在高胆固醇血症患者中,阿托瓦斯塔丁的短期治疗减少了血小板CD40连接体和血小板血栓生成
Valerio Sanguigni1, Pasquale Pignatelli, Luisa Lenti
1Department of Experimental Medicine and Pathology, University of Rome La Sapienza, Rome, Italy.
Circulation
|February 3, 2005
概括
在高胆固醇血症中,可溶性CD40L (sCD40L) 和血小板CD40L的升高与增加的血栓生成有关. 阿托瓦斯塔丁治疗降低了这些标记物,表明直接的抗血栓作用独立于降低胆固醇.
科学领域:
- 心血管生物学 心血管生物学
- 血液学 血液学 血液学
- 药理学 药理学是指药理学的学科.
背景情况:
- 溶性CD40L (sCD40L),是血小板激活的标志物,在高胆固醇血症中升高.
- 血小板CD40L和血sCD40L水平反映了体内血小板激活.
研究的目的:
- 研究高胆固醇血症患者中sCD40L和血小板CD40L之间的关系.
- 评估短期阿托瓦斯塔丁治疗对这些标记物的影响.
主要方法:
- 在30名高胆固醇血症患者和20名对照组中研究了原诱导的血小板CD40L,血sCD40L和前列红蛋白片段F1+2.
- 患者接受了饮食或阿托瓦斯塔丁 (10毫克/天) 治疗3天,在基线和治疗后进行测量.
主要成果:
- 与对照组相比,高胆固醇血清患者的血小板CD40L,sCD40L和F1+2都较高.
- 血小板CD40L与sCD40L显著相关,这反过来与F1+2.2相关.
- 阿托瓦斯塔丁治疗显著降低了血小板CD40L,sCD40L和F1+2,而单独饮食没有影响.
结论:
- 在高胆固醇血症中血小板CD40L过度表达有助于sCD40L升高和血栓生成.
- 阿托尔瓦斯塔丁通过抑制血小板CD40L和随后的血栓生成,无论其降脂性质如何,都显示出直接的抗血栓作用.
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