妇女的动脉样硬化纤维性斑块存在与TGF-β相关的ECM重塑
Tim R Sakkers1, Eloi Mili1, Hanna Winter2,3
1Laboratory of Experimental Cardiology (T.R.S., E.M., D.K., I.R.D., M. Mokry, E.D.B., H.M.d.R.), University Medical Center Utrecht, Utrecht University, the Netherlands.
Circulation research
|February 5, 2026
概括
女性和男性在纤维动脉样硬化斑块中表现出不同的分子谱,影响斑块侵蚀. 这些发现通过考虑性别和斑块类型为动脉样硬化治疗提供了新的点.
科学领域:
- 心血管生物学 心血管生物学
- 分子医学是分子医学.
- 动脉样硬化研究 动脉样硬化研究
背景情况:
- 性别影响动脉样硬化斑块组织学,纤维状斑块在女性中更常见.
- 斑块侵蚀是急性冠状动脉综合征的原因,与纤维状斑块有关,在女性中更为普遍.
研究的目的:
- 为了研究男性和女性之间纤维动脉样硬化斑块的分子差异.
- 为了确定驱动斑块发育和侵蚀的性别偏差分子和细胞机制.
主要方法:
- 从Athero-Express生物库对人类末期动脉样硬化斑块的分析.
- 利用组织学,散装和单细胞RNA测序,DNA甲基化和空间转录组学.
- 研究了内皮和光滑肌细胞中的性别差异基因表达和TGF-β信号通路.
主要成果:
- 纤维斑在女性中比男性 (31%) 更多 (50%).
- 女性纤维状斑块显示了光滑肌肉细胞驱动的细胞外矩阵重塑和TGF-β反应.
- 男性纤维状斑块与巨细胞炎症有关,与糖尿病有关.
结论:
- 性别之间的纤维动脉样硬化斑块存在着不同的临床和分子形状.
- 确定了潜在的分子途径,以了解斑块侵蚀和开发特定性别的动脉样硬化疗法.
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