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聚焦 NLRP3 炎性小体的潜在激活机制及其在动脉粥样硬化中的作用:综述。

A Spotlight on the Underlying Activation Mechanisms of the NLRP3 Inflammasome and its Role in Atherosclerosis: A Review.

机构信息

Riphah Institute of Pharmaceutical Sciences, Riphah International University, Islamabad, 44000, Pakistan.

Armed Forces Institute of Cardiology, National Institute of Heart Diseases, Rawalpindi, Pakistan.

出版信息

Inflammation. 2020 Dec;43(6):2011-2020. doi: 10.1007/s10753-020-01290-1.

Abstract

The world's number one cause of death is cardiovascular diseases. The pathogenesis of different disease entities in the cardiovascular disease spectrum is complicated and multifactorial. Inflammation in these complicated etiologies serves as a key position and is a significant cause of atherosclerosis, which contributes to the underlying pathology. Therefore, therapeutic targeting of inflammatory pathways in patients with cardiovascular diseases such as atherosclerosis enhances cardiovascular results. Inflammasomes are intracellular protein complexes engaged in atherosclerosis pathogenesis and activated by multiple danger signals. Emerging proof has revealed that Nod-like receptor protein 3 (NLRP3) inflammasome, which regulates caspase-1 activation and later pro-interleukin processing, triggers inflammatory reactions in the vascular wall and leads to atherosclerotic plaque formation. Inflammasome-mediated signaling interference could decrease inflammation and mitigate illness severity. In this section, we provide an overview of the present literature on the underlying mechanisms leading to the activation of NLRP3 inflammasome and the role of NLRP3 inflammasome in the progression of atherogenesis and highlight the possibility of therapeutic interventions due to mechanisms involved in the of inhibition of NLRP3 activation.

摘要

全球头号死因是心血管疾病。心血管疾病谱中不同疾病实体的发病机制复杂且多因素。在这些复杂病因中,炎症起着关键作用,是动脉粥样硬化的重要病因,导致潜在的病理学改变。因此,针对动脉粥样硬化等心血管疾病患者的炎症途径进行治疗,可以改善心血管结果。炎性小体是参与动脉粥样硬化发病机制的细胞内蛋白复合物,可被多种危险信号激活。新出现的证据表明,Nod 样受体蛋白 3(NLRP3)炎性小体调节半胱天冬酶-1 的激活和随后的白细胞介素前体加工,引发血管壁的炎症反应,导致动脉粥样硬化斑块形成。炎性小体介导的信号干扰可以减少炎症并减轻疾病严重程度。在本节中,我们概述了目前关于导致 NLRP3 炎性小体激活的潜在机制的文献,并强调了 NLRP3 炎性小体在动脉粥样形成进展中的作用,并突出了由于涉及抑制 NLRP3 激活的机制而进行治疗干预的可能性。

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