射血分数保留的心力衰竭中的慢性低度炎症。
Chronic low-grade inflammation in heart failure with preserved ejection fraction.
机构信息
Cedars-Sinai Medical Center, Smidt Heart Institute, Los Angeles, CA, USA.
Division of Cardiovascular Medicine, Department of Medicine, China Medical University and Hospital, Taichung, Taiwan.
出版信息
Aging Cell. 2021 Sep;20(9):e13453. doi: 10.1111/acel.13453. Epub 2021 Aug 12.
Heart failure (HF) with preserved ejection fraction (HFpEF) is currently the predominant form of HF with a dramatic increase in risk with age. Low-grade inflammation, as occurs with aging (termed "inflammaging"), is a common feature of HFpEF pathology. Suppression of proinflammatory pathways has been associated with attenuated HFpEF disease severity and better outcomes. From this perspective, inflammasome signaling plays a central role in mediating chronic inflammation and cardiovascular disease progression. However, the causal link between the inflammasome-immune signaling axis on the age-dependent progression of HFpEF remains conjectural. In this review, we summarize the current understanding of the role of inflammatory pathways in age-dependent cardiac function decline. We will also evaluate recent advances and evidence regarding the inflammatory pathway in the pathophysiology of HFpEF, with special attention to inflammasome signaling.
射血分数保留的心力衰竭(HFpEF)目前是心力衰竭的主要形式,随着年龄的增长,其风险显著增加。低度炎症是 HFpEF 病理学的一个常见特征,随着衰老而发生(称为“衰老性炎症”)。抑制促炎途径与减轻 HFpEF 疾病严重程度和改善结局相关。从这个角度来看,炎症小体信号在介导慢性炎症和心血管疾病进展中起着核心作用。然而,炎症小体-免疫信号轴与 HFpEF 年龄依赖性进展之间的因果关系仍然是推测性的。在这篇综述中,我们总结了目前对炎症途径在年龄相关心功能下降中的作用的理解。我们还将评估炎症途径在 HFpEF 病理生理学中的最新进展和证据,特别关注炎症小体信号。