脂蛋白 (a) 和脑血管疾病
Constantine E Kosmas1, Maria D Bousvarou2, Evangelia J Papakonstantinou3
12nd Department of Cardiology, National & Kapodistrian University of Athens, Athens, Greece.
The Journal of international medical research
|July 31, 2024
概括
升高的脂蛋白 (a) [Lp(a) ]与大人和儿童中风等脑血管事件有关. 新的Lp (a) 向疗法在中风预防方面表现有前途.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 遗传学 遗传学 是一个
背景情况:
- 脂蛋白 (a) [Lp(a) ]在结构上与LDL胆固醇相似.
- Lp (a) 在肝脏中合成,基因决定的血水平受LPA基因编码apolipoprotein (a) 的影响.
研究的目的:
- 综合审查Lp (a) 在脑血管疾病中的作用.
- 从多个角度研究Lp(a) -脑血管疾病的关系.
主要方法:
- 关于相关研究的叙述性审查.
- 流行病学和门德尔随机化数据的分析.
- 包括关于儿科患者和新兴疗法的数据.
主要成果:
- 流行病学研究表明,高Lp (a) 水平与脑血管事件,特别是缺血性中风之间存在正相关性.
- 在门德尔随机化研究中,相关性被认为是边际的.
- 在小儿动脉缺血性中风的发病过程中,Lp (a) 似乎是显著的,因为没有典型的风险因素.
结论:
- 新的Lp(a) 向剂正在进行中风风险降低的第三阶段试验.
- 对于有效的初级和二级中风预防,需要更新Lp(a) 查和管理的指南.
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