The Pathological Factors Involved in Current In Vitro Atherosclerotic Models

Tissue Eng Part B Rev. 2024 Oct;30(5):530-544. doi: 10.1089/ten.TEB.2023.0272. Epub 2024 Mar 1.

Abstract

Cardiovascular disease stemmed from atherosclerosis (AS) is well recognized to be the predominant cause of global death. To comprehensively clarify the pathogenesis of AS, exploit effective drugs, as well as develop therapeutic solutions, various atherosclerotic models were constructed in vitro and widely utilized by the scientific community. Compared with animal models, the in vitro atherosclerotic models play a prominent role not only in the targeted research of single pathological factor related to AS in the human derived system, but also in the combined study on multipathological factors leading to AS, thereby contributing tremendously to the in-depth elucidation of atherosclerotic pathological process. In the current review, a variety of pathological factors incorporated into the existing atherosclerotic models in vitro are broadly elaborated, including the pathological mechanism, in vitro simulation approaches, and the desired improvement perspectives for reproducing each pathological factor. In addition, this review also summarizes the advantages and disadvantages of current atherosclerotic models as well as their potential functionality. Finally, the promising aspects for future atherosclerotic models in vitro with potential advances are also discussed.

Keywords: atherosclerosis; biochemical factors; biomechanical factors; in vitro models; pathological factors.

Publication types

  • Review

MeSH terms

  • Animals
  • Atherosclerosis* / pathology
  • Humans
  • Models, Biological