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Editorial
January 12, 2018

C-reactive protein and efficacy of antiplatelet therapy in (intracranial) atherosclerosis

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February 6, 2018 issue
90 (6) 253-254

Abstract

C-reactive protein (CRP) and other inflammatory biomarkers can indicate both the severity and extent of atherosclerosis, reflecting the inflammatory nature of the disease process.1 Atherogenesis begins with an inflammatory response to vascular injury with cells and mediators initiating the healing response and later inducing growth of atherosclerotic plaques. Inflammation then increases plaque instability, promoting rupture, fissuring, or erosion—the pathogenetic milieu of thrombosis in atherothrombotic ischemic strokes.

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Ross R. Atherosclerosis: an inflammatory disease. N Engl J Med 1999;340:115–126.
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Ridker PM, Danielson E, Fonseca FAH, et al. Rosuvastatin to prevent vascular events in men and women with elevated C-reactive protein. N Engl J Med 2008;359:2195–2207.
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Feng D, Tracy RP, Lipinska I, Murillo J, McKenna C, Tofler GH. Effect of short-term aspirin use on C-reactive protein. J Thromb Thrombolysis 2000;9:37–41.
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Li J, Wang A, Zhao X, et al. High-sensitive C-reactive protein and dual antiplatelet in intracranial arterial stenosis. Neurology 2018;90:e447–e454.
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Schrör K. Aspirin and platelets: the antiplatelet action of aspirin and its role in thrombosis treatment and prophylaxis. Semin Thromb Hemost 1997;23:349–356.
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Wijeyeratne YD, Heptinstall S. Anti-platelet therapy: ADP receptor antagonists. Br J Clin Pharmacol 2011;72:647–657.
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Ryu WS, Park SS, Kim YS, et al. Long-term natural history of intracranial arterial stenosis: an MRA follow-up study. Cerebrovasc Dis 2014;38:290–296.
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Kim BS, Chung PW, Park KY, et al. Burden of intracranial atherosclerosis is associated with long-term vascular outcome in patients with ischemic stroke. Stroke 2017;48:2819–2826.
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Eltoft A, Arntzen KA, Hansen JB, Wilsgaard T, Mathiesen EB, Johnsen SH. C-reactive protein in atherosclerosis: a risk marker but not a causal factor? A 13-year population-based longitudinal study: the Tromsø study. Atherosclerosis 2017;263:293–300.
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Mani V, Woodward M, Samber D, et al. Predictors of change in carotid atherosclerotic plaque inflammation and weight as measured by 18-FDG-PET and MRI, respectively, in the dal-PLAQUE study. Int J Cardiovasc Imaging 2014;30:571–582.

Information & Authors

Information

Published In

Neurology®
Volume 90Number 6February 6, 2018
Pages: 253-254
PubMed: 29330313

Publication History

Published online: January 12, 2018
Published in print: February 6, 2018

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Disclosure

The authors report no disclosures. Go to Neurology.org/N for full disclosures.

Study Funding

No targeted funding reported.

Authors

Affiliations & Disclosures

Antonino Tuttolomondo, MD, PhD
From Dipartimento Biomedico di Medicina Interna e Specialistica (Di.Bi.M.I.S.), U.O. di Medicina Interna con Stroke Care, University of Palermo, Italy.
Disclosure
Scientific Advisory Boards:
1.
NONE
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
NONE
Editorial Boards:
1.
Internal Medicine and Emergency, Editorial Advisory Board ; Current Pharmaceutical Design, Editorial Advisory Board ;
Patents:
1.
NONE
Publishing Royalties:
1.
NONE
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
NONE
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
NONE
Research Support, Government Entities:
1.
NONE
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
NONE
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
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NONE
Legal Proceedings:
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Antonio Pinto, MD
From Dipartimento Biomedico di Medicina Interna e Specialistica (Di.Bi.M.I.S.), U.O. di Medicina Interna con Stroke Care, University of Palermo, Italy.
Disclosure
Scientific Advisory Boards:
1.
NONE
Gifts:
1.
NONE
Funding for Travel or Speaker Honoraria:
1.
NONE
Editorial Boards:
1.
NONE
Patents:
1.
NONE
Publishing Royalties:
1.
NONE
Employment, Commercial Entity:
1.
NONE
Consultancies:
1.
NONE
Speakers' Bureaus:
1.
NONE
Other Activities:
1.
NONE
Clinical Procedures or Imaging Studies:
1.
NONE
Research Support, Commercial Entities:
1.
NONE
Research Support, Government Entities:
1.
NONE
Research Support, Academic Entities:
1.
NONE
Research Support, Foundations and Societies:
1.
NONE
Stock/stock Options/board of Directors Compensation:
1.
NONE
License Fee Payments, Technology or Inventions:
1.
NONE
Royalty Payments, Technology or Inventions:
1.
NONE
Stock/stock Options, Research Sponsor:
1.
NONE
Stock/stock Options, Medical Equipment & Materials:
1.
NONE
Legal Proceedings:
1.
NONE

Notes

Correspondence Dr. Tuttolomondo [email protected]
Go to Neurology.org/N for full disclosures. Funding information and disclosures deemed relevant by the authors, if any, are provided at the end of the editorial.

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Cited By
  1. Rosuvastatin inhibit ox-LDL-induced platelet activation by the p38/MAPK pathway, Clinical Hemorheology and Microcirculation, (1-10), (2024).https://doi.org/10.3233/CH-242359
    Crossref
  2. Ticagrelor Versus Clopidogrel in Minor Stroke or Transient Ischemic Attack With Intracranial Artery Stenosis: A Post Hoc Analysis of CHANCE‐2, Journal of the American Heart Association, 12, 21, (2023).https://doi.org/10.1161/JAHA.123.031611
    Crossref
  3. Efficacy and Safety of Ticagrelor Versus Clopidogrel in Acute Minor Stroke or Transient Ischaemic Attack Patients with Different Intracranial Artery Stenosis Statuses: A Subgroup Analysis of CHANCE-2, A Randomized, Double-Blind, Controlled Trial, SSRN Electronic Journal, (undefined).https://doi.org/10.2139/ssrn.4054464
    Crossref
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