Abstract:Interleukin-24 (IL-24), a member of the IL-20 subfamily within the IL-10 family, is the first tumor growth suppressor identified and isolated from melanoma, exhibiting a high degree of evolutionary conservation. Its functions are dual in different tissues and microenvironments, exerting bidirectional pro-inflammatory or anti-inflammatory effects, and play crucial roles in various diseases such as inflammatory disorders and cancers. Recent studies have revealed that IL-24 can also regulate the function of smooth muscle cells, protect endothelial cells, modulate angiogenesis, and participate in the pathogenesis and progression of cardiovascular diseases including atherosclerosis and vascular calcification, making it a promising novel target for the prevention and treatment of cardiovascular diseases.