Innate and Adaptive Immunity in Calcific Aortic Valve Disease

Calcific aortic valve disease (CAVD) is the most common heart valve disorder. CAVD is a chronic process characterized by a pathologic mineralization of valve leaflets. Ectopic mineralization of the aortic valve involves complex relationships with immunity. Studies have highlighted that both innate a...

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Main Authors: Patrick Mathieu, Rihab Bouchareb, Marie-Chloé Boulanger
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2015/851945
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author Patrick Mathieu
Rihab Bouchareb
Marie-Chloé Boulanger
author_facet Patrick Mathieu
Rihab Bouchareb
Marie-Chloé Boulanger
author_sort Patrick Mathieu
collection DOAJ
description Calcific aortic valve disease (CAVD) is the most common heart valve disorder. CAVD is a chronic process characterized by a pathologic mineralization of valve leaflets. Ectopic mineralization of the aortic valve involves complex relationships with immunity. Studies have highlighted that both innate and adaptive immunity play a role in the development of CAVD. In this regard, accumulating evidence indicates that fibrocalcific remodelling of the aortic valve is associated with activation of the NF-κB pathway. The expression of TNF-α and IL-6 is increased in human mineralized aortic valves and promotes an osteogenic program as well as the mineralization of valve interstitial cells (VICs), the main cellular component of the aortic valve. Different factors, including oxidized lipid species, activate the innate immune response through the Toll-like receptors. Moreover, VICs express 5-lipoxygenase and therefore produce leukotrienes, which may amplify the inflammatory response in the aortic valve. More recently, studies have emphasized that an adaptive immune response is triggered during CAVD. Herein, we are reviewing the link between the immune response and the development of CAVD and we have tried, whenever possible, to keep a translational approach.
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spelling doaj-art-d39e2071c5604e39b7f3935322427fbd2025-02-03T06:01:45ZengWileyJournal of Immunology Research2314-88612314-71562015-01-01201510.1155/2015/851945851945Innate and Adaptive Immunity in Calcific Aortic Valve DiseasePatrick Mathieu0Rihab Bouchareb1Marie-Chloé Boulanger2Laboratoire d’Études Moléculaires des Valvulopathies (LEMV), Groupe de Recherche en Valvulopathies (GRV), Quebec Heart and Lung Institute/Research Center, Department of Surgery, Laval University, QC, CanadaLaboratoire d’Études Moléculaires des Valvulopathies (LEMV), Groupe de Recherche en Valvulopathies (GRV), Quebec Heart and Lung Institute/Research Center, Department of Surgery, Laval University, QC, CanadaLaboratoire d’Études Moléculaires des Valvulopathies (LEMV), Groupe de Recherche en Valvulopathies (GRV), Quebec Heart and Lung Institute/Research Center, Department of Surgery, Laval University, QC, CanadaCalcific aortic valve disease (CAVD) is the most common heart valve disorder. CAVD is a chronic process characterized by a pathologic mineralization of valve leaflets. Ectopic mineralization of the aortic valve involves complex relationships with immunity. Studies have highlighted that both innate and adaptive immunity play a role in the development of CAVD. In this regard, accumulating evidence indicates that fibrocalcific remodelling of the aortic valve is associated with activation of the NF-κB pathway. The expression of TNF-α and IL-6 is increased in human mineralized aortic valves and promotes an osteogenic program as well as the mineralization of valve interstitial cells (VICs), the main cellular component of the aortic valve. Different factors, including oxidized lipid species, activate the innate immune response through the Toll-like receptors. Moreover, VICs express 5-lipoxygenase and therefore produce leukotrienes, which may amplify the inflammatory response in the aortic valve. More recently, studies have emphasized that an adaptive immune response is triggered during CAVD. Herein, we are reviewing the link between the immune response and the development of CAVD and we have tried, whenever possible, to keep a translational approach.http://dx.doi.org/10.1155/2015/851945
spellingShingle Patrick Mathieu
Rihab Bouchareb
Marie-Chloé Boulanger
Innate and Adaptive Immunity in Calcific Aortic Valve Disease
Journal of Immunology Research
title Innate and Adaptive Immunity in Calcific Aortic Valve Disease
title_full Innate and Adaptive Immunity in Calcific Aortic Valve Disease
title_fullStr Innate and Adaptive Immunity in Calcific Aortic Valve Disease
title_full_unstemmed Innate and Adaptive Immunity in Calcific Aortic Valve Disease
title_short Innate and Adaptive Immunity in Calcific Aortic Valve Disease
title_sort innate and adaptive immunity in calcific aortic valve disease
url http://dx.doi.org/10.1155/2015/851945
work_keys_str_mv AT patrickmathieu innateandadaptiveimmunityincalcificaorticvalvedisease
AT rihabbouchareb innateandadaptiveimmunityincalcificaorticvalvedisease
AT mariechloeboulanger innateandadaptiveimmunityincalcificaorticvalvedisease