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- W2022689308 abstract "En la actualidad se acepta que la aterosclerosis es un proceso inflamatorio crónico de la pared arterial asociado con la presencia de diversos factores de riesgo. Desde las fases iniciales hasta la rotura de una placa aterosclerótica vulnerable, el estado de «microinflamación vascular» desempeña un papel fisiopatológico relevante. Diversos marcadores inflamatorios (proteína C reactiva, citocinas, moléculas de adhesión) han demostrado un papel importante en este proceso inflamatorio. Evidencias clínicas y experimentales también indican que la ciclooxigenasa 2 (COX-2), una enzima que cataliza la generación de prostaglandinas a partir del ácido araquidónico, también contribuye al desarrollo de la lesion aterosclerótica. Nuestro grupo ha demostrado recientemente la asociación de la prostaglandina E2 (un metabolito derivado de la COX-2 en monocitos) con factores de riesgo y el espesor íntima-media de la carótida en un grupo de sujetos asintomáticos, lo que indicaría que la vía COX-2/prostaglandina E2 podría desempeñar un papel en la aterosclerosis y representar una nueva diana terapéutica. Desde el punto de vista teórico, los inhibidores selectivos de la COX-2, denominados genéricamente «coxib» (celecoxib, rofecoxib, valdecoxib, lumiracoxib, etc.), podrían ser útiles como fármacos antiinflamatorios en este proceso, sin los efectos secundarios de la aspirina u otros antiinflamatorios no esteroideos. Sin embargo, diversos estudios clínicos señalan que pueden inducir un aumento de complicaciones cardiovasculares, por alteración del equilibrio tromboxano/prostaciclina, por lo que su uso debe restringirse, especialmente en pacientes con riesgo aterosclerótico alto. It is now widely accepted that atherosclerosis is a complex chronic inflammatory disorder of the arterial tree associated with several risk factors. From the initial phases to eventual rupture of vulnerable atherosclerotic plaques, a low-grade inflammation, also termed microinflammation, appears to play a key pathogenetic role. Systemic inflammatory markers (C reactive protein, cytokines adhesion molecules) also play a role in this process. Experimental and clinical evidence suggests that cyclooxygenase-2 (COX-2), an enzyme which catalyzes the generation of prostaglandins from arachidonic acid, also contributes to lesion formation. Recent reports by our group have demonstrated increased monocyte COX-2 activity and the production of prostaglandin E2 in relation to cardiovascular risk factors and subclinical atherosclerosis in asymptomatic subjects. Our findings support the notion that the COX-2/prostaglandin E2 axis may have a role, raising the cuestion as to whether its selective inhibition might be an attractive therapeutic target in atherosclerosis. COX-2 inhibitors, collectively called «coxibs» (celecoxib, rofecoxib, valdecoxib, lumiracoxib, etc), held a promise as anti-inflammatory drugs without the some of the side effects of aspirin or non steroidal anti-inflammatory agents. However, clinical studies raise several clinically relevant questions as to their beneficial role in atherosclerosis prevention, because of increased thrombogenicity and cardiovascular risk, and therefore coxibs should be restricted in atherosclerosis-prone patients." @default.
- W2022689308 created "2016-06-24" @default.
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- W2022689308 date "2006-05-01" @default.
- W2022689308 modified "2023-09-27" @default.
- W2022689308 title "Ciclooxigenasa 2: ¿una nueva diana terapéutica en la aterosclerosis?" @default.
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- W2022689308 doi "https://doi.org/10.1157/13089104" @default.
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