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[基于病理生理学的心血管生物标志物简短讲座]

[Brief lecture on cardiovascular biomarkers based on the pathophysiology].

作者信息

Shimada Toshio

机构信息

Clinical Research Center, Shizuoka General Hospital, Shizuoka Prefectural Hospital Organization, Shizuoka 420-8527, Japan.

出版信息

Rinsho Byori. 2011 Oct;59(10):958-69.

Abstract

Living organisms on the earth live dependent on the sun. Human beings are unexceptional. Plants with chlorophyll on the earth capture energy radiated from the sun and produce carbohydrate and oxygen from carbon dioxide and water using the energy from the sun. Herbivorous animals eat plants, carnivorous ones eat herbivorous ones and human beings eat both with a small amount of vitamins and minerals. Food including carbohydrate, protein and lipid which is digested by the gastroenteric system and mainly absorbed through the small intestine. Finally, nutrients from the digestive system and oxygen from the lungs are brought to the cells or the tissue through the cardiovascular system. Acetyl-CoA from food and oxygen from the lungs are chemically burned in the mitochondria to produce a lot of ATP. On the way of ATP production, unfavorable free radicals are inevitably produced to result in cancer and/or atherosclerosis. Cardiovascular system delivers oxygen and nutrients to the tissue or the cells. Literally, it is a pipe line for life support and then we must maintain cardiovascular system well to live long in good health. And therefore, it is essential to find cardiovascular abnormality as early as possible. Cardiovascular biomarkers such as BNP and NT-proBNP for screening for heart failure, RemL-C for screening for metabolic syndrome, cystatin C for screening for renal impairment and high sensitive troponin I, T for screening for ischemic myocardial damage have been greatly expected as tools to find early cardiovascular disorders for long survival in health examination and clinical practice.

摘要

地球上的生物依赖太阳生存。人类也不例外。地球上带有叶绿素的植物捕获太阳辐射的能量,并利用太阳能从二氧化碳和水中产生碳水化合物和氧气。食草动物以植物为食,食肉动物以食草动物为食,而人类则食用这两者,并摄入少量维生素和矿物质。包括碳水化合物、蛋白质和脂质的食物由胃肠系统消化,并主要通过小肠吸收。最后,来自消化系统的营养物质和来自肺部的氧气通过心血管系统输送到细胞或组织。食物中的乙酰辅酶A和肺部的氧气在线粒体中发生化学反应燃烧,产生大量三磷酸腺苷(ATP)。在ATP产生的过程中,不可避免地会产生有害自由基,从而导致癌症和/或动脉粥样硬化。心血管系统为组织或细胞输送氧气和营养物质。从字面上看,它是维持生命的管道,因此我们必须很好地维护心血管系统,才能健康长寿。因此,尽早发现心血管异常至关重要。作为在健康检查和临床实践中用于发现早期心血管疾病以实现长期健康生存的工具,诸如用于筛查心力衰竭的脑钠肽(BNP)和N末端脑钠肽前体(NT-proBNP)、用于筛查代谢综合征的残余样颗粒胆固醇(RemL-C)、用于筛查肾功能损害的胱抑素C以及用于筛查缺血性心肌损伤的高敏肌钙蛋白I和T等心血管生物标志物一直备受期待。

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