Han Zhongyu, Liu Qiong, Li Hongpeng, Zhang Meiqi, You Luling, Lin Yumeng, Wang Ke, Gou Qiaoyin, Wang Zhanzhan, Zhou Shuwei, Cai YiJin, Yuan Lan, Chen Haoran
School of Medical and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Eye School of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Front Cardiovasc Med. 2023 Jun 2;10:1113827. doi: 10.3389/fcvm.2023.1113827. eCollection 2023.
Cardiovascular and cerebrovascular diseases are the number one killer threatening people's life and health, among which cardiovascular thrombotic events are the most common. As the cause of particularly serious cardiovascular events, thrombosis can trigger fatal crises such as acute coronary syndrome (myocardial infarction and unstable angina), cerebral infarction and so on. Circulating monocytes are an important part of innate immunity. Their main physiological functions are phagocytosis, removal of injured and senescent cells and their debris, and development into macrophages and dendritic cells. At the same time, they also participate in the pathophysiological processes of pro-coagulation and anticoagulation. According to recent studies, monocytes have been found to play a significant role in thrombosis and thrombotic diseases of the immune system. In this manuscript, we review the relationship between monocyte subsets and cardiovascular thrombotic events and analyze the role of monocytes in arterial thrombosis and their involvement in intravenous thrombolysis. Finally, we summarize the mechanism and therapeutic regimen of monocyte and thrombosis in hypertension, antiphospholipid syndrome, atherosclerosis, rheumatic heart disease, lower extremity deep venous thrombosis, and diabetic nephropathy.
心血管疾病和脑血管疾病是威胁人们生命健康的头号杀手,其中心血管血栓事件最为常见。作为特别严重心血管事件的病因,血栓形成可引发致命危机,如急性冠脉综合征(心肌梗死和不稳定型心绞痛)、脑梗死等。循环单核细胞是固有免疫的重要组成部分。它们的主要生理功能是吞噬作用、清除受损和衰老细胞及其碎片,并发育为巨噬细胞和树突状细胞。同时,它们也参与促凝血和抗凝的病理生理过程。根据最近的研究,已发现单核细胞在免疫系统的血栓形成和血栓性疾病中起重要作用。在本手稿中,我们综述了单核细胞亚群与心血管血栓事件之间的关系,并分析了单核细胞在动脉血栓形成中的作用及其在静脉溶栓中的参与情况。最后,我们总结了单核细胞与血栓形成在高血压、抗磷脂综合征、动脉粥样硬化、风湿性心脏病、下肢深静脉血栓形成和糖尿病肾病中的机制及治疗方案。