Cardiovascular diseases (CVD) are the leading cause of death globally, taking an estimated 17.9 million lives each year (World Health Organization). CVD is caused mainly by atherosclerosis, a thickening or hardening of the arteries caused by a buildup of plaque in the inner lining of an artery. Risk factors for disease include high cholesterol and triglyceride levels, high blood pressure, smoking, type I diabetes, obesity, physical inactivity, a diet high in saturated fats, and genetic components. Importantly, inflammation is recognized as a key component of atherosclerosis and it is classified as a chronic inflammatory disease of blood vessels. Lesions of atherosclerosis contain various immune cells coupled with cholesterol that infiltrates from the blood. Both innate and adaptive arms of the immune response have been identified in atherosclerosis with cholesterol-carrying low-density lipoprotein (LDL) triggering inflammation and antibody production.

Therapeutics targeting the immune response are currently the fastest growing class of drugs. However, the challenge of how we deliver targeted patient-specific approaches remains. Our goal with iPRIME is to reduce barriers for investigators to perform cutting-edge research on cardiovascular diseases by linking experts in Immunology, Imaging, and Informatics to drive Precision Medicine (iPRIME) forward at UVA. Since our inception and funding in 2022 we have built a cohort of over 1,100 patient samples to be used by approved researchers with the aims of discovering novel biomarkers of disease, using artificial intelligence to predict disease outcome, and determining personalized therapy response and risk.