Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea.
Korean Circ J. 2013 Feb;43(2):73-9. doi: 10.4070/kcj.2013.43.2.73. Epub 2013 Feb 28.
Arterial ageing is characterized by age associated degeneration and sclerosis of the media layer of the large arteries. However, besides ageing, clinical conditions, which enhance oxidative stress and inflammation act to accelerate the degree of arterial ageing. In this review, we summarized the pathophysiology and contributing factors that accelerate arterial ageing. Among them, we focused on hypertension, the renin-angiotensin-aldosterone system and vascular inflammation which are modifiable causes of the arterial ageing process. Also, novel treatment targets derived from the disease models such as the Hutchinson Gilford Progeria Syndrome were reviewed.
动脉老化的特征是大动脉中层伴随年龄增长而发生退行性变和硬化。然而,除了衰老,增强氧化应激和炎症的临床条件也会加速动脉老化的程度。在这篇综述中,我们总结了加速动脉老化的病理生理学和促成因素。其中,我们重点关注高血压、肾素-血管紧张素-醛固酮系统和血管炎症,这些都是动脉老化过程中可改变的原因。此外,还回顾了源自疾病模型的新的治疗靶点,如哈钦森-吉尔福德早衰综合征。