血管新生在心血管疾病中的作用:批判性评估
Rohit Khurana1, Michael Simons, John F Martin
1Department of Medicine, University College London, London WC1E 6JJ, UK.
Circulation
|September 21, 2005
概括
血管新生,新血管的形成,在动脉样硬化中起着复杂的作用. 虽然它与斑块生长和不稳定有关,但目前的证据不支持对心血管疾病的抗血管生成疗法.
科学领域:
- 心血管研究研究心血管研究
- 血管生物学 血管生物学
- 医学科学 医学科学 医学科学
背景情况:
- 血管新生在动脉样硬化和心血管疾病中的作用仍然存在争议.
- 血管新生因素被认为是治疗缺血性心脏病,但可能会促进动脉样硬化病变的生长和斑块的不稳定性.
研究的目的:
- 批判性地审查有关动脉生成和动脉生成因子在动脉样硬化和neointima形成的证据.
- 评估动物模型在这些条件下研究血管生成的适用性.
- 将发现与血管内皮生长因子 (VEGF) 生物学和临床试验结果的背景联系起来.
主要方法:
- 对有关动脉样硬化的血管生成现有文献进行批判性审查.
- 对聚焦于血管内皮生长因子 (VEGF) 的研究进行分析.
- 考虑临床试验数据的血管新生疗法在缺血性心脏病.
主要成果:
- 微血管存在于先进的人类动脉样硬化斑块中.
- 血管新生可能有助于新极端生长,但对于初始的内加厚不是必不可少的.
- 亲血管原生和抗血管原生疗法的临床试验显示,对心血管疾病的成功有限.
结论:
- 血管新生在动脉样硬化发展和斑块不稳定性中的中心作用仍然不清楚.
- 根据目前的证据,抑制血管生成不太可能是心血管疾病的可行治疗策略.
相关概念视频
Mechanism of Angiogenesis
Blood vessel formation starts early during embryonic development, around day 7. In the extraembryonic yolk sac, mesodermal precursor cells called hemangioblast proliferate and differentiate into angioblast. Angioblasts express vascular endothelial growth factor receptor 2 or VEGFR2, which binds VEGF-A, a proangiogenic factor, guiding blood vessel formation. VEGF signaling promotes angioblasts to form a blood island in the developing embryo. Angioblasts further differentiate, giving rise to...
Regulation of Angiogenesis and Blood Supply
Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits. Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl hydroxylase and factor...
Coronary Artery Disease I: Introduction
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
Coronary Artery Disease II: Pathophysiology
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...


