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缺血性卒中中炎症介导的血管生成

Inflammation-Mediated Angiogenesis in Ischemic Stroke.

作者信息

Zhu Hua, Zhang Yonggang, Zhong Yi, Ye Yingze, Hu Xinyao, Gu Lijuan, Xiong Xiaoxing

机构信息

Department of Neurosurgery, Renmin Hospital of Wuhan University, Wuhan, China.

Central Laboratory, Renmin Hospital of Wuhan University, Wuhan, China.

出版信息

Front Cell Neurosci. 2021 Apr 21;15:652647. doi: 10.3389/fncel.2021.652647. eCollection 2021.

Abstract

Stroke is the leading cause of disability and mortality in the world, but the pathogenesis of ischemic stroke (IS) is not completely clear and treatments are limited. Mounting evidence indicate that neovascularization is a critical defensive reaction to hypoxia that modulates the process of long-term neurologic recovery after IS. Angiogenesis is a complex process in which the original endothelial cells in blood vessels are differentiated, proliferated, migrated, and finally remolded into new blood vessels. Many immune cells and cytokines, as well as growth factors, are directly or indirectly involved in the regulation of angiogenesis. Inflammatory cells can affect endothelial cell proliferation, migration, and activation by secreting a variety of cytokines via various inflammation-relative signaling pathways and thus participate in the process of angiogenesis. However, the mechanism of inflammation-mediated angiogenesis has not been fully elucidated. Hence, this review aimed to discuss the mechanism of inflammation-mediated angiogenesis in IS and to provide new ideas for clinical treatment of IS.

摘要

中风是全球致残和致死的主要原因,但缺血性中风(IS)的发病机制尚未完全明确,治疗方法也有限。越来越多的证据表明,新生血管形成是对缺氧的一种关键防御反应,可调节IS后长期神经功能恢复的过程。血管生成是一个复杂的过程,其中血管中的原始内皮细胞发生分化、增殖、迁移,最终重塑为新血管。许多免疫细胞、细胞因子以及生长因子直接或间接参与血管生成的调节。炎症细胞可通过各种与炎症相关的信号通路分泌多种细胞因子,从而影响内皮细胞的增殖、迁移和活化,进而参与血管生成过程。然而,炎症介导血管生成的机制尚未完全阐明。因此,本综述旨在探讨IS中炎症介导血管生成的机制,并为IS的临床治疗提供新思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6422/8096981/29c1472703d9/fncel-15-652647-g0001.jpg

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