动脉样硬化中的易受伤害的斑块:专注于血管生成相关的表型交叉
Xin-Zheng Hou1, Ying-Tian Yang1, Jian-Ming Yao2
1Department of Cardiovascular Diseases, Guang 'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Frontiers in pharmacology
|January 29, 2026
概括
动脉样硬化 (AS) 斑块破裂,心脏病发作和中风的原因,与新血管化有关. 向血管内皮生长因子 (VEGF) 途径可能会稳定斑块,但需要安全的药物用于临床使用.
科学领域:
- 心血管研究研究心血管研究
- 病理学 病理学 病理学
- 血管新生研究研究
背景情况:
- 动脉样硬化 (AS) 是心血管疾病的主要原因,易受损伤的斑块破裂会引发心肌梗塞和中风等严重事件.
- 易受伤害的斑块通过血管性通路呈现出增加的新血管化,这矛盾地使斑块不稳定,尽管缓解了局部缺氧.
研究的目的:
- 审查血管新生和动脉样硬化中脆弱斑块形成的机制.
- 探索血管新生和AS过程之间的表型交叉.
- 为开发针对AS管理的血管内皮生长因子 (VEGF) 途径的新型治疗策略提供见解.
主要方法:
- 关于动脉样硬化,血管生成和VEGF信号的临床前和临床研究的文献综述.
- 分析新血管化和斑块不稳定机制之间的相互作用.
- 综合目前对针对VEGF途径的治疗策略的理解.
主要成果:
- 受VEGF通路调节的易受损伤的斑块中的新血管化有助于斑块的不稳定.
- 血管新生与细胞亡,细胞外矩阵重塑,炎症和氧化应激相互作用,产生反循环,使AS恶化.
- 向VEGF途径显示了增强斑块稳定性的临床前前期承诺.
结论:
- 了解血管新生和AS病原体之间的复杂关系对于开发有效的治疗方法至关重要.
- 在AS治疗中,VEGF途径是治疗干预的关键目标.
- 开发针对VEGF的安全可靠的药剂对于AS管理中的临床转化至关重要.
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