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主动脉瘤的机制与治疗。

The mechanism and therapy of aortic aneurysms.

机构信息

The Institute of Cardiovascular Sciences and Institute of Systems Biomedicine, School of Basic Medical Sciences, Key Laboratory of Molecular Cardiovascular Science of Ministry of Education, NHC Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides, Beijing Key Laboratory of Cardiovascular Receptors Research, Health Science Center, Peking University, 100191, Beijing, China.

Department of Cardiology and Institute of Vascular Medicine, Peking University Third Hospital, NHC Key Laboratory of Cardiovascular Molecular Biology and Regulatory Peptides, Key Laboratory of Molecular Cardiovascular Science, Ministry of Education, Beijing Key Laboratory of Cardiovascular Receptors Research, Research Unit of Medical Science Research Management/Basic and Clinical Research of Metabolic Cardiovascular Diseases, Chinese Academy of Medical Sciences, 100191, Beijing, China.

出版信息

Signal Transduct Target Ther. 2023 Feb 3;8(1):55. doi: 10.1038/s41392-023-01325-7.

Abstract

Aortic aneurysm is a chronic aortic disease affected by many factors. Although it is generally asymptomatic, it poses a significant threat to human life due to a high risk of rupture. Because of its strong concealment, it is difficult to diagnose the disease in the early stage. At present, there are no effective drugs for the treatment of aneurysms. Surgical intervention and endovascular treatment are the only therapies. Although current studies have discovered that inflammatory responses as well as the production and activation of various proteases promote aortic aneurysm, the specific mechanisms remain unclear. Researchers are further exploring the pathogenesis of aneurysms to find new targets for diagnosis and treatment. To better understand aortic aneurysm, this review elaborates on the discovery history of aortic aneurysm, main classification and clinical manifestations, related molecular mechanisms, clinical cohort studies and animal models, with the ultimate goal of providing insights into the treatment of this devastating disease. The underlying problem with aneurysm disease is weakening of the aortic wall, leading to progressive dilation. If not treated in time, the aortic aneurysm eventually ruptures. An aortic aneurysm is a local enlargement of an artery caused by a weakening of the aortic wall. The disease is usually asymptomatic but leads to high mortality due to the risk of artery rupture.

摘要

主动脉瘤是一种受多种因素影响的慢性主动脉疾病。虽然它通常没有症状,但由于破裂的风险很高,对人类生命构成重大威胁。由于其隐匿性很强,在早期很难诊断出这种疾病。目前,还没有治疗动脉瘤的有效药物。手术干预和血管内治疗是唯一的治疗方法。尽管目前的研究已经发现炎症反应以及各种蛋白酶的产生和激活促进了主动脉瘤的形成,但具体的机制仍不清楚。研究人员正在进一步探索动脉瘤的发病机制,以寻找新的诊断和治疗靶点。为了更好地了解主动脉瘤,本文详细阐述了主动脉瘤的发现历史、主要分类和临床表现、相关分子机制、临床队列研究和动物模型,以期为治疗这种破坏性疾病提供新的思路。动脉瘤疾病的根本问题是主动脉壁的弱化,导致进行性扩张。如果不及时治疗,主动脉瘤最终会破裂。主动脉瘤是由主动脉壁弱化引起的动脉局部扩张。这种疾病通常没有症状,但由于动脉破裂的风险很高,导致死亡率很高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19a6/9898314/1391738ae939/41392_2023_1325_Fig1_HTML.jpg

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