Cardiovascular Implications of Immune Disorders in Women.
Circ Res
; 130(4): 593-610, 2022 02 18.
Article
in En
| MEDLINE
| ID: mdl-35175848
ABSTRACT
Immune responses differ between men and women, with women at higher risk of developing chronic autoimmune diseases and having more robust immune responses to many viruses, including HIV and hepatitis C virus. Although immune dysregulation plays a prominent role in chronic systemic inflammation, a key driver in the development of atherosclerotic cardiovascular disease (ASCVD), standard ASCVD risk prediction scores underestimate risk in populations with immune disorders, particularly women. This review focuses on the ASCVD implications of immune dysregulation due to disorders with varying global prevalence by sex autoimmune disorders (female predominant), HIV (male-female equivalent), and hepatitis C virus (male predominant). Factors contributing to ASCVD in women with immune disorders, including traditional risk factors, dysregulated innate and adaptive immunity, sex hormones, and treatment modalities, are discussed. Finally, the need to develop new ASCVD risk stratification tools that incorporate variables specific to populations with chronic immune disorders, particularly in women, is emphasized.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Gonadal Steroid Hormones
/
Cardiovascular Diseases
/
Immune System Diseases
Type of study:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Female
/
Humans
Language:
En
Journal:
Circ Res
Year:
2022
Type:
Article
Affiliation country:
Gabon