肠道屏障功能障碍和心力衰竭中的内毒性:危险的结合?
Francesco Violi1, Valentina Castellani2, Danilo Menichelli2
1Department of Clinical Internal, Anesthesiological, and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy; Mediterranea Cardiocentro-Napoli, Naples, Italy.
American heart journal
|June 10, 2023
概括
肠道功能失调和内毒性导致心力衰竭 (HF) 的进展. 本综述探讨了肠道细菌转位和脂多糖 (LPS) 如何恶化HF,并讨论了治疗策略.
科学领域:
- 心血管医学 心血管医学
- 微生物学 微生物学
- 免疫学 免疫学 免疫学
背景情况:
- 心力衰竭 (HF) 仍然是全球死亡的主要原因,目前的治疗方法有局限性.
- 肠道微生物群失调和肠道屏障功能受损越来越多地被认为是导致HF病变的因素.
- 血中的脂多糖 (LPS) 含量增加,脂多糖 (LPS) 是グラム阴性细菌的一个组成部分 (内毒性血症),与心血管疾病和全身炎症有关.
研究的目的:
- 审查将肠道失生症相关的内毒素与心力衰竭联系在一起的机制.
- 要总结内毒性病对HF进展的影响.
- 讨论潜在的治疗策略,以向HF中的内毒性.
主要方法:
- 审查当前的实验和临床证据.
- 在心血管疾病中研究肠心轴的研究分析.
- 综合关于LPS转位及其炎症影响的数据.
主要成果:
- 肠道失调导致肠道透性增加和细菌转移.
- 升高的LPS水平通过托尔类受体4 (TLR4) 激活引发系统性炎症.
- 内毒症会通过炎症和促凝途径加剧HF的进展.
结论:
- 肠道失生症诱导的内毒素是HF进展的重要因素.
- 准肠道微生物群和内毒素可能为高频率的治疗提供新的治疗途径.
- 需要进一步的研究,以开发有效的抗内毒性病的策略,为HF患者.
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