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[高血压血管重塑的分子机制与中医干预]

[Molecular mechanism of vascular remodeling in hypertension and Chinese medicine intervention].

作者信息

Zhang Chan-Juan, Shi Ya-Ning, Liao Duan-Fang, DU Ke, Qin Li

机构信息

Department of Pharmacology, School of Pharmacy, Hunan University of Chinese Medicine, Changsha 410208, China.

Division of Stem Cell Regulation and Application, Hunan University of Chinese Medicine, Changsha 410208, China.

出版信息

Sheng Li Xue Bao. 2019 Apr 25;71(2):235-247.

Abstract

Vascular remodeling is a significant pathological characteristic of hypertension, which is regulated by complex regulatory networks. The vascular remodeling may be adaptive initially, however it becomes maladaptive and decompensation eventually and further compromises target organ function, leading to hypertensive cardiovascular complications. This review focuses on the role and mechanisms of vascular remodeling in the pathogenesis and progression of hypertension and its complications. Moreover, the strategies of syndrome differentiation of traditional Chinese medicine application provide clinical and theoretical evidences for hypertensive vascular remodeling therapy. A better understanding of underlying signaling pathways, therapeutic targets in vascular remodeling, as well as screening of active ingredients from traditional Chinese medicine may be able to provide some effective approaches for vascular protection in hypertensive diseases.

摘要

血管重塑是高血压的一个重要病理特征,受复杂调控网络的调节。血管重塑最初可能是适应性的,但最终会变得适应不良和失代偿,并进一步损害靶器官功能,导致高血压心血管并发症。本综述重点关注血管重塑在高血压及其并发症的发病机制和进展中的作用及机制。此外,中医辨证应用策略为高血压血管重塑治疗提供临床和理论依据。更好地理解潜在的信号通路、血管重塑中的治疗靶点以及从中药中筛选活性成分,可能为高血压疾病的血管保护提供一些有效方法。

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