伊科萨乙烯调节循环血管再生细胞的含量:IPE-PREVENTION CardioLink-14试验
Ehab Bakbak1, Aishwarya Krishnaraj2, Deepak L Bhatt3
1Division of Cardiac Surgery, St. Michael's Hospital of Unity Health Toronto, Toronto, ON, Canada; Keenan Research Centre for Biomedical Science and Li Ka Shing Knowledge Institute of St. Michael's Hospital, Toronto, ON, Canada; Department of Pharmacology and Toxicology, University of Toronto, Toronto, ON, Canada; Faculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Med (New York, N.Y.)
|March 29, 2024
概括
伊可萨乙烯 (IPE) 治疗增加了有益的血管再生细胞,并减少了患有高甘油三血症的患者的氧化应激. 这表明了IPE的新机制.
科学领域:
- 心血管医学 心血管医学
- 翻译科学 翻译科学
- 再生医学是一种再生医学.
背景情况:
- REDUCE-IT试验表明,icosapent乙烯 (IPE) 降低了心血管事件的25%.
- 基础上IPE的心脏保护作用的机制仍然不完全理解.
- 在IPE-PREVENTION CardioLink-14试验中,研究了IPE对血管再生细胞的影响.
研究的目的:
- 为了确定IPE是否调节轻度至中度高甘油三血症患者的血管再生 (VR) 细胞含量.
- 探索IPE心脏保护作用的潜在新机制.
主要方法:
- 七十名接受他类药物治疗的患有高甘油三血症的患者随机分配到IPE或常规护理.
- 分离和鉴定了具有高阿尔代脱酶活性 (ALDH) 的血管再生细胞.
- 主要终点:亲血管ALDHhiCD133+祖先细胞的频率的变化.
主要成果:
- 与通常的护理相比,IPE显著增加了ALDHhiCD133+原始细胞的频率.
- 在ALDHhiSSClow祖先中,IPE降低了氧化应激.
- IPE还增加了ALDHhiSSChi粒细胞前体细胞含量.
结论:
- 预防IPE CardioLink-14提供了IPE调节VR细胞内容的第一个翻译证据.
- 这种VR细胞的调制表明了IPE心脏保护作用的新机制.
- 这些发现支持进一步调查IPE在血管再生和心血管事件减少中的作用.
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