动脉硬度:从基本的原始到整合性生理学
Véronique Regnault1, Patrick Lacolley1, Stéphane Laurent2
1INSERM U1116, DCAC, Université de Lorraine, Nancy, France.
Annual review of physiology
|February 12, 2024
概括
研究了动脉硬化,这是血管衰老和心血管疾病的关键因素. 本综述详细介绍了管理动脉硬性的生理机制和临床策略.
科学领域:
- 整合生理学 整合生理学
- 血管生物学 血管生物学
- 心血管医学 心血管医学
背景情况:
- 导电动脉的弹性性质是血液动力学的关键功能.
- 动脉硬化与血管衰老和心血管疾病有关.
- 了解这些属性的功能障碍对于临床结果至关重要.
研究的目的:
- 提供对动脉硬化的整合生理学的新见解.
- 审查动脉硬性的分子和途径决定因素.
- 讨论临床进展和个性化治疗策略.
主要方法:
- 基础科学和临床研究的综合文献综述.
- 专注于机械传导,血管光滑肌细胞 (VSMC) 的可塑性和血管壁清除.
- 检查免疫炎症和表观遗传机制.
主要成果:
- 确定了动脉刚性的关键决定因素,包括VSMC收缩性和可塑性.
- 突出了机械传导,血管壁清除和表型切换的作用.
- 强调了对动脉硬性的免疫炎症和表观遗传影响.
结论:
- 动脉硬化涉及复杂的生理和分子途径.
- 在理解的进步导致修订治疗方法.
- 基于风险的个性化策略正在出现,用于管理动脉硬.
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