Wu Tian, Guo Ren, Zhang Bikui
Department of Pharmacy, Third Xiangya Hospital; College of Pharmacy, Central South University, Changsha 410013, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2012 Apr;37(4):413-8. doi: 10.3969/j.issn.1672-7347.2012.04.017.
CD40/CD40L is a pair of complementary transmembrane glycoproteins, expressed on immune cells, endothelial cells, smooth muscle cells, platelets and other cells involved in regulation of immunity, inflammation, coagulation and other pathophysiologic states. A large number of researches have demonstrated that, when atherosclerosis occurs, CD40L ligates CD40; subsequently CD40 is activated and stimulates downstream signaling pathways, including nuclear factor-kappaB, with consequent up-regulation of proinflammatory and proatherogenic genes. Thus it plays an important role in the occurrence, development and plaque-rupture of atherosclerosis. CD40/CD40L is a bridge between immunity, inflammation, and a hypercoagulable state, and may be an important target for prevention and treatment of cardiovascular disease.
CD40/CD40L是一对互补的跨膜糖蛋白,表达于免疫细胞、内皮细胞、平滑肌细胞、血小板以及其他参与免疫、炎症、凝血等病理生理状态调节的细胞上。大量研究表明,动脉粥样硬化发生时,CD40L与CD40结合;随后CD40被激活并刺激下游信号通路,包括核因子-κB,从而导致促炎和促动脉粥样硬化基因上调。因此,它在动脉粥样硬化的发生、发展和斑块破裂中起重要作用。CD40/CD40L是免疫、炎症和高凝状态之间的桥梁,可能是心血管疾病预防和治疗的重要靶点。