Kotlyarov Stanislav
Department of Nurse, Ryazan State Medical University, Ryazan, Russia.
Curr Med Chem. 2025;32(15):2971-2991. doi: 10.2174/0109298673303369240312092913.
Atherosclerosis is the pathophysiological basis for major diseases, such as coronary heart disease, cerebral stroke, and peripheral arterial disease, which have become epidemic in modern Western society. Atherosclerosis has a complex nature that involves mutually related immune and metabolic mechanisms. Many cells of the vascular wall and peripheral bloodstream, including endothelial cells, monocytes and macrophages, platelets, and others, are involved in the development and progression of atherosclerosis. These cells perform a number of innate immune functions, disorders of which are associated with atherosclerosis. Furthermore, lipids are not only a morphological substrate but also important participants in the development of atherosclerosis. They are involved in the development and resolution of inflammation and mediate vascular cell function.
动脉粥样硬化是冠心病、脑卒中和外周动脉疾病等主要疾病的病理生理基础,这些疾病在现代西方社会已呈流行态势。动脉粥样硬化具有复杂的性质,涉及相互关联的免疫和代谢机制。血管壁和外周血流中的许多细胞,包括内皮细胞、单核细胞和巨噬细胞、血小板等,都参与了动脉粥样硬化的发生和发展。这些细胞执行多种固有免疫功能,其功能紊乱与动脉粥样硬化相关。此外,脂质不仅是一种形态学底物,也是动脉粥样硬化发展的重要参与者。它们参与炎症的发生和消退,并介导血管细胞功能。