Department of Biotechnology and Central Research Cell, MMEC, Maharishi Markandeshwar (Deemed to be University), Mullana, 133207 Ambala, Haryana, India.
Faculty of Applied Sciences and Biotechnology, Shoolini University, Solan, 173212 Himachal Pradesh, India.
Oxid Med Cell Longev. 2020 Sep 15;2020:5245308. doi: 10.1155/2020/5245308. eCollection 2020.
Dyslipidaemia has a prominent role in the onset of notorious atherosclerosis, a disease of medium to large arteries. Atherosclerosis is the prime root of cardiovascular events contributing to the most considerable number of morbidity and mortality worldwide. Factors like cellular senescence, genetics, clonal haematopoiesis, sedentary lifestyle-induced obesity, or diabetes mellitus upsurge the tendency of atherosclerosis and are foremost pioneers to definitive transience. Accumulation of oxidized low-density lipoproteins (Ox-LDLs) in the tunica intima triggers the onset of this disease. In the later period of progression, the build-up plaques rupture ensuing thrombosis (completely blocking the blood flow), causing myocardial infarction, stroke, and heart attack, all of which are common atherosclerotic cardiovascular events today. The underlying mechanism is very well elucidated in literature but the therapeutic measures remains to be unleashed. Researchers tussle to demonstrate a clear understanding of treating mechanisms. A century of research suggests that lowering LDL, statin-mediated treatment, HDL, and lipid-profile management should be of prime interest to retard atherosclerosis-induced deaths. We shall brief the Ox-LDL-induced atherogenic mechanism and the treating measures in line to impede the development and progression of atherosclerosis.
血脂异常在恶名昭著的动脉粥样硬化发病中起着重要作用,这是一种大中动脉疾病。动脉粥样硬化是导致全球发病率和死亡率最高的心血管事件的主要根源。细胞衰老、遗传、克隆性造血、久坐不动的生活方式引起的肥胖或糖尿病等因素会增加动脉粥样硬化的倾向,并成为明确的短暂性疾病的首要先驱。在动脉粥样硬化的进展后期,氧化型低密度脂蛋白(Ox-LDL)在血管内膜中的堆积引发了这种疾病的发生。在疾病进展的后期,斑块的堆积会导致破裂,进而引发血栓形成(完全阻塞血流),导致心肌梗死、中风和心脏病发作,所有这些都是当今常见的动脉粥样硬化心血管事件。文献中已经很好地阐明了潜在的发病机制,但治疗措施仍有待释放。研究人员努力证明对治疗机制有清晰的理解。一个世纪的研究表明,降低 LDL、他汀类药物治疗、HDL 和血脂谱管理应该是减缓动脉粥样硬化相关死亡的首要关注点。我们将简要介绍 Ox-LDL 诱导的动脉粥样硬化发病机制和治疗措施,以阻止动脉粥样硬化的发生和发展。