Department of Biochemistry, Faculty of Biological Sciences, Tarbiat Modares University, Tehran, Iran.
Cardiff School of Pharmacy and Pharmaceutical Sciences, Cardiff University, Cardiff, CF10 3NB. Wales, United Kingdom.
Curr Pharm Des. 2020;26(22):2583-2590. doi: 10.2174/1381612826666200504115045.
Chronic inflammation plays an extensive role in the onset and progression of metabolic disorders such as atherosclerosis, type 2 diabetes, gout and obesity. Atherosclerosis accounts for up to 70% mortality in patients with type 2 diabetes and is also a chronic condition that causes atrial stenosis due to a lipometabolism imbalance. The purpose of this article is to consider the inflammatory factors implicated in atherosclerosis and their role in the development and progression of this vascular disease. The inflammasome signaling pathway is an important inflammatory mechanism involved in the development of atherosclerosis. The most important inflammasome pathway in this respect is the NLRP3 inflammasome (Nucleotide-binding oligomerization domain (NOD)-like receptor with a pyrin domain 3), whose activation leads to the generation of important inflammatory cytokines including interleukins 1β and 18 (IL-1β and 18). The activities of these mature cytokines and inflammatory factors produced by other inflammatory pathways lead to arterial inflammation and eventually arterial occlusion, which can result in life-threatening complications such as myocardial infarction and stroke. Therefore, it is essential to seek out more precise mechanisms for the activation of inflammasomes and other inflammatory pathways for the development of therapeutic strategies of atherosclerosis.
慢性炎症在代谢紊乱的发生和进展中起着广泛的作用,如动脉粥样硬化、2 型糖尿病、痛风和肥胖症。动脉粥样硬化占 2 型糖尿病患者死亡人数的 70% ,也是一种慢性疾病,由于脂代谢失衡导致心房狭窄。本文的目的是考虑动脉粥样硬化中涉及的炎症因子及其在这种血管疾病的发生和进展中的作用。炎症小体信号通路是参与动脉粥样硬化发生的重要炎症机制。在这方面,最重要的炎症小体途径是 NLRP3 炎症小体(含 NOD 样受体的富含亮氨酸重复序列蛋白 3),其激活导致包括白细胞介素 1β 和 18(IL-1β 和 18)在内的重要炎症细胞因子的产生。这些成熟细胞因子和其他炎症途径产生的炎症因子的活性导致动脉炎症,最终导致动脉闭塞,从而导致危及生命的并发症,如心肌梗死和中风。因此,寻找炎症小体和其他炎症途径激活的更精确机制,对于动脉粥样硬化治疗策略的发展至关重要。