A magic pill that makes bad artery gunk safer

Original Title

A cyclic azapeptide ligand of the scavenger receptor CD36/SR-B2 reduces the atherosclerotic lesion progression and enhances plaque stability in apolipoprotein E-deficient mice

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Summary

This study tested a new medicine that helps clean up dangerous gunk in mouse arteries without lowering their cholesterol.

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Surprising Findings

MPE-298 reduced plaque-destabilizing enzymes (Mmp14 and Plau) by 44–56% without increasing collagen—the fibrous cap didn’t get thicker.

Doctors have long believed thicker fibrous caps = safer plaques. But here, plaques became more stable without that change, meaning other mechanisms—like less cell death and inflammation—are doing the heavy lifting.

Practical Takeaways

If you have high cholesterol or a family history of heart disease, ask your doctor if CD36-targeting therapies are in clinical trials—this could be the next wave of heart drugs.

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