학술논문

New Insights for BPIFB4 in Cardiovascular Therapy
Document Type
Report
Source
International Journal of Molecular Sciences. October 1, 2020, Vol. 21 Issue 19, p1gc, 15 p.
Subject
Italy
Language
English
ISSN
1422-0067
Abstract
1. Introduction Cardiovascular diseases (CVDs) are the leading cause of mortality and morbidity of the over (65) years old population. From 2030, about 20% of the population will be 65 [...]
Aging is the most relevant risk factor for cardiovascular diseases which are the main cause of mortality in industrialized countries. In this context, there is a progressive loss of cardiovascular homeostasis that translates in illness and death. The study of long living individuals (LLIs), which show compression of morbidity toward the end of their life, is a valuable approach to find the key to delay aging and postpone associate cardiovascular events. A contribution to the age-related decline of cardiovascular system (CVS) comes from the immune system; indeed, it is dysfunctional during aging, a process described as immunosenescence and comprises the combination of several processes overpowering both innate and adaptative immune system. We have recently discovered a longevity-associated variant (LAV) in bactericidal/permeability-increasing fold-containing family B member 4 (BPIFB4), which is a secreted protein able to enhance endothelial function through endothelial nitric oxide synthase (eNOS) activation and capable to protect from hypertension, atherosclerosis, diabetic cardiopathy, frailty, and inflammaging. Here, we sum up the state of the art of the mechanisms involved in the main pathological processes related to CVD (atherosclerosis, aging, diabetic cardiopathy, and frailty) and shed light on the therapeutic effects of LAV-BPIFB4 in these contexts. Keywords: cardiovascular disease; aging; BPIFB4