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代谢综合征的血管后果:啮齿动物模型、内皮功能障碍及当前治疗方法

The Vascular Consequences of Metabolic Syndrome: Rodent Models, Endothelial Dysfunction, and Current Therapies.

作者信息

Tran Vivian, De Silva T Michael, Sobey Christopher G, Lim Kyungjoon, Drummond Grant R, Vinh Antony, Jelinic Maria

机构信息

Department of Physiology, Anatomy and Microbiology, La Trobe University, Bundoora, VIC, Australia.

出版信息

Front Pharmacol. 2020 Mar 4;11:148. doi: 10.3389/fphar.2020.00148. eCollection 2020.

Abstract

Metabolic syndrome is characterized by visceral obesity, dyslipidemia, hyperglycemia and hypertension, and affects over one billion people. Independently, the components of metabolic syndrome each have the potential to affect the endothelium to cause vascular dysfunction and disrupt vascular homeostasis. Rodent models of metabolic syndrome have significantly advanced our understanding of this multifactorial condition. In this mini-review we compare the currently available rodent models of metabolic syndrome and consider their limitations. We also discuss the numerous mechanisms by which metabolic abnormalities cause endothelial dysfunction and highlight some common pathophysiologies including reduced nitric oxide production, increased reactive oxygen species and increased production of vasoconstrictors. Additionally, we explore some of the current therapeutics for the comorbidities of metabolic syndrome and consider how these benefit the vasculature.

摘要

代谢综合征的特征为内脏肥胖、血脂异常、高血糖和高血压,影响着超过十亿人。代谢综合征的各个组成部分独立来看都有可能影响内皮细胞,导致血管功能障碍并破坏血管稳态。代谢综合征的啮齿动物模型极大地推进了我们对这种多因素病症的理解。在这篇小型综述中,我们比较了目前可用的代谢综合征啮齿动物模型,并考量了它们的局限性。我们还讨论了代谢异常导致内皮功能障碍的多种机制,并强调了一些常见的病理生理学现象,包括一氧化氮生成减少、活性氧增加以及血管收缩剂生成增加。此外,我们探讨了目前针对代谢综合征合并症的一些治疗方法,并思考这些方法如何对脉管系统有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/168a/7064630/bfc13ad9d21b/fphar-11-00148-g001.jpg

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