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血小板血加重 肌肉心脏缺血/再输血损伤通过中性粒细胞降粒
Maximilian Mauler1,2,3, Nadine Herr2,3, Claudia Schoenichen2,3
1Faculty of Biology (M.M., K.K.), University of Freiburg, Germany.
Circulation
|December 28, 2018
概括
血小板血清激素在再输血损伤后引发炎症和心脏损伤. 通过降低中性粒细胞激活,抑制血清激素可能为治疗心脏病并发症提供新的治疗策略.
科学领域:
- 心血管科学
- 血液学
- 免疫学
背景情况:
- 血小板储存和释放血清素, 这对血静和炎症至关重要.
- 血清素在心肌再注射损伤和相关的血栓炎症中的作用尚不完全理解.
研究的目的:
- 研究血小板衍生的血清素在心肌再注射损伤中的作用.
- 探索血清素作为缓解心脏病发作后中性粒细胞依赖性炎症的治疗点.
主要方法:
- 使用肌肉回血损伤的小鼠模型与遗传和药理性血小板血清素耗尽.
- 对人类和小鼠的血小板和白细胞进行了体外血清激活测定.
- 在急性冠状动脉综合征患者和小鼠中测量了血血红素,中性粒细胞激活标记CD11b和髓氧化酶.
主要成果:
- 在小鼠中,血小板血清激素触发了中性粒细胞脱粒,增加了炎症并减少了心脏组织的恢复.
- 在急性冠状动脉综合征患者中,血中血清的升高与中性粒细胞CD11b和骨髓氧化酶水平相关.
- 在小鼠和患者中,抑制血清素再吸收降低了血小板血清素,降低了中性粒细胞活化,并保持了心脏功能.
结论:
- 血清激素是中性粒细胞驱动的血栓炎症的关键媒介.
- 向血清激素是治疗心脏病并发症的一个有希望的途径.
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