大动脉动脉瘤中的大动脉壁退化. 病理和分子洞察力 病理和分子洞察力
Davide Costa1, Michele Andreucci2, Nicola Ielapi1
1Interuniversity Center of Phlebolymphology (CIFL), International Research and Educational Program in Clinical and Experimental Biotechnology, University "Magna Graecia" of Catanzaro, Catanzaro, Italy; Department of Medical and Surgical Sciences, University "Magna Graecia" of Catanzaro, Catanzaro, Italy.
Annals of vascular surgery
|October 17, 2025
概括
大动脉动脉瘤是由复杂的遗传和环境因素造成的,这些因素会损害大动脉壁. 了解这些机制是开发新治疗大动脉动脉瘤进展和破裂的关键.
科学领域:
- 心血管生物学 心血管生物学
- 病理学 病理学 病理学
- 分子医学是分子医学.
背景情况:
- 大动脉动脉瘤 (AAs) 涉及局部的大动脉扩张,由于潜在的破裂,可能会危及生命.
- AA病变是多因素的,涉及从分子,细胞和结构方面的大动脉壁退化.
研究的目的:
- 审查和整合对大动脉动脉瘤发育中的病理特征和分子途径的研究.
- 提供对大动脉壁退化多因素病原学的全面了解.
主要方法:
- 在 WoS,PubMed,Scopus 和 Google Scholar 的系统文献搜索.
- 研究的分析整合,重点关注AA发展中的病理特征和分子途径.
主要成果:
- 综合了78项研究的发现,突出了AA发展中的遗传和环境相互作用.
- 确定了关键机制:矩阵金属蛋白酶介导的ECM降解,慢性炎症,光滑肌肉细胞亡,氧化应激和TGF-β信号传递.
- 突出显示了ADAM/ADAMTS蛋白酶,非编码RNA,表观遗传修饰,内血栓和周围脂肪组织的新兴作用.
结论:
- 了解这些相互关联的机制对于开发有效的诊断工具至关重要.
- 针对这些途径的个性化治疗对于阻止AA进展和防止断裂至关重要.
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