Department of Clinical Laboratory, The University of Tokyo Hospital.
J Atheroscler Thromb. 2024 Sep 1;31(9):1249-1259. doi: 10.5551/jat.RV22021. Epub 2024 Jul 12.
Dyslipidemia is one of the most common diseases worldwide. As a component of metabolic syndrome, the prevalence and mechanism by which dyslipidemia promotes cardiovascular diseases has been well studied, although the relationship between pulmonary diseases is not well understood. Because the lung is a respiratory organ with a large surface area and is exposed to the environment outside the body, it continuously inhales various substances. As a result, pulmonary diseases have a vast diversity, including chronic inflammatory diseases, allergic diseases, cancers, and infectious diseases. Recently, growing evidence has suggested that dyslipidemia plays a role in the pathogenesis and prognosis of various pulmonary diseases. We herein review the current understanding of the relationship between dyslipidemia and pulmonary diseases, including chronic obstructive pulmonary diseases, asthma, and lung cancer, and infectious pulmonary diseases, including community-acquired pneumonia, tuberculosis, nontuberculous mycobacterial pulmonary disease, and COVID-19. In addition, we focus on recent evidence of the utility of statins, specifically 3-hydroxy-3-methylglutaryl-coA reductase inhibitors, in the prevention and treatment of the various pulmonary diseases described above.
血脂异常是全球最常见的疾病之一。作为代谢综合征的一个组成部分,血脂异常促进心血管疾病的发生机制已经得到了很好的研究,尽管其与肺部疾病的关系尚不清楚。由于肺是一个具有较大表面积的呼吸器官,并且与体外环境接触,它会不断吸入各种物质。因此,肺部疾病具有广泛的多样性,包括慢性炎症性疾病、过敏性疾病、癌症和传染病。最近,越来越多的证据表明血脂异常在各种肺部疾病的发病机制和预后中起作用。本文综述了血脂异常与肺部疾病(包括慢性阻塞性肺疾病、哮喘和肺癌)以及传染性肺部疾病(包括社区获得性肺炎、肺结核、非结核分枝杆菌肺病和 COVID-19)之间关系的最新认识。此外,我们还重点关注了他汀类药物(特别是 3-羟基-3-甲基戊二酰辅酶 A 还原酶抑制剂)在预防和治疗上述各种肺部疾病方面的最新证据。