Center for Interdisciplinary Cardiovascular Sciences, Harvard Medical School, Cardiovascular Division, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
Circ Res. 2013 Jun 7;112(12):1634-47. doi: 10.1161/CIRCRESAHA.113.301384.
Atherosclerosis is a chronic inflammatory disease driven by lipids and other atherogenic factors. It is characterized by a dynamic and complex pathological process of bone marrow-derived cells playing divergent roles. Recent studies have begun unraveling the contribution of growing varieties of subsets of immune cells and other bone marrow-derived cells to atherogenesis. For example, bone marrow-derived vascular progenitor cells have been shown to play an important role in the pathogenesis of atherosclerosis. This review provides an overview of the current understanding of contributions of bone marrow-derived cells to atherosclerosis. Particular focus is placed on myeloid cells and vascular progenitor cells. We also summarize the uncertainty surrounding cellular lineage identity and functions. Expansion of our understanding of pathological roles of various subsets of bone marrow-derived cells in atherosclerosis may lead to identification of novel cellular and molecular targets for development of therapeutic strategies.
动脉粥样硬化是一种由脂质和其他致动脉粥样硬化因素驱动的慢性炎症性疾病。其特征是骨髓来源的细胞在发挥不同作用时呈现出动态和复杂的病理过程。最近的研究开始揭示不断增加的各种免疫细胞亚群和其他骨髓来源细胞对动脉粥样硬化形成的贡献。例如,已经证明骨髓来源的血管祖细胞在动脉粥样硬化的发病机制中发挥重要作用。本综述提供了对骨髓来源细胞对动脉粥样硬化贡献的当前认识的概述。特别关注的是髓样细胞和血管祖细胞。我们还总结了细胞谱系身份和功能方面的不确定性。对各种骨髓来源细胞亚群在动脉粥样硬化中的病理作用的认识的扩展,可能会导致发现新的细胞和分子治疗靶点。