Title:Biomarkers in Unstable Carotid Plaque: Physiopathology and Prediction
Volume: 20
Issue: 1
Author(s): Antonio Siniscalchi*, Sean Murphy, Cleona Gray, Giovambattista De Sarro and Luca Gallelli
Affiliation:
- Department of Neurology and Stroke Unit, Annunziata Hospital of Cosenza, Cosenza, Italy
Keywords:
Brain inflammation, carotid artery disease, cytokines, stroke, vascular inflammatory biomarker, atherosclerosis.
Abstract:
Aims: To study the role of cytokines and vascular inflammatory biomarkers in unstable
carotid plaque.
Background: Clinical studies showed that not only the degree of stenosis but also the type of
carotid plaque can be responsible for ipsilateral ischemic stroke.
Objective: The objective of this study is to suggest a role for vulnerable carotid atherosclerotic disease
in the occurrence of ischemic stroke.
Methods: PubMed, Embase, Cochrane library, and reference lists have been used to evaluate articles
published until February 15, 2021.
Results: Several factors may be involved in unstable plaque. Clinical studies support the involvement
of brain inflammatory biomarkers as well as cytokines in the unstable carotid plaque.
Conclusions: Biomarkers could help to stratify patients with a vulnerable carotid plaque and to personalize
the drug treatment. In this review, we briefly discuss the characteristics of vulnerable
plaque and the role of biomarkers in the vulnerable carotid plaque.