Wolf D, Ley K
Abteilung für Kardiologie und Angiologie I, Universitäts-Herzzentrum Freiburg, Freiburg, Deutschland.
Medizinische Fakultät, Universität Freiburg, Freiburg, Deutschland.
Herz. 2019 Apr;44(2):107-120. doi: 10.1007/s00059-019-4790-y.
There is now overwhelming experimental and clinical evidence that atherosclerosis is a chronic inflammatory disease. Lessons from genome-wide association studies, advanced in vivo imaging techniques, transgenic lineage tracing mice, and clinical interventional studies have shown that both innate and adaptive immune mechanisms can accelerate or curb atherosclerosis. Here, we summarize and discuss the pathogenesis of atherosclerosis with a focus on adaptive immunity. We discuss some limitations of animal models and the need for models that are tailored to better translate to human atherosclerosis and ultimately progress in prevention and treatment.
目前,大量的实验和临床证据表明动脉粥样硬化是一种慢性炎症性疾病。全基因组关联研究、先进的体内成像技术、转基因谱系追踪小鼠以及临床干预研究的经验表明,先天性和适应性免疫机制均可加速或抑制动脉粥样硬化。在此,我们总结并讨论动脉粥样硬化的发病机制,重点关注适应性免疫。我们讨论了动物模型的一些局限性,以及需要定制更适合转化为人类动脉粥样硬化并最终在预防和治疗方面取得进展的模型。