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克隆性造血与心血管风险:动脉粥样硬化、血栓形成及其他。

Clonal Hematopoiesis and Cardiovascular Risk: Atherosclerosis, Thrombosis, and beyond.

机构信息

Centro Nacional de Investigaciones Cardiovasculares (CNIC). Madrid, Spain.

CIBER en Enfermedades Cardiovasculares (CIBER-CV), Madrid, Spain.

出版信息

Hamostaseologie. 2024 Feb;44(1):13-20. doi: 10.1055/a-2219-6410. Epub 2024 Feb 28.

Abstract

Acquired mutations that lead to clonal hematopoiesis have emerged as a new and potent risk factor for atherosclerotic cardiovascular disease and other cardiovascular conditions. Human sequencing studies and experiments in mouse models provide compelling evidence supporting that this condition, particularly when driven by specific mutated genes, contributes to the development of atherosclerosis by exacerbating inflammatory responses. The insights gained from these studies are paving the way for the development of new personalized preventive care strategies against cardiovascular disease. Furthermore, available evidence also suggests a potential relevance of these mutation in the context of thrombosis, an area requiring thorough investigation. In this review, we provide an overview of our current understanding of this emerging cardiovascular risk factor, focusing on its relationship to atherosclerosis and thrombosis.

摘要

获得性突变导致克隆性造血已成为动脉粥样硬化性心血管疾病和其他心血管疾病的一个新的、强有力的危险因素。人类测序研究和小鼠模型实验提供了令人信服的证据,支持这种情况,特别是当由特定突变基因驱动时,通过加剧炎症反应,促进动脉粥样硬化的发展。这些研究的结果为制定新的个性化心血管疾病预防策略铺平了道路。此外,现有证据还表明,这些突变在血栓形成方面具有潜在的相关性,这是一个需要深入研究的领域。在这篇综述中,我们概述了我们对这一新兴心血管危险因素的理解,重点关注其与动脉粥样硬化和血栓形成的关系。

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