Summary: Vascular calcification (VC) and atherosclerosis coexist, but it is unclear why rupture-prone high-risk plaques do not typically calcify extensively. In this study, the researchers found that CD163+ macrophages, which are involved in atherosclerosis, have an inverse correlation with VC in human arteries. They also discovered that these macrophages inhibit VC through NF-KB-induced hyaluronan synthase (HAS), an enzyme that plays a role in the formation of the extracellular matrix. These findings provide insights into the mechanism by which CD163+ macrophages promote high-risk plaque development by inhibiting VC.

JCI INSIGHT (2023)

Article Cardiac & Cardiovascular Systems

Feasibility of Short-Term Aggressive Lipid-Lowering Therapy with the PCSK9 Antibody in Acute Coronary Syndrome

Satoshi Yamashita, Atsushi Sakamoto, Satoshi Shoji, Yoshitaka Kawaguchi, Yasushi Wakabayashi, Masaki Matsunaga, Kiyohisa Suguro, Yuji Matsumoto, Hiroyuki Takase, Tomoya Onodera, Kei Tawarahara, Masahiro Muto, Yasutaka Shirasaki, Hideki Katoh, Makoto Sano, Kenichiro Suwa, Yoshihisa Naruse, Hayato Ohtani, Masao Saotome, Tsuyoshi Urushida, Shun Kohsaka, Eisaku Okada, Yuichiro Maekawa

Summary: This study aimed to determine the optimal duration of PCSK9 antibody therapy in patients with ACS. The results showed that short-term PCSK9 antibody therapy combined with conventional LLT was feasible in ACS patients who underwent PCI, with no significant adverse events. Further long-term follow-up in a larger clinical trial is needed.

JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE (2023)

Letter Dermatology

A case of nonpigmented fixed-drug eruption with eosinophilic intraepidermal vesicle formation

Keiko Sakamoto, Mayu Fujihiro, Atsushi Sakamoto, Chika Yamada, Keisuke Nagao, Tetsuya Honda

JOURNAL OF DERMATOLOGY (2023)

Meeting Abstract Cardiac & Cardiovascular Systems

Relationships Between Neighborhood Disadvantage and Cardiovascular Findings at Autopsy in Subjects With Sudden Death

Anne Cornelissen, Liang Guo, Sam J. Neally, Leah Kleinberg, Ashley Forster, Rajeev Nair, Neel Gadhoke, Saikat Ghosh, Atsushi Sakamoto, Yu Sato, Rika Kawakami, Masayuki Mori, Kenji Kawai, Raquel Fernandez, Armelle Dikongue, Biniyam Abebe, Robert Kutys, Maria Romero, Frank D. Kolodgie, Yvonne Baumer, Tiffany M. Powell-Wiley, Renu Virmani, Aloke Finn

CIRCULATION (2022)

Article Medicine, Research & Experimental

Plaque-targeted, proteolysis-resistant, activatable and MRI-visible nano-GLP-1 receptor agonist targets smooth muscle cell differentiation in atherosclerosis

Andrei Maiseyeu, Lin Di, Anastasia Ravodina, Alma Barajas-Espinosa, Atsushi Sakamoto, Alice Chaplin, Jixin Zhong, Huiyun Gao, Matthew Mignery, Navneet Narula, Aloke Finn, Sanjay Rajagopalan

Summary: GLP-1R agonists have been shown to lower cardiovascular events and mortality, but their specific effects on atherosclerosis have been unclear. This study demonstrates that targeted agonists of GLP-1R may alleviate vascular inflammation and plaque burden in atherosclerosis, even at low doses. The engineered nanoparticles carrying GLP-1R agonist showed promising results in reducing atherosclerosis, cholesterol, and triglyceride-rich lipoproteins in Apoe(-/-) mice.

THERANOSTICS (2022)

No Data Available