Department of Anesthesiology and Intensive Care Medicine, University Hospital Bonn, Sigmund-Freud-Str. 25, D-53105 Bonn, Germany.
Cytokine Growth Factor Rev. 2015 Jun;26(3):281-91. doi: 10.1016/j.cytogfr.2014.10.013. Epub 2014 Nov 7.
Ischemia and reperfusion (I/R) are of fatal consequence for the affected organs, as they provoke a profound inflammatory reaction. This thoroughly destroys cells and tissues, inducing functional failure or even complete loss of organ function. Since I/R is primarily a vascular problem, the interaction between the endothelium and the surrounding environment is of great significance. The angiopoietins (ANG) and the TIE receptors are key players for the vascular homeostasis. This review summarizes biochemical and cellular mechanisms leading to I/R injury. After a brief introduction to the ANG/TIE system, a comprehensive overview of its role for the development of I/R syndrome is given. Finally, current therapeutic approaches to mitigate the consequences of I/R by modulating ANG/TIE signaling are reviewed in detail.
缺血再灌注(I/R)对受影响的器官是致命的,因为它们会引发强烈的炎症反应。这会彻底破坏细胞和组织,导致功能衰竭甚至器官功能完全丧失。由于 I/R 主要是一个血管问题,因此内皮细胞与周围环境的相互作用非常重要。血管生成素(ANG)和 TIE 受体是血管稳态的关键因素。这篇综述总结了导致 I/R 损伤的生化和细胞机制。在简要介绍 ANG/TIE 系统后,全面概述了其在 I/R 综合征发展中的作用。最后,详细回顾了通过调节 ANG/TIE 信号来减轻 I/R 后果的当前治疗方法。