
Calcific aortic valve disease (CAVD) and stenosis have complex pathogenesis, and no available therapies can halt or slow their progression. Several studies have shown the presence of apolipoprotein-related amyloid deposits close to calcified areas in diseased aortic valves. The review explored a possible relationship between amyloid deposits, calcification and the development of aortic valve stenosis. These amyloid deposits might amplify the inflammatory cycle in the aortic valve, including extracellular matrix remodelling and myofibroblast and osteoblast-like cell proliferation. Further investigation in this area is needed to characterize the amyloid deposits associated with CAVD, which could allow the use of antisense oligonucleotides and isotype gene therapies to prevent and treat CAVD.
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