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在结性脊髓炎中粘附分子和动脉样硬化:对心血管风险的影响
Miroslav Markov1,2, Tsvetoslav Georgiev3,4, Alexander Krasimirov Angelov5
1Department of Propedeutics of Internal Medicine, Faculty of Medicine, Medical University, Varna, 9002, Bulgaria.
Rheumatology international
|August 24, 2024
概括
性脊柱炎 (AS) 患者因加速动脉样硬化而面临心血管风险增加. 由炎症和风险因素驱动的内皮功能障碍在这个过程中起着关键作用.
科学领域:
- 类风湿病学 类风湿病学
- 心脏病学 心脏病学
- 免疫学 免疫学 免疫学
背景情况:
- 化脊柱炎 (AS) 是一种慢性炎症性关节炎,与心血管 (CV) 风险和死亡率的增加有关.
- 阿斯加速动脉样硬化,但研究显示与一般人群相比,关于心血管发病率的结果是矛盾的.
- 这种差异可能源于传统心血管风险因素与AS炎症负担之间的相互作用.
研究的目的:
- 探索AS慢性炎症,内皮功能障碍和动脉样硬化之间的关系.
- 研究粘附分子 (ICAM-1,VCAM-1) 在预测AS患者心血管事件中的作用.
- 审查目前对AS心血管风险管理的理解和治疗策略.
主要方法:
- 文献综述和现有关于AS,心血管风险和动脉样硬化的研究的综合.
- 对内皮功能障碍作为AS血管损伤早期标志物的作用的分析.
- 检查炎症标志物和粘附分子对心血管结果的影响.
主要成果:
- 内皮功能障碍在AS中普遍存在,表明炎症和常规风险因素对血管损伤的协同作用.
- 内皮功能障碍在AS中可以先于明显的血管病理,突出其关键作用.
- 像ICAM-1和VCAM-1这样的粘附分子是AS中心血管事件的有价值预测剂.
结论:
- 在AS中炎症,内皮功能障碍和动脉样硬化之间的相互作用是复杂的,需要进一步阐明.
- 针对心血管风险的治疗干预措施,如血管激素受体抑制剂和他类药物,在AS患者中表现有前途.
- 持续的研究对于优化结性脊柱炎患者的心血管护理至关重要.
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