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基于外泌体的心血管疾病预后生物标志物

Exosomes-Based Biomarkers for the Prognosis of Cardiovascular Diseases.

作者信息

Bei Yihua, Yu Pujiao, Cretoiu Dragos, Cretoiu Sanda Maria, Xiao Junjie

机构信息

Cardiac Regeneration and Ageing Lab, School of Life Science, Shanghai University, 333 Nan Chen Road, Shanghai, 200444, China.

Department of Cardiology, Tongji Hospital, Tongji University School of Medicine, Shanghai, 200065, China.

出版信息

Adv Exp Med Biol. 2017;998:71-88. doi: 10.1007/978-981-10-4397-0_5.

Abstract

Cardiovascular diseases (CVDs) have a high prevalence and annually increasing incidence with high mortality and morbidity. Identification of biomarkers with high sensitivity and specificity for assessing the prognosis of CVDs is necessary for optimizing personalized treatment and reducing mortality. Exosomes have been proved to be accessible in nearly all body fluids and they can reflect disease stage or progression. Here we summarized exosomes-based biomarkers for the prognosis of coronary artery diseases, heart failure, stroke, hypertension, cardiac arrhythmia, cardiomyopathy, valvular heart diseases and pulmonary arterial hypertension. If exosome-based biomarkers can achieve additionally benefits as compared to the present prognostic biomarkers remains to be determined and multicenter studies with large cohorts of patients are highly needed.

摘要

心血管疾病(CVDs)患病率高,发病率逐年上升,死亡率和发病率也很高。识别具有高敏感性和特异性的生物标志物以评估心血管疾病的预后,对于优化个性化治疗和降低死亡率至关重要。已证明外泌体几乎在所有体液中都可获取,并且它们能够反映疾病阶段或进展。在此,我们总结了基于外泌体的生物标志物在冠状动脉疾病、心力衰竭、中风、高血压、心律失常、心肌病、心脏瓣膜病和肺动脉高压预后中的应用。与目前的预后生物标志物相比,基于外泌体的生物标志物是否能带来额外益处仍有待确定,因此非常需要开展针对大量患者队列的多中心研究。

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