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Wang Y, Anesi J, Maier MC, Myers MA, Oqueli E, Sobey CG, Drummond GR, Denton KM. Sympathetic Nervous System and Atherosclerosis. Int J Mol Sci 2023; 24:13132. [PMID: 37685939 PMCID: PMC10487841 DOI: 10.3390/ijms241713132] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2023] [Revised: 08/18/2023] [Accepted: 08/22/2023] [Indexed: 09/10/2023] Open
Abstract
Atherosclerosis is characterized by the narrowing of the arterial lumen due to subendothelial lipid accumulation, with hypercholesterolemia being a major risk factor. Despite the recent advances in effective lipid-lowering therapies, atherosclerosis remains the leading cause of mortality globally, highlighting the need for additional therapeutic strategies. Accumulating evidence suggests that the sympathetic nervous system plays an important role in atherosclerosis. In this article, we reviewed the sympathetic innervation in the vasculature, norepinephrine synthesis and metabolism, sympathetic activity measurement, and common signaling pathways of sympathetic activation. The focus of this paper was to review the effectiveness of pharmacological antagonists or agonists of adrenoceptors (α1, α2, β1, β2, and β3) and renal denervation on atherosclerosis. All five types of adrenoceptors are present in arterial blood vessels. α1 blockers inhibit atherosclerosis but increase the risk of heart failure while α2 agonism may protect against atherosclerosis and newer generations of β blockers and β3 agonists are promising therapies against atherosclerosis; however, new randomized controlled trials are warranted to investigate the effectiveness of these therapies in atherosclerosis inhibition and cardiovascular risk reduction in the future. The role of renal denervation in atherosclerosis inhibition in humans is yet to be established.
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Affiliation(s)
- Yutang Wang
- Discipline of Life Science, Institute of Innovation, Science and Sustainability, Federation University Australia, Ballarat, VIC 3350, Australia
| | - Jack Anesi
- Discipline of Life Science, Institute of Innovation, Science and Sustainability, Federation University Australia, Ballarat, VIC 3350, Australia
| | - Michelle C. Maier
- Discipline of Life Science, Institute of Innovation, Science and Sustainability, Federation University Australia, Ballarat, VIC 3350, Australia
| | - Mark A. Myers
- Discipline of Life Science, Institute of Innovation, Science and Sustainability, Federation University Australia, Ballarat, VIC 3350, Australia
| | - Ernesto Oqueli
- Cardiology Department, Grampians Health Ballarat, Ballarat, VIC 3350, Australia
- School of Medicine, Faculty of Health, Deakin University, Geelong, VIC 3216, Australia
| | - Christopher G. Sobey
- Centre for Cardiovascular Biology and Disease Research, Department of Microbiology, Anatomy, Physiology & Pharmacology, School of Agriculture, Biomedicine & Environment, La Trobe University, Melbourne, VIC 3086, Australia
| | - Grant R. Drummond
- Centre for Cardiovascular Biology and Disease Research, Department of Microbiology, Anatomy, Physiology & Pharmacology, School of Agriculture, Biomedicine & Environment, La Trobe University, Melbourne, VIC 3086, Australia
| | - Kate M. Denton
- Department of Physiology, Monash University, Melbourne, VIC 3800, Australia
- Cardiovascular Disease Program, Monash Biomedicine Discovery Institute, Monash University, Melbourne, VIC 3800, Australia
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Czarnecki D, Ziółkowski M, Chodkiewicz J, Długosz A, Feldheim J, Waszkiewicz N, Kułak-Bejda A, Gorzkiewicz M, Budzyński J, Junkiert-Czarnecka A, Siomek-Górecka A, Nicpoń K, Kawala-Sterniuk A, Ferri R, Pelc M, Walecki P, Laskowska E, Gorzelańczyk EJ. Initial Study on COMT and DRD2 Gene Polymorphisms as Well as the Influence of Temperament and Character Trait on the Severity of Alcohol Craving in Alcohol-Dependent Patients. J Clin Med 2021; 10:jcm10245892. [PMID: 34945190 PMCID: PMC8704345 DOI: 10.3390/jcm10245892] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 12/07/2021] [Accepted: 12/12/2021] [Indexed: 12/31/2022] Open
Abstract
The main aim of this work was to determine the impact of COMT and DRD2 gene polymorphisms together with temperament and character traits on alcohol craving severity alcohol-dependent persons. The sample comprised of 89 men and 16 women (aged 38±7). For the sake of psychological assessment various analytic methods have been applied like the Short Alcohol Dependence Data Questionnaire (SADD), Penn Alcohol Craving Scale (PACS) or Temperament and Character Inventory (TCI) test. The SNP polymorphism of the analyzed genes was determined by Real Time PCR test. The results showed, that the COMT polymorphismmay have an indirected relationship with the intensity and changes in alcohol craving during abstinence. The DRD2 receptor gene polymorphisms are related with the intensity of alcohol craving. It seems that the character traits like “self-targeting”, including “self-acceptance”, are more closely related to the severity of alcohol craving and polymorphic changes in the DRD2 receptor than temperamental traits. Although this is a pilot study the obtained results appeared to be promising and clearly indicate the link betweengene polymorphisms alcohol craving and its severity.
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Affiliation(s)
- Damian Czarnecki
- Department of Preventive Nursing, Collegium Medicum, Nicolaus Copernicus University, Torun, ul. Ignacego Łukasiewicza 1, 85-821 Bydgoszcz, Poland; (M.Z.); (K.N.)
- Correspondence: (D.C.); (A.K.-S.)
| | - Marcin Ziółkowski
- Department of Preventive Nursing, Collegium Medicum, Nicolaus Copernicus University, Torun, ul. Ignacego Łukasiewicza 1, 85-821 Bydgoszcz, Poland; (M.Z.); (K.N.)
| | - Jan Chodkiewicz
- Institute of Psychology, Department of Clinical Psychology and Psychopathology, University of Lodz, ul. Smugowa 10/12, 91-433 Łódź, Poland;
| | - Anna Długosz
- Faculty of Chemical Technology and Engineering, University of Science and Technology, ul. Seminaryjna 3, 85-326 Bydgoszcz, Poland; (A.D.); (J.F.)
| | - Joanna Feldheim
- Faculty of Chemical Technology and Engineering, University of Science and Technology, ul. Seminaryjna 3, 85-326 Bydgoszcz, Poland; (A.D.); (J.F.)
| | - Napoleon Waszkiewicz
- Department of Psychiatry, Medical University of Białystok, pl. Brodowicza 1, 16-070 Choroszcz, Poland; (N.W.); (A.K.-B.)
| | - Agnieszka Kułak-Bejda
- Department of Psychiatry, Medical University of Białystok, pl. Brodowicza 1, 16-070 Choroszcz, Poland; (N.W.); (A.K.-B.)
| | - Marta Gorzkiewicz
- Department of Molecular Genetics and Justice, Collegium Medicum, Nicolaus Copernicus University, Torun, ul. Marii Skłodowskiej-Curie 9, 85-094 Bydgoszcz, Poland;
| | - Jacek Budzyński
- Department of Vascular and Internal Diseases, Nicolaus Copernicus University, Torun, ul. Ujejskiego 75, 85-168 Bydgoszcz, Poland;
| | - Anna Junkiert-Czarnecka
- Department of Clinical Genetics, Nicolaus Copernicus University, Torun, ul. Marii Skłodowskiej-Curie 9, 85-094 Bydgoszcz, Poland;
| | - Agnieszka Siomek-Górecka
- Department of Clinical Biochemistry, Collegium Medicum, Nicolaus Copernicus University, Torun, ul. Karłowicza 24, 85-092 Bydgoszcz, Poland;
| | - Krzysztof Nicpoń
- Department of Preventive Nursing, Collegium Medicum, Nicolaus Copernicus University, Torun, ul. Ignacego Łukasiewicza 1, 85-821 Bydgoszcz, Poland; (M.Z.); (K.N.)
| | - Aleksandra Kawala-Sterniuk
- Faculty of Electrical Engineering, Automatic Control and Informatics, Opole University of Technology, ul. Prószkowska 76, 45-758 Opole, Poland;
- Correspondence: (D.C.); (A.K.-S.)
| | - Raffaele Ferri
- Oasi Research Institute IRCCS, Via C. Ruggero, 73, 94018 Troina, Italy;
| | - Mariusz Pelc
- Faculty of Electrical Engineering, Automatic Control and Informatics, Opole University of Technology, ul. Prószkowska 76, 45-758 Opole, Poland;
- School of Computing and Mathematical Sciences, University of Greenwich, London SE10 9LS, UK
| | - Piotr Walecki
- Department of Bioinformatics and Telemedicine, Collegium Medicum, Jagiellonian University, ul. Medyczna 7, 30-688 Krakow, Poland;
| | - Ewa Laskowska
- Faculty of Medicine, Collegium Medicum, Nicolaus Copernicus University, Torun, ul. Jagiellońska 15, 85-067 Bydgoszcz, Poland;
| | - Edward Jacek Gorzelańczyk
- Department of Theoretical Basis of BioMedical Sciences and Medical Informatics, Collegium Medicum, Nicolaus Copernicus University, ul. Jagiellońska 15, 85-067 Bydgoszcz, Poland;
- Institute of Philosophy, Kazimierz Wielki University, ul. Ogińskiego 16, 85-092 Bydgoszcz, Poland
- Babinski Specialist Psychiatric Healthcare Center, Outpatient Addiction Treatment, ul. Aleksandrowska 159, 91-229 Łódź, Poland
- The Society for the Substitution Treatment of Addiction “Medically Assisted Recovery”, ul. Rzeźniackiego 1D, 85-791 Bydgoszcz, Poland
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