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综述:动脉粥样硬化的病理学和分子生物学研究。

A review: Pathological and molecular biological study on atherosclerosis.

机构信息

State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China.

State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China.

出版信息

Clin Chim Acta. 2022 Jun 1;531:217-222. doi: 10.1016/j.cca.2022.04.012. Epub 2022 Apr 14.

DOI:10.1016/j.cca.2022.04.012
PMID:35429487
Abstract

Atherosclerosis is a disease in which the arterial intima thickens and transforms into a sclerotic plaque, interfering with normal blood flow and potentially leading to stroke or death. It is divided into three stages: the pre-stage, which is characterized by diffuse intimal thickenings (DITs) and fatty streaks, the early atherosclerotic stage, which is characterized by pathological intimal thickening (PIT), and the late stage, which is characterized by fibroatheromas transformed from PIT. Each stage of atherosclerosis is distinguished by distinct morphological changes, biological changes, and the expression of immune markers at various levels. This review summarizes discoveries and achievements in microanatomy, ultrastructure, immunohistochemical staining, and molecular biology in the literature on atherosclerosis. Based on our research, we have emphasized common histological changes and pathological mechanisms of atherosclerosis in this review.

摘要

动脉粥样硬化是一种疾病,其特征为动脉内膜增厚并转化为硬化斑块,干扰正常血流并可能导致中风或死亡。它分为三个阶段:前阶段,其特征为弥漫性内膜增厚(DIT)和脂肪条纹;早期动脉粥样硬化阶段,其特征为病理性内膜增厚(PIT);晚期阶段,其特征为 PIT 转化而来的纤维粥样瘤。动脉粥样硬化的每个阶段都有不同的形态变化、生物学变化和不同水平免疫标志物的表达。本综述总结了动脉粥样硬化文献中在微观解剖学、超微结构、免疫组织化学染色和分子生物学方面的发现和成就。基于我们的研究,我们在本综述中强调了动脉粥样硬化的常见组织学变化和病理机制。

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1
A review: Pathological and molecular biological study on atherosclerosis.综述:动脉粥样硬化的病理学和分子生物学研究。
Clin Chim Acta. 2022 Jun 1;531:217-222. doi: 10.1016/j.cca.2022.04.012. Epub 2022 Apr 14.
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Natural progression of atherosclerosis from pathologic intimal thickening to late fibroatheroma in human coronary arteries: A pathology study.人类冠状动脉中动脉粥样硬化从病理性内膜增厚到晚期纤维粥样瘤的自然进展:一项病理学研究。
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Early human atherosclerosis: accumulation of lipid and proteoglycans in intimal thickenings followed by macrophage infiltration.早期人类动脉粥样硬化:脂质和蛋白聚糖在内膜增厚处积聚,随后巨噬细胞浸润。
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Sudden coronary death caused by pathologic intimal thickening without atheromatous plaque formation.病理性内膜增厚而无粥样斑块形成导致的冠状动脉猝死。
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Smooth muscle cell phenotypic switch: implications for foam cell formation.平滑肌细胞表型转换:对泡沫细胞形成的影响。
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[Numbers of cells and cell proliferation in intima of different human arteries].[不同人类动脉内膜中的细胞数量及细胞增殖情况]
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Pathologic intimal thickening in human atherosclerosis is formed by extracellular accumulation of plasma-derived lipids and dispersion of intimal smooth muscle cells.人动脉粥样硬化中的病理性内膜增厚是由血浆衍生脂质的细胞外积聚和内膜平滑肌细胞的分散形成的。
Atherosclerosis. 2018 Jul;274:235-242. doi: 10.1016/j.atherosclerosis.2018.03.039. Epub 2018 Mar 26.
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Current Advances in the Diagnostic Imaging of Atherosclerosis: Insights into the Pathophysiology of Vulnerable Plaque.动脉粥样硬化的诊断影像学新进展:易损斑块的病理生理学见解。
Int J Mol Sci. 2020 Apr 23;21(8):2992. doi: 10.3390/ijms21082992.
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Transitional features in human atherosclerosis. Intimal thickening, cholesterol clefts, and cell loss in human aortic fatty streaks.人类动脉粥样硬化中的过渡特征。人类主动脉脂肪条纹中的内膜增厚、胆固醇裂隙和细胞丢失。
Am J Pathol. 1993 Nov;143(5):1444-57.
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Cell proliferation in normal and atherosclerotic human aorta: proliferative splash in lipid-rich lesions.正常及动脉粥样硬化人主动脉中的细胞增殖:富含脂质病变中的增殖热点。
Atherosclerosis. 1998 Jul;139(1):41-8. doi: 10.1016/s0021-9150(98)00044-6.

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