Ma Sijia, Duan Shuzhong, Liu Ya, Wang Huanhuan
Department of Nephrology, Affiliated Hospital of Chengde Medical University, Chengde, Hebei Province, China.
Department of Nephrology, Affiliated Hospital of Chengde Medical University, Chengde, Hebei Province, China.
Ann Vasc Surg. 2022 Sep;85:444-453. doi: 10.1016/j.avsg.2022.04.030. Epub 2022 Apr 23.
Intimal hyperplasia (IH), a crucial histopathological injury, forms the basis of vascular stenosis and thrombogenesis. In addition, it is common in maladies such as stenosis at the anastomosis of arteriovenous fistula and restenosis after angioplasty. Various cellular and noncellular components play critical parts in the advancement of IH. This article reviews the distinctive components of IH, such as endothelial dysfunction, multiplication, and movement of vascular smooth muscle cells. Finally, in addition to synthesis of large amounts of extracellular matrix and inflammatory responses, which have frequently been studied in recent years, we offer a premise for clinical treatment with vascular smooth muscle cells.
内膜增生(IH)是一种关键的组织病理学损伤,是血管狭窄和血栓形成的基础。此外,它在诸如动静脉瘘吻合口狭窄和血管成形术后再狭窄等病症中很常见。各种细胞和非细胞成分在IH的进展中起关键作用。本文综述了IH的独特成分,如内皮功能障碍、血管平滑肌细胞的增殖和迁移。最后,除了近年来经常研究的大量细胞外基质合成和炎症反应外,我们还为血管平滑肌细胞的临床治疗提供了一个前提。