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肺动脉高压与高血糖——并非甜蜜组合。

Pulmonary Hypertension and Hyperglycemia-Not a Sweet Combination.

作者信息

Bruck Or, Pandit L M

机构信息

Section of Pulmonary, Critical Care, Sleep Medicine, Baylor College of Medicine, Houston, TX 77024, USA.

Michael E. DeBakey Veterans Affairs Medical Center, Center for Translational Research on Inflammatory Diseases (CTRID), Houston, TX 77030, USA.

出版信息

Diagnostics (Basel). 2024 May 28;14(11):1119. doi: 10.3390/diagnostics14111119.

Abstract

Hyperglycemia and pulmonary hypertension (PH) share common pathological pathways that lead to vascular dysfunction and resultant cardiovascular complications. These shared pathologic pathways involve endothelial dysfunction, inflammation, oxidative stress, and hormonal imbalances. Individuals with hyperglycemia or pulmonary hypertension also possess shared clinical factors that contribute to increased morbidity from both diseases. This review aims to explore the relationship between PH and hyperglycemia, highlighting the mechanisms underlying their association and discussing the clinical implications. Understanding these common pathologic and clinical factors will enable early detection for those at-risk for complications from both diseases, paving the way for improved research and targeted therapeutics.

摘要

高血糖与肺动脉高压(PH)具有共同的病理途径,这些途径会导致血管功能障碍及由此引发的心血管并发症。这些共同的病理途径包括内皮功能障碍、炎症、氧化应激和激素失衡。高血糖或肺动脉高压患者还存在共同的临床因素,这些因素会导致两种疾病的发病率增加。本综述旨在探讨肺动脉高压与高血糖之间的关系,突出两者关联的潜在机制,并讨论其临床意义。了解这些共同的病理和临床因素将有助于早期发现患这两种疾病并发症的高危人群,为改进研究和靶向治疗铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca66/11171670/d7f27100cfba/diagnostics-14-01119-g001.jpg

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