From the Division of Cardiovascular Sciences, Vascular Biology and Hypertension Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Arterioscler Thromb Vasc Biol. 2021 Jan;41(1):179-185. doi: 10.1161/ATVBAHA.120.314346. Epub 2020 Oct 22.
Traditionally, much research effort has been invested into focusing on disease, understanding pathogenic mechanisms, identifying risk factors, and developing effective treatments. A few recent studies unraveling the basis for absence of disease, including cardiovascular disease, despite existing risk factors, a phenomenon commonly known as resilience, are adding new knowledge and suggesting novel therapeutic approaches. Given the central role of endothelial function in cardiovascular health, we herein provide a number of considerations that warrant future research and considering a paradigm shift toward identifying the molecular underpinnings of endothelial resilience.
传统上,大量的研究工作都集中在关注疾病、了解发病机制、识别风险因素和开发有效治疗方法上。最近有一些研究揭示了尽管存在风险因素,但仍存在不发病的基础,包括心血管疾病,这种现象通常被称为弹性,这为我们提供了新的知识,并提出了新的治疗方法。鉴于内皮功能在心血管健康中的核心作用,我们在此提供了一些需要进一步研究的考虑因素,并考虑向确定内皮弹性的分子基础转变的范式转变。