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花生四烯酸代谢途径在心脏代谢疾病中的新兴作用和治疗应用。

Emerging Roles and Therapeutic Applications of Arachidonic Acid Pathways in Cardiometabolic Diseases.

机构信息

State Key Laboratory of New Targets Discovery and Drug Development for Major Diseases, Gannan Innovation and Translational Medicine Research Institute, Gannan Medical University, Ganzhou, China (Y.H., X.C., H.Y., Z.-G.S., J.C., H.L., X.-J.Z.).

Key Laboratory of Cardiovascular Disease Prevention and Control, Ministry of Education, First Affiliated Hospital of Gannan Medical University, Ganzhou, China (Y.H., X.C., H.Y.).

出版信息

Circ Res. 2024 Jun 21;135(1):222-260. doi: 10.1161/CIRCRESAHA.124.324383. Epub 2024 Jun 20.

Abstract

Cardiometabolic disease has become a major health burden worldwide, with sharply increasing prevalence but highly limited therapeutic interventions. Emerging evidence has revealed that arachidonic acid derivatives and pathway factors link metabolic disorders to cardiovascular risks and intimately participate in the progression and severity of cardiometabolic diseases. In this review, we systemically summarized and updated the biological functions of arachidonic acid pathways in cardiometabolic diseases, mainly focusing on heart failure, hypertension, atherosclerosis, nonalcoholic fatty liver disease, obesity, and diabetes. We further discussed the cellular and molecular mechanisms of arachidonic acid pathway-mediated regulation of cardiometabolic diseases and highlighted the emerging clinical advances to improve these pathological conditions by targeting arachidonic acid metabolites and pathway factors.

摘要

心血管代谢疾病已成为全球范围内的主要健康负担,其患病率急剧上升,但治疗干预手段却非常有限。新出现的证据表明,花生四烯酸衍生物和途径因素将代谢紊乱与心血管风险联系起来,并密切参与心血管代谢疾病的进展和严重程度。在这篇综述中,我们系统地总结和更新了花生四烯酸代谢途径在心血管代谢疾病中的生物学功能,主要集中在心力衰竭、高血压、动脉粥样硬化、非酒精性脂肪性肝病、肥胖和糖尿病。我们进一步讨论了花生四烯酸途径介导的心血管代谢疾病调节的细胞和分子机制,并强调了通过靶向花生四烯酸代谢物和途径因素来改善这些病理状况的新兴临床进展。

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