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在超生理剂量的类固醇-类固醇:心血管影响和病理生理机制
Higor Souza Nascimento1, Marcella Guerra Corrêa1, Odonilton Lima Lemos1
1Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Bahia, 45029-094, Brazil.
The Journal of steroid biochemistry and molecular biology
|January 15, 2026
概括
高剂量的非治疗性合成安卓类固醇 (AAS) 滥用显著增加心血管风险. 本综述详细介绍了与AAS滥用以提高性能相关的分子机制和不良健康结果.
科学领域:
- 心血管科学 心血管科学
- 内分泌学 在内分泌学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 类固醇-雄激素类固醇 (AAS) 在临床上用于治疗阴性腺和贫血.
- 在超生理剂量时,用于审美和性能增强的非治疗性AAS使用普遍存在.
- 这种滥用造成了严重的心血管健康风险.
研究的目的:
- 审查非治疗性,超生理学类固醇类固醇 (AAS) 使用的心血管风险.
- 分析高剂量AAS摄入的分子机制和心血管后果.
- 突出公共卫生干预和进一步研究的需要.
主要方法:
- 来自PubMed (2015-2025) 的34项研究的叙事综述.
- 分析涉及AAS诱导心血管损伤的分子通路 (基因组,非基因组,IGF-1轴).
- 包括实验和流行病学数据.
主要成果:
- 高剂量的AAS使用会诱导心肌重塑,高血压,失脂症和血栓形成.
- 分子变化包括基因表达和细胞代谢的变化.
- 内皮功能障碍,全身炎症和多种药物加剧心血管风险.
结论:
- 过度使用AAS与心血管不良事件的增加密切相关.
- 诸如多药制等行为因素加剧了AAS相关的心血管损伤.
- 迫切需要公共卫生政策,教育和对AAS滥用模式和缓解问题的纵向研究.
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