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衰老与血脂异常:潜在机制的综述。

Aging and dyslipidemia: a review of potential mechanisms.

机构信息

Division of Dyslipidemia, State Key Laboratory of Cardiovascular Disease, Fu Wai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.

Division of Dyslipidemia, State Key Laboratory of Cardiovascular Disease, Fu Wai Hospital, National Center for Cardiovascular Disease, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100037, China.

出版信息

Ageing Res Rev. 2015 Jan;19:43-52. doi: 10.1016/j.arr.2014.12.001. Epub 2014 Dec 8.

Abstract

Elderly adults constitute a rapidly growing part of the global population, thus resulting in an increase in morbidity and mortality related to cardiovascular disease (CVD), which remains the major cause of death in elderly population, including men and women. Dyslipidemia is a well-established risk factor for CVD and is estimated to account for more than half of the worldwide cases of coronary artery disease (CAD). Many studies have shown a strong correlation between serum cholesterol levels and risk of developing CAD. In this paper, we review the changes of plasma lipids that occur in men and women during aging and the potential mechanisms of age-related disorders of lipoprotein metabolism covering humans and/or animals, in which changes of the liver sinusoidal endothelium, postprandial lipemia, insulin resistance induced by free fatty acid (FFA), growth hormone (GH), androgen (only for men) and expression and activity of peroxisome proliferator-activated receptor α (PPARα) are mainly focused.

摘要

老年人是全球人口中增长最快的一部分,因此与心血管疾病(CVD)相关的发病率和死亡率有所增加,CVD 仍然是包括男性和女性在内的老年人群的主要死亡原因。血脂异常是 CVD 的一个既定危险因素,据估计,全世界超过一半的冠心病(CAD)病例与此有关。许多研究表明,血清胆固醇水平与发生 CAD 的风险之间存在很强的相关性。在本文中,我们综述了在人类和/或动物中,随着年龄的增长,男性和女性血浆脂质发生的变化,以及与脂蛋白代谢相关的年龄相关性紊乱的潜在机制,其中重点关注了肝窦内皮细胞、餐后脂血症、游离脂肪酸(FFA)诱导的胰岛素抵抗、生长激素(GH)、雄激素(仅适用于男性)以及过氧化物酶体增殖物激活受体 α(PPARα)的表达和活性的变化。

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