在患有右心力衰竭的患者中明显的炎症环境
Bin Q Yang1, Arick C Park2, Jason Liu3
1Division of Cardiology, Massachusetts General Hospital, Harvard Medical School, Boston (B.Q.Y.).
Circulation. Heart failure
|July 3, 2023
概括
右心力衰竭 (RHF) 涉及肝脏功能障碍和独特的炎症特征. 在RHF患者中可溶性CD163和CXCL12的升高预测了结果,提供了潜在的新治疗点.
科学领域:
- 心脏病学 心脏病学
- 肝病学 肝病学是一种肝病学.
- 免疫学 免疫学 免疫学
背景情况:
- 右心力衰竭 (RHF) 与不良的临床结果,肝脏拥堵和功能障碍有关.
- 在RHF中心肝相互作用的机制尚不清楚,可能涉及到分泌的因素.
- 了解心肝轴对于管理RHF患者至关重要.
研究的目的:
- 研究RHF患者的循环炎症环境.
- 确定与RHF和临床结果相关的特定炎症标志物.
- 探索这些循环因子的肝脏来源.
主要方法:
- 从患有RHF,其他心力衰竭类型和对照患者收集血液样本.
- 多重蛋白质测试被用来测量循环标记物.
- 分析包括与死亡率/移植需求的关联以及通过scRNA-seq和成像评估肝脏表达的评估.
主要成果:
- 与对照组相比,RHF患者表现出高水平的特定细胞因子,化学因子和生长因子.
- 可溶性CD163 (分化集群163) 和CXCL12 (化学因子[C-X-C动机]连接体12) 在RHF中显著高.
- 这些标记物预测了左心室辅助器件/无移植生存率,并被发现被肝脏中的库弗弗细胞表达.
结论:
- RHF的特点是有着独特的循环炎症特征.
- 可溶性CD163和CXCL12作为新的生物标志物用于RHF的预后.
- 对这些分子的进一步研究可能会揭示RHF的新管理策略.
相关概念视频
Heart Failure III: Clinical Manifestations
24
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
24
Mitral Regurgitation I: Introduction
18
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
18
Myocarditis I: Introduction
10
Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
10
Rheumatic Heart Disease I: Introduction
17
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
17
Heart Failure II: Pathophysiology
16
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
16
Mitral Stenosis I: Introduction
18
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
18


