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炎症和动脉样硬化
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
概括
炎症在动脉样硬化中起着关键作用,从它的开始到其并发症. 测量诸如C-反应蛋白等炎症标志物有助于预测患者的结果,并为这种广泛传播的疾病指导治疗.
科学领域:
- 心血管科学 心血管科学
- 炎症生物学 炎症生物学
背景情况:
- 动脉样硬化曾经被视为一种脂质储存问题.
- 新兴研究显示,炎症是所有疾病阶段的核心,包括血栓性并发症.
研究的目的:
- 探索炎症在动脉样硬化中的作用.
- 将有关炎症的基础科学发现与人类患者的临床应用联系起来.
主要方法:
- 审查最近的基础科学在动脉生成方面的进展.
- 对检查炎症标志物和患者结局的临床研究的分析.
主要成果:
- 炎症是动脉样硬化开始,进展和血栓事件的组成部分.
- 炎症标志物升高预测了急性冠状动脉综合征的结果.
- 反应性C蛋白水平识别动脉样硬化风险,补充传统因素.
- 类药物可以通过抗炎作用部分降低冠状动脉风险,独立于LDL的降低.
结论:
- 炎症是动脉样硬化的一个关键媒介,将风险因素与疾病机制联系起来.
- 炎症洞察力的临床应用有助于风险分层和向治疗.
- 了解炎症为应对这一全球健康挑战提供了新的策略.
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