Version 1
: Received: 28 September 2022 / Approved: 30 September 2022 / Online: 30 September 2022 (11:13:06 CEST)
Version 2
: Received: 31 October 2022 / Approved: 1 November 2022 / Online: 1 November 2022 (09:55:10 CET)
Poller, W.; Heidecker, B.; Ammirati, E.; Kuss, A.W.; Tzvetkova, A.; Poller, W.C.; Skurk, C.; Haghikia, A. Innate Immunity in Cardiovascular Diseases—Identification of Novel Molecular Players and Targets. Journal of Clinical Medicine 2023, 12, 335, doi:10.3390/jcm12010335.
Poller, W.; Heidecker, B.; Ammirati, E.; Kuss, A.W.; Tzvetkova, A.; Poller, W.C.; Skurk, C.; Haghikia, A. Innate Immunity in Cardiovascular Diseases—Identification of Novel Molecular Players and Targets. Journal of Clinical Medicine 2023, 12, 335, doi:10.3390/jcm12010335.
Poller, W.; Heidecker, B.; Ammirati, E.; Kuss, A.W.; Tzvetkova, A.; Poller, W.C.; Skurk, C.; Haghikia, A. Innate Immunity in Cardiovascular Diseases—Identification of Novel Molecular Players and Targets. Journal of Clinical Medicine 2023, 12, 335, doi:10.3390/jcm12010335.
Poller, W.; Heidecker, B.; Ammirati, E.; Kuss, A.W.; Tzvetkova, A.; Poller, W.C.; Skurk, C.; Haghikia, A. Innate Immunity in Cardiovascular Diseases—Identification of Novel Molecular Players and Targets. Journal of Clinical Medicine 2023, 12, 335, doi:10.3390/jcm12010335.
Abstract
During the past few years unexpected developments have driven studies in the field of clinical immunology. One driver of immense impact was the outbreak of a pandemic caused by the novel virus SARS-CoV-2. Excellent recent reviews address diverse aspects of immunological re-search into cardiovascular diseases. Here, we specifically focus on selected studies taking ad-vantage of advanced state-of-the-art molecular genetic methods ranging from genome-wide epi/transcriptome mapping and variant scanning to optogenetics and chemogenetics. First, we discuss emerging clinical relevance of advanced diagnostics for cardiovascular diseases - includ-ing those associated with COVID-19 - with a focus on the role of inflammation in cardiomyopa-thies and arrhythmias. Second, we consider newly identified immunological interactions at or-gan and systems level which affect cardiovascular pathogenesis. Thus, studies into immune in-fluences arising from the intestinal system are moving towards therapeutic exploitation. Fur-ther, powerful new research tools have enabled novel insight into brain – immune system inter-actions at unprecedented resolution. This latter line of investigation emphasizes the strength of influence of emotional stress - acting through defined brain regions - upon viral and cardiovas-cular disorders. Several challenges need to be overcome before the full impact of these far-reaching new findings will hit the clinical arena.
Keywords
Immunology; innate immunity; immunogenetics; noncoding genome; tRNA biology; evolutionary genetics (list 3-10 specific to the article yet reasonably common within the subject discipline)
Subject
Medicine and Pharmacology, Cardiac and Cardiovascular Systems
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received:
1 November 2022
Commenter:
Wolfgang Poller
Commenter's Conflict of Interests:
Author
Comment:
Enclosed we submit a revised version of our manuscript “Innate immunity in cardiovascular diseases – Identification of novel molecular players and targets”.
This revised version contains four new figures providing in-depth overview on the basic science background of the clinical research topics addressed in the review:
Figure 2 - Cellular receptors and signaling pathways linking innate immunity with cardiovascular diseases Figure 3 – Key features of the human noncoding genome and epigenome and suggested novel therapeutic targets therein Figure 4 – Novel nucleic acid therapeutics targeting conventional protein-coding genes or noncoding RNA targets Figure 5 - Cellular receptors and signaling pathways linking innate immunity with cardiovascular diseases
The review conclude with a ‘take home message‘ summarizing point-by-point the paragraph specific and overarching messages of the review: 1 - Practice-ready affordable advanced genetic diagnostics has entered clinical practice and is continuously providing important insights not only into an individual’s genetic risk, but may also uncover new pathomechanisms suitable to individualize therapy. 2 - After decades of experimental and translational work, progress from traditional pharmacological towards nucleic acid-based therapies for cardiovascular diseases has been achieved. Insights from basic genetic research (RNA interference, antisense drugs, CRISPR-Cas) are emerging fruitful for clinical medicine. 3 - Fundamentally improved understanding of the intestinal immune system and microbiome with experimental evidence for far-reaching immune impact upon cardiovascular system and brain has triggered clinical trials evaluating the potential of microbiome modulation. 4 - The rapidly evolving field of neuroimmunology has identified novel brain – immune system interaction networks revealed at unprecedented resolution, and documented grave adverse impact of stress upon cardiovascular and virological diseases.
Commenter: Wolfgang Poller
Commenter's Conflict of Interests: Author
This revised version contains four new figures providing in-depth overview on the basic science background of the clinical research topics addressed in the review:
Figure 2 - Cellular receptors and signaling pathways linking innate immunity with cardiovascular diseases
Figure 3 – Key features of the human noncoding genome and epigenome and suggested novel therapeutic targets therein
Figure 4 – Novel nucleic acid therapeutics targeting conventional protein-coding genes or noncoding RNA targets
Figure 5 - Cellular receptors and signaling pathways linking innate immunity with cardiovascular diseases
The review conclude with a ‘take home message‘ summarizing point-by-point the paragraph specific
and overarching messages of the review:
1 - Practice-ready affordable advanced genetic diagnostics has entered clinical practice and is continuously providing important insights not only into an individual’s genetic risk, but may also uncover new pathomechanisms suitable to individualize therapy.
2 - After decades of experimental and translational work, progress from traditional pharmacological towards nucleic acid-based therapies for cardiovascular diseases has been achieved. Insights from basic genetic research (RNA interference, antisense drugs, CRISPR-Cas) are emerging fruitful for clinical medicine.
3 - Fundamentally improved understanding of the intestinal immune system and microbiome with experimental evidence for far-reaching immune impact upon cardiovascular system and brain has triggered clinical trials evaluating the potential of microbiome modulation.
4 - The rapidly evolving field of neuroimmunology has identified novel brain – immune system interaction networks revealed at unprecedented resolution, and documented grave adverse impact of stress upon cardiovascular and virological diseases.