在衰老中肝脏伪毛细化和动脉样硬化
David G Le Couteur1, Robin Fraser, Victoria C Cogger
1Centre for Education and Research on Ageing, and Anzac Research Institute, University of Sydney, Concord RG Hospital, Sydney, NSW, Australia. dlecouteur@med.usyd.edu.au
Lancet (London, England)
|June 6, 2002
概括
老龄化会损害肝脏的功能.
科学领域:
- 老年学是指老年学的学科.
- 血管生物学 血管生物学
- 肝病学 肝病学是一种肝病学.
背景情况:
- 心血管疾病 (CVD) 是导致死亡的主要原因,衰老是主要的危险因素.
- 动脉样硬化是这些与年龄相关的心血管疾病的基础.
- 目前的理解缺乏肝脏衰老和动脉样硬化病原之间的直接联系.
研究的目的:
- 提出一种新的假设,将与年龄相关的肝脏结构变化与动脉样硬化联系起来.
- 为了阐明肝脏侧鼻内皮膜在这个过程中的作用.
主要方法:
- 关于肝脏衰老和动脉样硬化的现有文献的审查和综合.
- 基于已确定的致病机制的假设模型开发.
主要成果:
- 与年龄相关的肝侧状内皮质的伪毛细化涉及内皮质的加厚,底层膜的形成和化损失 (脱化).
- 这种防御会损害肝脏的功能,阻碍基洛米克朗残留物清除.
- 清除障碍导致食后过高甘油血症,这是已知的动脉样硬化贡献者.
结论:
- 随着年龄的增长,肝脏膜的损失直接导致动脉样硬化发展.
- 维持或恢复肝脏化可能为与年龄相关的心血管疾病提供新的治疗策略.
- 针对肝的透性可以减轻老年人的心血管风险.
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