First 11 pages of thesis. - OPUS - Universität Würzburg
First 11 pages of thesis. - OPUS - Universität Würzburg
First 11 pages of thesis. - OPUS - Universität Würzburg
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
and Porphyromonas gingivalis 19 are associated with atherosclerosis<br />
development. Chronic inflammatory disease secondary to infection, like<br />
acquired immunodeficiency syndrome (AIDS) due to infection <strong>of</strong> human<br />
immunodeficiency virus (HIV) 20 and auto immune diseases like systemic lupus<br />
erythematosus and rheumatoid arthritis also accelerate atherosclerosis<br />
development 21 .<br />
4. Lack <strong>of</strong> exercise<br />
Lack <strong>of</strong> physical exercise and a sedentary life style is an independent risk factor<br />
for various cardiovascular diseases. Regular exercise results in reduction <strong>of</strong><br />
body fat, LDL cholesterol, triglyceride levels and blood pressure and increases<br />
atheroprotective HDL cholesterol levels 22 . Physical exercise is <strong>of</strong> paramount<br />
importance as it positively influences many independent cardiovascular disease<br />
risk factors.<br />
5. Oxidative stress<br />
Increased levels <strong>of</strong> oxidants or decreased levels <strong>of</strong> anti-oxidants secondary to<br />
dyslipidemia, hypertension, diabetes and smoking are implicated in the<br />
pathogenesis <strong>of</strong> atherosclerosis. Oxidation <strong>of</strong> LDL is considered to be the<br />
critical step involved in ‘foam cell’ formation 23 . Oxidation <strong>of</strong> LDL results in many<br />
structural modifications and generation <strong>of</strong> numerous ‘oxidation specific epitopes’<br />
such as malondialdehyde (MDA)-lysines and 4-hydroxynonenal (4-HNE)–lysine’<br />
which are highly immunogenic. Immunization <strong>of</strong> mice with MDA and native LDL<br />
resulted in a significant reduction <strong>of</strong> atherosclerosis indicating the<br />
proatherosclerotic role <strong>of</strong> oxidized LDL (ox-LDL) 24 .<br />
- 9 -