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炎症と動脈硬化症について
Peter Libby1, Paul M Ridker, Attilio Maseri
1Leducq Center for Cardiovascular Research, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. plibby@rics.bwh.harvard.edu
Circulation
|March 6, 2002
まとめ
炎症は,発症から合併症に至るまで,動脈硬化に重要な役割を果たします. C反応性タンパク質のような炎症マーカーの測定は,患者のアウトカムを予測し,この広範囲にわたる病気の治療をガイドするのに役立ちます.
科学分野:
- 心血管科学 心血管科学
- 炎症生物学 炎症生物学とは
背景:
- 動脈硬化症は,かつて脂質貯蔵の問題として見られていた.
- 新興の研究によると,炎症は,血栓性合併症を含むすべての疾患の段階において中心的な役割を果たしている.
研究 の 目的:
- 動脈硬化症における炎症の役割を調査する.
- 炎症に関する基礎科学の発見をヒト患者の臨床応用と結びつける.
主な方法:
- アテロゲネシスの最近の基礎科学の進歩のレビュー.
- 炎症マーカーと患者のアウトカムを調べた臨床研究の分析.
主要な成果:
- 炎症は,動脈硬化症の発症,進行,および血栓性イベントに不可欠です.
- 炎症マーカーの上昇は,急性冠動脈症候群の結果を予測する.
- C反応性タンパク質のレベルは,従来の要因を補完して,動脈硬化症のリスクを特定します.
- スタチンは,LDLの減少とは関係なく,抗炎症作用を通じて部分的に冠動脈のリスクを軽減します.
結論:
- 炎症は動脈硬化症の重要な媒介であり,リスク要因と疾患メカニズムを結びつける.
- 炎症に関する洞察の臨床的応用は,リスクの階層化と標的治療に役立ちます.
- 炎症を理解することは,この世界的な健康上の課題を管理するための新しい戦略を提供します.
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