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理解非编码 RNA(ncRNA)在支架再狭窄中的作用。

Understanding the role of non-coding RNA (ncRNA) in stent restenosis.

机构信息

Department of Cardiology, The Affiliated Hospital of Qingdao University, 266000, People's Republic of China.

Institue for Translational Medicine, Qingdao University, 266021, People's Republic of China.

出版信息

Atherosclerosis. 2018 May;272:153-161. doi: 10.1016/j.atherosclerosis.2018.03.036. Epub 2018 Mar 22.

Abstract

Coronary heart disease (CHD) is one of the leading disorders with the highest mortality rate. Percutaneous angioplasty and stent implantation are the currently available standard methods for the treatment of obstructive coronary artery disease. However, the stent being an exogenous substance causes several complications by promoting the proliferation of vascular smooth muscle cells, immune responses and neointima formation after implantation, leading to post-stent restenosis (ISR) and late thrombosis. The prevention of these adverse vascular events is important to achieve long-term proper functioning of the heart after stent implantation. Non-coding ribonucleic acids (ncRNAs) are RNA molecules not translated into proteins, theyhave a great potential in regulating endothelial cell and vascular smooth muscle function as well as inflammatory reactions. In this review, we outline the regulatory functions of different classes of ncRNA in cardiovascular disease and propose ncRNAs as new targets for stent restonosis treatment.

摘要

冠心病(CHD)是死亡率最高的主要疾病之一。经皮血管成形术和支架植入术是目前治疗阻塞性冠状动脉疾病的标准方法。然而,支架作为一种外源性物质,通过促进血管平滑肌细胞的增殖、免疫反应和植入后的新生内膜形成,导致支架内再狭窄(ISR)和晚期血栓形成,从而引起多种并发症。预防这些不良血管事件对于支架植入后心脏的长期正常功能非常重要。非编码核糖核酸(ncRNAs)是不翻译成蛋白质的 RNA 分子,它们在调节内皮细胞和血管平滑肌功能以及炎症反应方面具有很大的潜力。在这篇综述中,我们概述了不同种类的 ncRNA 在心血管疾病中的调节功能,并提出 ncRNAs 作为支架再狭窄治疗的新靶点。

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