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在动脉样硬化中训练有素的免疫力:可塑性,代谢-血管轴,以及人工智能驱动的精确重塑
Bing Zhao1,2, Jiayang Wan3, Huifen Zhou1,2
1College of Chinese Medicine for Cardiovascular-Cranial Disease, Zhejiang Chinese Medical University, Hangzhou, China.
Frontiers in immunology
|October 27, 2025
概括
本综述为了解训练免疫引入了新的框架,突出显示单细胞可塑性和动脉样硬化中的新陈代谢-血管轴. 它将重点从缓解症状转移到积极重塑免疫记忆以进行个性化治疗.
科学领域:
- 免疫学 免疫学 免疫学
- 动脉样硬化研究 动脉样硬化研究
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 动脉样硬化中的慢性炎症涉及训练有素的免疫力,但传统研究忽略了单细胞可塑性和器官相互作用.
- 现有的研究往往忽视了在免疫记忆形成过程中代谢和血管系统之间的动态相互作用.
研究的目的:
- 为了解动脉样硬化中训练免疫力提出新的框架.
- 重新评估免疫代谢机制并探索个性化的治疗策略.
主要方法:
- 关于训练免疫力,单细胞功能和代谢调节的现有文献的审查.
- 介绍了四个新的概念框架:训练免疫可塑性谱,训练免疫-代谢-血管轴,跨器官训练免疫和动态免疫重编程.
- 整合了诸如mTOR/AMPK信号传递,基因组修饰,表观遗传学,外体,线粒体压力和人工智能驱动的多态学等概念.
主要成果:
- 单细胞表现出可塑性,平衡由信号通路和表观遗传修饰调节的促炎性,耐受性和抗炎性状态.
- 代谢障碍通过表观遗传变化,外体和血管微环境中的线粒体应激产物影响免疫记忆形成.
- 跨器官通信 (骨髓,肠道,肝脏) 影响单细胞发育,动态免疫重编程为重塑免疫记忆提供了一条道路.
结论:
- 本综述通过整合新的框架,重新解释了动脉样硬化的免疫代谢基础.
- 它为人工智能增强的个性化疗法和训练免疫力的跨学科研究奠定了基础.
- 这一发现表明,我们需要向积极重编程免疫记忆的模式转变,而不是仅仅管理症状.
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