Sarkar Amrita, Rafiq Khadija
Center for Translational Medicine, Thomas Jefferson University, St, Philadelphia, PA 19107, United States.
Cardiovasc Hematol Disord Drug Targets. 2019;19(1):14-18. doi: 10.2174/1871529X18666180518101527.
Cardiovascular Disease (CVD) is a class of diseases that involve disorders of heart and blood vessels, including hypertension, coronary heart disease, cerebrovascular disease, peripheral vascular disease, which finally lead to Heart Failure (HF). There are several treatments available all over the world, but still, CVD and heart failure became the number one problem causing death every year worldwide. Both experimental and clinical studies have shown a role for inflammation in the pathogenesis of heart failure. This seems related to an imbalance between pro-inflammatory and anti-inflammatory cytokines. Cardiac inflammation is a major pathophysiological mechanism operating in the failing heart, regardless of HF aetiology. Disturbances of the cellular and humoral immune system are frequently observed in heart failure. This review describes how B-cells play a specific role in the heart failure states. There is an urgent need to identify novel therapeutic targets and develop advanced therapeutic strategies to combat the syndrome of HF. Understanding and describing the elements of the humoral immunity function are essential and may suggest potential new treatment strategies.
心血管疾病(CVD)是一类涉及心脏和血管紊乱的疾病,包括高血压、冠心病、脑血管疾病、外周血管疾病,最终会导致心力衰竭(HF)。全世界有多种治疗方法,但CVD和心力衰竭仍然是每年全球导致死亡的首要问题。实验和临床研究均表明炎症在心力衰竭的发病机制中起作用。这似乎与促炎细胞因子和抗炎细胞因子之间的失衡有关。无论心力衰竭的病因如何,心脏炎症都是衰竭心脏中起作用的主要病理生理机制。在心力衰竭中经常观察到细胞和体液免疫系统的紊乱。本综述描述了B细胞在心力衰竭状态中如何发挥特定作用。迫切需要确定新的治疗靶点并制定先进的治疗策略来对抗心力衰竭综合征。了解和描述体液免疫功能的要素至关重要,可能会提示潜在的新治疗策略。