辐射诱导的大血管/微血管疾病
Jun-Ichi Abe1, Bryan G Allen2, Andreas M Beyer3
1Department of Cardiology, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston (J.-I.A.).
Arteriosclerosis, thrombosis, and vascular biology
|October 24, 2024
概括
辐射疗法 (RT) 可以导致严重的血管损伤,影响大和小的血管. 本综述探讨RT诱导的血管损伤,旨在制定预防心血管并发症的策略.
科学领域:
- 在瘤学瘤学.
- 心血管研究研究心血管研究
- 辐射生物学 辐射生物学
背景情况:
- 放射治疗 (RT) 是一种重要的癌症治疗方法,但它会导致不可避免的正常组织损伤.
- RT诱导的血管损伤,影响大血管和小血管,模仿动脉样硬化,并导致器官毒性.
- 微血管损伤,特别是内皮损伤,是皮肤,脏和大脑中RT毒性的关键驱动因素.
研究的目的:
- 审查RT诱导的血管疾病的临床表现.
- 探索辐射损伤的潜在信号通路和细胞点.
- 讨论研究RT诱导血管损伤的临床前模型,并启发预防策略.
主要方法:
- 临床观察和实验研究的文献综述.
- 对辐射诱导的血管损伤机制的分析.
- 综合关于临床前模型和治疗目标的信息.
主要成果:
- 肺结核损伤大血管和小血管,导致阻塞性疾病和器官毒性.
- 内皮损伤是微血管损伤和RT诱导毒性的主要机制.
- 现有研究强调需要更好地了解和管理与RT相关的血管并发症.
结论:
- 由RT诱导的血管疾病是一个重要的临床挑战,具有多样化的表现.
- 了解分子通路和细胞点对于制定预防策略至关重要.
- 需要进一步的研究和临床前模型来缓解RT相关的心血管疾病.
更多相关视频
09:42Assessing Tumor Microenvironment of Metastasis Doorway-Mediated Vascular Permeability Associated with Cancer Cell Dissemination using Intravital Imaging and Fixed Tissue Analysis
Published on: June 26, 2019
8.8K
04:48Chemotherapy-induced Vascular Toxicity - Real-time In vivo Imaging of Vessel Impairment
Published on: January 7, 2015
7.4K
相关概念视频
Regulation of Angiogenesis and Blood Supply
2.5K
Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits. Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl...
2.5K
Peripheral Artery Disease I: Introduction
2
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs but also impacts other areas, such as the arms, thereby impairing overall circulation and organ function.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty deposits inside the arterial...
2
Mechanism of Angiogenesis
5.3K
Blood vessel formation starts early during embryonic development, around day 7. In the extraembryonic yolk sac, mesodermal precursor cells called hemangioblast proliferate and differentiate into angioblast. Angioblasts express vascular endothelial growth factor receptor 2 or VEGFR2, which binds VEGF-A, a proangiogenic factor, guiding blood vessel formation. VEGF signaling promotes angioblasts to form a blood island in the developing embryo. Angioblasts further differentiate, giving rise to...
5.3K
Coronary Artery Disease II: Pathophysiology
3
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
3
