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使用非侵入性血管生物标志物对非感染性原发性血管炎中的血管损伤进行广泛表型分析:患病率、发病机制及治疗反应

Extensive phenotyping of vascular damage in non-infectious primary vasculitides with the use of non-invasive vascular biomarkers: prevalence, pathogenesis and response to treatment.

作者信息

Agryropoulou Ourania, Protogerou Athanase, Argyris Antonis, Tzioufas Athanasios, Vlachoyiannopoulos Panayiotis

机构信息

Department of Pathophysiology, "Laiko" Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Mediterr J Rheumatol. 2018 Sep 27;29(3):173-177. doi: 10.31138/mjr.29.3.173. eCollection 2018 Sep.

Abstract

Non-Infectious Primary systemic vasculitides (NIPSV) encompass a subset of autoimmune diseases, characterized mainly by intramural inflammation of the vascular wall. The increased mortality that some exhibit is partially attributed to vascular complications involving both micro- and macro- circulation. Beyond the disease specific pathways of vascular damage, emerging evidence suggest that the classical pathways of arterial damage, namely, atheromatosis, inappropriate arterial remodeling and arteriosclerosis are accelerated in several NIPSV; thus participating in the development of vascular complications in NIPSV patients. The aim of the current research protocol is to optimize the understanding of vascular pathology in NIPSV and to identify useful, easy to measure, non-invasive vascular tools for the diagnosis and follow-up of NIPSV patients. Moreover, the study aims to generate hypothesis regarding the molecular basis of the association of inflammation with classical vascular pathology.

摘要

非感染性原发性系统性血管炎(NIPSV)是自身免疫性疾病的一个子集,主要特征是血管壁的壁内炎症。一些NIPSV所表现出的死亡率增加部分归因于涉及微循环和大循环的血管并发症。除了疾病特异性的血管损伤途径外,新出现的证据表明,在几种NIPSV中,动脉损伤的经典途径,即动脉粥样硬化、不适当的动脉重塑和动脉硬化会加速;从而参与了NIPSV患者血管并发症的发展。本研究方案的目的是优化对NIPSV血管病理学的理解,并识别用于NIPSV患者诊断和随访的有用、易于测量的非侵入性血管工具。此外,该研究旨在就炎症与经典血管病理学关联的分子基础提出假设。

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