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阿托伐他汀通过抑制氧化应激和调节糖尿病性心肌病中的巨噬细胞极化来改善心肌纤维化。

Atorvastatin ameliorated myocardial fibrosis by inhibiting oxidative stress and modulating macrophage polarization in diabetic cardiomyopathy.

作者信息

Lei Xiao-Tian, Pu Dan-Lan, Shan Geng, Wu Qi-Nan

机构信息

Department of Endocrinology, The First Affiliated Hospital of the Third Military Medical University (Army Medical University), Chongqing 400038, China.

Department of Endocrinology, Chongqing Yubei District People's Hospital, Chongqing 400030, China.

出版信息

World J Diabetes. 2024 Jun 15;15(6):1070-1073. doi: 10.4239/wjd.v15.i6.1070.

Abstract

In this editorial, we commented on the article published in the recent issue of the . Diabetic cardiomyopathy (DCM) is characterized by myocardial fibrosis, ventricular hypertrophy and diastolic dysfunction in diabetic patients, which can cause heart failure and threaten the life of patients. The pathogenesis of DCM has not been fully clarified, and it may involve oxidative stress, inflammatory stimulation, apoptosis, and autophagy. There is lack of effective therapies for DCM in the clinical practice. Statins have been widely used in the clinical practice for years mainly to reduce cholesterol and stabilize arterial plaques, and exhibit definite cardiovascular protective effects. Studies have shown that statins also have anti-inflammatory and antioxidant effects. We were particularly concerned about the recent findings that atorvastatin alleviated myocardial fibrosis in mice by regulating the antioxidant stress and anti-inflammatory effects of macrophage polarization on diabetic myocardium, and thereby improving DCM.

摘要

在这篇社论中,我们对近期一期[期刊名称未给出]上发表的文章进行了评论。糖尿病性心肌病(DCM)的特征是糖尿病患者出现心肌纤维化、心室肥厚和舒张功能障碍,可导致心力衰竭并威胁患者生命。DCM的发病机制尚未完全阐明,可能涉及氧化应激、炎症刺激、细胞凋亡和自噬。临床实践中缺乏针对DCM的有效治疗方法。他汀类药物多年来一直在临床实践中广泛使用,主要用于降低胆固醇和稳定动脉斑块,并具有明确的心血管保护作用。研究表明,他汀类药物还具有抗炎和抗氧化作用。我们特别关注最近的研究发现,阿托伐他汀通过调节巨噬细胞极化对糖尿病心肌的抗氧化应激和抗炎作用来减轻小鼠心肌纤维化,从而改善DCM。

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