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先天性心脏病相关肺动脉高压患者血清激活素A水平升高:来自COHARD-PH注册研究的比较分析

Increased serum activin A level in congenital heart disease-associated pulmonary artery hypertension: A comparative study from the COHARD-PH registry.

作者信息

Hadwiono Muhammad R, Hartopo Anggoro B, Wasityastuti Widya, Anggrahini Dyah W, Ryanto Gusty R T, Emoto Noriaki, Dinarti Lucia K

机构信息

Department of Cardiology and Vascular Medicine, Faculty of Medicine Public Health and Nursing Universitas Gadjah Mada - Dr. Sardjito Hospital Yogyakarta Indonesia.

Master in Biomedical Sciences Program, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada Yogyakarta Indonesia.

出版信息

Pulm Circ. 2023 Aug 21;13(3):e12280. doi: 10.1002/pul2.12280. eCollection 2023 Jul.

DOI:10.1002/pul2.12280
PMID:37609359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10440839/
Abstract

Activin A, a member of TGF-β superfamily, has been implicated in the pathogenesis of pulmonary artery hypertension (PAH). PAH due to congenital heart disease (CHD-PAH) is a major problem in developing countries. Activin A may have a role in PAH development and progression among uncorrected CHD. In this comparative study, serum activin A level was significantly increased in subjects with uncorrected CHD without the presence of PH and were more significantly risen in CHD-PAH, as compared to control. The utilization of serum activin A measurement seems promising to identify uncorrected CHD patients with PAH development and progression.

摘要

激活素A是转化生长因子-β超家族的成员之一,与肺动脉高压(PAH)的发病机制有关。先天性心脏病所致的PAH(CHD-PAH)是发展中国家的一个主要问题。激活素A可能在未矫正的先天性心脏病患者发生PAH及病情进展中起作用。在这项对比研究中,与对照组相比,未矫正的先天性心脏病且无肺动脉高压(PH)的受试者血清激活素A水平显著升高,而CHD-PAH患者血清激活素A水平升高更显著。检测血清激活素A水平似乎有望识别有PAH发生及病情进展的未矫正先天性心脏病患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd0/10440839/34efda22ce1e/PUL2-13-e12280-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd0/10440839/2ffce34e740b/PUL2-13-e12280-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd0/10440839/34efda22ce1e/PUL2-13-e12280-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd0/10440839/2ffce34e740b/PUL2-13-e12280-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd0/10440839/34efda22ce1e/PUL2-13-e12280-g002.jpg

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本文引用的文献

1
Serum and Pulmonary Expression Profiles of the Activin Signaling System in Pulmonary Arterial Hypertension.血清和肺组织中激活素信号系统在肺动脉高压中的表达谱。
Circulation. 2023 Jun 13;147(24):1809-1822. doi: 10.1161/CIRCULATIONAHA.122.061501. Epub 2023 Apr 25.
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Usefulness of Combining NT-proBNP Level and Right Atrial Diameter for Simple and Early Noninvasive Detection of Pulmonary Hypertension Among Adult Patients with Atrial Septal Defect.联合NT-proBNP水平与右心房直径用于成年房间隔缺损患者肺动脉高压的简单早期无创检测的效用
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Pathophysiology and pathogenic mechanisms of pulmonary hypertension: role of membrane receptors, ion channels, and Ca signaling.
肺动脉高压的病理生理学和发病机制:膜受体、离子通道和 Ca 信号的作用。
Physiol Rev. 2023 Jul 1;103(3):1827-1897. doi: 10.1152/physrev.00030.2021. Epub 2022 Nov 24.
4
2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension.2022年欧洲心脏病学会/欧洲呼吸学会肺动脉高压诊断和治疗指南。
Eur Heart J. 2022 Oct 11;43(38):3618-3731. doi: 10.1093/eurheartj/ehac237.
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Pulmonary Arterial Hypertension in Indonesia: Current Status and Local Application of International Guidelines.印度尼西亚肺动脉高压:当前状况和国际指南的本土化应用。
Glob Heart. 2021 Apr 20;16(1):23. doi: 10.5334/gh.944.
6
An endothelial activin A-bone morphogenetic protein receptor type 2 link is overdriven in pulmonary hypertension.肺高血压中内皮细胞激活素 A-骨形态发生蛋白受体 2 联系被过度驱动。
Nat Commun. 2021 Mar 19;12(1):1720. doi: 10.1038/s41467-021-21961-3.
7
Targeting transforming growth factor-β receptors in pulmonary hypertension.靶向肺动脉高压中的转化生长因子-β受体。
Eur Respir J. 2021 Feb 4;57(2). doi: 10.1183/13993003.02341-2020. Print 2021 Feb.
8
Serum soluble suppression of tumorigenicity-2 level associates with severity of pulmonary hypertension associated with uncorrected atrial septal defect.血清可溶性致瘤性抑制因子2水平与未矫正房间隔缺损相关的肺动脉高压严重程度相关。
Pulm Circ. 2020 May 26;10(2):2045894020915832. doi: 10.1177/2045894020915832. eCollection 2020 Apr-Jun.
9
ACTRIIA-Fc rebalances activin/GDF versus BMP signaling in pulmonary hypertension.ACTRIIA-Fc可在肺动脉高压中重新平衡激活素/生长分化因子与骨形态发生蛋白信号通路。
Sci Transl Med. 2020 May 13;12(543). doi: 10.1126/scitranslmed.aaz5660.
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Cardiol Res Pract. 2020 Jan 7;2020:7526508. doi: 10.1155/2020/7526508. eCollection 2020.