我们学到了什么关于系统性硬化前,非常早期和早期的微循环病理生理学? 一个范围审查审查
Joana Caetano1, Luís Monteiro Rodrigues2, José Delgado Alves3
1CBIOS-Research Center for Biosciences and Health Technologies, Universidade Lusófona Lisboa, 1749-024 Lisbon, Portugal; Systemic Autoimmune Diseases Unit, Department of Medicine IV, Fernando Fonseca Hospital, 2720-276 Amadora, Portugal; Nova Medical School, 1169-056 Lisboa, Portugal.
Autoimmunity reviews
|April 11, 2024
概括
微血管功能障碍是系统性硬化症 (SSc) 的关键. 本综述详细介绍了早期SSc中的机制,强调需要对前SSc和VEDOSS进行更多研究,以使早期干预成为可能.
科学领域:
- 血管生物学 血管生物学
- 类风湿病学 类风湿病学
- 系统性硬化症的发病原因
背景情况:
- 微血管功能障碍是系统性硬化症 (SSc) 发展的早期指标.
- 了解这些早期变化对于及时干预至关重要.
- 目前关于SSc前阶段和SSc非常早期诊断 (VEDOSS) 阶段的知识需要更新.
研究的目的:
- 对微血管功能障碍背后的机制进行范围审查.
- 更新关于前SSc,VEDOSS和早期SSc中微血管功能障碍的知识.
- 为了确定早期检测和向治疗的潜在生物标志物.
主要方法:
- 对相关的英语文章进行了全面的PubMed搜索.
- 包括的研究集中在前SSc,VEDOSS或早期SSc的微血管功能障碍上.
- 数据提取使用定制形式进行系统分析.
主要成果:
- 包括42项涉及1069名患者的研究.
- 确定的机制包括血管生成,细胞粘附,分子表达,炎症,氧化和 perfusion.
- 大多数研究集中在早期的SSc,对疾病前阶段的数据有限.
结论:
- 不同的分子途径有助于早期SSc.的微血管功能障碍.
- 需要进行进一步的前性纵向研究.
- 建议整合功能性皮肤输液评估,以获得全面的理解.
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