维生素D缺乏会通过调节基于血小板蛋白质组的VDR/Akt通路来增强血小板激活和血栓形成
Shanshan Nie1, Peng Huang2, Huan Niu2
1Center of Clinical Pharmacology, The Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, China; Department of Cardiovascular Disease, The First Affiliated Hospital of Henan University of Chinese Medicine, Zhengzhou, Henan, 450000, China.
European journal of pharmacology
|May 2, 2025
概括
维生素D缺乏 (VDD) 会增加急性冠状动脉综合征患者的血小板反应性和血栓形成风险. VDD通过维生素D受体 (VDR) /Akt通路影响血小板功能,这表明VDD治疗可以预防血栓事件.
科学领域:
- 心血管医学 心血管医学
- 内分泌学 在内分泌学.
- 血液学 血液学 血液学
背景情况:
- 维生素D缺乏 (VDD) 是一个全球性的健康问题,已知其影响超出了代谢.
- VDD对血小板反应性和血栓形成的具体影响及其潜在机制尚不清楚.
研究的目的:
- 研究急性冠状动脉综合征 (ACS) 患者的VDD和血小板反应性之间的关联.
- 探索VDD影响血小板功能和血栓形成的机制.
主要方法:
- 在427名经过皮肤冠状动脉干预 (PCI) 的ACS患者中分析了血小板蛋白质组,使用4D数据独立评估.
- 在饮食诱导的VDD大鼠中研究了血小板功能和FeCl3诱导的动脉血栓形成.
主要成果:
- 较低的维生素D水平独立地与ACS患者在治疗期间的高血小板反应性有关 (OR 4.21).
- 在大鼠中,VDD增强了血小板功能,加速了血栓形成,缩短了出血时间.
- 鉴定出的不同蛋白质参与了血小板激活,PI3K-Akt通路和维生素D受体 (VDR) 信号传递.
结论:
- 在PCI后的ACS患者中,VDD独立地与血小板活性升高有关.
- 通过调节VDR/Akt通路,VDD促进了血小板的高反应性和血栓形成.
- 维生素D补充剂可能为VDD相关的血栓性疾病提供治疗策略.
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