炎症重编程和免疫调节:新一代动脉样硬化治疗方法
Robin P Choudhury1, Rupen Hargreaves2, Jason Chai1
1Division of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK.
Cell reports. Medicine
|August 9, 2025
概括
目前的动脉样硬化治疗可以控制风险因素,但忽略了已确定的疾病. 下一代疗法提供个性化,机械的方法,有可能逆转动脉样硬化进展.
科学领域:
- 心血管医学 心血管医学
- 翻译医学是一种翻译医学.
- 分子生物学分子生物学
背景情况:
- 目前的动脉样硬化治疗侧重于来自人口的风险因素,如LDL胆固醇,血压和吸烟.
- 这些策略主要针对疾病的发展和并发症,往往忽视了已确定的动脉样硬化患者.
- 流行病学研究指导了当前的风险因素管理方法.
研究的目的:
- 从以人口为基础的风险因素管理过渡到针对患者的,动脉样硬化的机械治疗.
- 探索下一代治疗策略,能够逆转或逆转已建立的动脉样硬化疾病.
- 整合系统级干预措施,超越动脉样硬化斑本身.
主要方法:
- 利用当代生物知识和先进技术.
- 开发向疗法,包括单克隆抗体,小干扰RNA (siRNA) 和mRNA.
- 探索新的方法,如表观遗传重编程和基因编辑.
- 机械地描述患者层面的疾病过程.
主要成果:
- 新兴的生物知识使我们能够转向个性化动脉样硬化治疗.
- 下一代疗法显示出疾病逆转或回归的潜力.
- 系统级干预提供了更广泛的治疗范围.
结论:
- 动脉样硬化治疗正在发生一种范式转变,朝准确医学迈进.
- 先进的生物学见解和技术正在为新的治疗方式铺平道路.
- 未来的治疗可能会根据个体患者的疾病过程量身定制,以回归为目标.
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