Tedgui A, Mallat Z
INSERM U141, Hôpital Lariboisière, Paris.
Rev Prat. 1999 Dec 1;49(19):2081-6.
Atherosclerotic plaque formation involves 5 steps: 1. low density lipoprotein (LDL) accumulation in the intima; 2. oxidation of LDL; 3. recruitment of monocytes-macrophages; 4. uptake of oxidized LDL by macrophage scavenger receptors, and transformation of macrophages into foam cells; 5. formation of a fibrous cap containing smooth muscle cells, which permits stabilization of the plaque. At each step of this process, inflammatory cytokines are implicated making the atherosclerotic process a chronic inflammatory disease.
动脉粥样硬化斑块形成涉及5个步骤:1. 低密度脂蛋白(LDL)在内膜中积聚;2. LDL氧化;3. 单核细胞-巨噬细胞募集;4. 巨噬细胞清道夫受体摄取氧化型LDL,并将巨噬细胞转化为泡沫细胞;5. 形成含有平滑肌细胞的纤维帽,从而使斑块得以稳定。在这一过程的每个步骤中,炎症细胞因子都参与其中,使得动脉粥样硬化过程成为一种慢性炎症性疾病。