Hecht A
Z Gesamte Inn Med. 1986 Jul 15;41(14):385-7.
Preliminarily is referred to essential aspects of the aetiology of arteriosclerosis with particular consideration of the disturbed lipoprotein metabolism. Morphologically in the centre of pathogenetic considerations is the behaviour of the endothelial cells, the smooth muscle cells and the blood macrophages. As in many cases open problems we refer to the different participation of various arterial parts of the vessels in the arteriosclerotic process, to the necessity of a further clarification of the role of the thrombocytes in the initial phase of the arteriosclerosis as well as to the monocytes and their possible importance for the elimination of lipids from the vascular wall, the influence of drugs on the proliferation of smooth muscle cells and the formation of extracellular matrix, the question of the regression of arteriosclerotic changes, the reduction of risk factors and their influence on the regression of morphological changes in various developmental stages of arteriosclerosis. It is referred to the possible importance of macrophages and their metabolism as markers for the recognition of risk-endangered persons. Furthermore is emphasized the importance of models for the clarification of the pathomechanism of the arteriosclerosis as well as of the cell culture and of perfusion models.
初步探讨动脉粥样硬化病因的基本方面,尤其考虑脂蛋白代谢紊乱。从形态学角度看,发病机制的核心在于内皮细胞、平滑肌细胞和血液巨噬细胞的行为。由于在许多情况下仍存在未解决的问题,我们提到血管各动脉部分在动脉粥样硬化过程中的不同参与情况,进一步阐明血小板在动脉粥样硬化初始阶段的作用的必要性,以及单核细胞及其对从血管壁清除脂质的可能重要性,药物对平滑肌细胞增殖和细胞外基质形成的影响,动脉粥样硬化病变消退的问题,危险因素的降低及其对动脉粥样硬化不同发展阶段形态学变化消退的影响。还提到巨噬细胞及其代谢作为识别高危人群标志物的可能重要性。此外,强调了用于阐明动脉粥样硬化发病机制的模型以及细胞培养和灌注模型的重要性。