Inflammation unites diverse acute and chronic diseases

Author:

Libby Peter1ORCID,Smith Robin2,Rubin Eric J.3,Glassberg Marilyn K.4,Farkouh Michael E.56,Rosenson Robert S.7

Affiliation:

1. Division of Cardiovascular Medicine, Department of Medicine Brigham and Women's Hospital, Harvard Medical School Boston Massachusetts USA

2. CURA Foundation New York New York USA

3. Department of Immunology and Infectious Diseases Harvard T. H. Chan School of Public Health Boston Massachusetts USA

4. Department of Medicine Loyola University Chicago Chicago Illinois USA

5. Division of Cardiology University Health Network Toronto Ontario Canada

6. Peter Munk Centre of Excellence in Multinational Clinical Trials University Health Network Toronto Ontario Canada

7. Cardiometabolics Unit, Mount Sinai Icahn School of Medicine Mount Sinai Hospital New York New York USA

Abstract

AbstractBackgroundInflammation and immunity contribute pivotally to diverse acute and chronic diseases. Inflammatory pathways have become increasingly targets for therapy. Yet, despite substantial similarity in mechanisms and pathways, the scientific, medical, pharma and biotechnology sectors have generally focused programs finely on a single disease entity or organ system. This insularity may impede progress in innovation and the harnessing of powerful new insights into inflammation biology ripe for clinical translation.MethodsA multidisciplinary thinktank reviewed highlights how inflammation contributes to diverse diseases, disturbed homeostasis, ageing and impaired healthspan. We explored how common inflammatory and immune mechanisms that operate in key conditions in their respective domains. This consensus review highlights the high degree of commonality of inflammatory mechanisms in a diverse array of conditions that together contribute a major part of the global burden of morbidity and mortality and present an enormous challenge to public health and drain on resources.ResultsWe demonstrate how that shared inflammatory mechanisms unite many seemingly disparate diseases, both acute and chronic. The examples of infection, cardiovascular conditions, pulmonary diseases, rheumatological disorders, dementia, cancer and ageing illustrate the overlapping pathogenesis. We outline opportunities to synergize, reduce duplication and consolidate efforts of the clinical, research and pharmaceutical communities. Enhanced recognition of these commonalties should promote cross‐fertilization and hasten progress in this rapidly moving domain.ConclusionsGreater appreciation of the shared mechanisms should simplify understanding seemingly disparate diseases for clinicians and help them to recognize inflammation as a therapeutic target which the development of novel therapies is rendering actionable.

Funder

American Heart Association

National Heart, Lung, and Blood Institute

Clinical Center

Publisher

Wiley

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