The Fourth School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou 310053, China.
Department of Neurology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
Medicina (Kaunas). 2023 Aug 14;59(8):1461. doi: 10.3390/medicina59081461.
Atherosclerosis (AS) is a disease dangerous to human health and the main pathological cause of ischemic cardiovascular diseases. Although its pathogenesis is not fully understood, numerous basic and clinical studies have shown that AS is a chronic inflammatory disease existing in all stages of atherogenesis. It may be a common link or pathway in the pathogenesis of multiple atherogenic factors. Inflammation is associated with AS complications, such as plaque rupture and ischemic cerebral infarction. In addition to inflammation, apoptosis plays an important role in AS. Apoptosis is a type of programmed cell death, and different apoptotic cells have different or even opposite roles in the process of AS. Unlike linear RNA, circular RNA (circRNA) a covalently closed circular non-coding RNA, is stable and can sponge miRNA, which can affect the stages of AS by regulating downstream pathways. Ultimately, circRNAs play very important roles in AS by regulating inflammation, apoptosis, and some other mechanisms. The study of circular RNAs can provide new ideas for the prediction, prevention, and treatment of AS.
动脉粥样硬化(AS)是一种危害人类健康的疾病,也是缺血性心血管疾病的主要病理原因。虽然其发病机制尚未完全阐明,但大量的基础和临床研究表明,AS 是动脉粥样硬化发生的各个阶段均存在的慢性炎症性疾病,可能是多种致动脉粥样硬化因素发病机制中的共同环节或途径。炎症与 AS 的并发症有关,如斑块破裂和缺血性脑梗死。除了炎症,细胞凋亡在 AS 中也起着重要作用。细胞凋亡是一种程序性细胞死亡,不同的凋亡细胞在 AS 过程中具有不同甚至相反的作用。与线性 RNA 不同,环状 RNA(circRNA)是一种共价闭合的环状非编码 RNA,具有稳定性,并可以通过海绵吸附 miRNA,从而通过调节下游途径影响 AS 的各个阶段。最终,circRNA 通过调节炎症、细胞凋亡和其他一些机制在 AS 中发挥非常重要的作用。环状 RNA 的研究可为 AS 的预测、预防和治疗提供新的思路。