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内皮祖细胞在脑动脉瘤发病机制及治疗中的潜在作用

Potential role of endothelial progenitor cells in the pathogenesis and treatment of cerebral aneurysm.

作者信息

Yu Jin, Du Qian, Li Xiang, Wei Wei, Fan Yuncun, Zhang Jianjian, Chen Jincao

机构信息

Department of Neurosurgery, Wuhan Asia General Hospital, Wuhan, Hubei, China.

Department of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.

出版信息

Front Cell Neurosci. 2024 Aug 12;18:1456775. doi: 10.3389/fncel.2024.1456775. eCollection 2024.

Abstract

Cerebral aneurysm (CA) is a significant health concern that results from pathological dilations of blood vessels in the brain and can lead to severe and potentially life-threatening conditions. While the pathogenesis of CA is complex, emerging studies suggest that endothelial progenitor cells (EPCs) play a crucial role. In this paper, we conducted a comprehensive literature review to investigate the potential role of EPCs in the pathogenesis and treatment of CA. Current research indicates that a decreased count and dysfunction of EPCs disrupt the balance between endothelial dysfunction and repair, thus increasing the risk of CA formation. Reversing these EPCs abnormalities may reduce the progression of vascular degeneration after aneurysm induction, indicating EPCs as a promising target for developing new therapeutic strategies to facilitate CA repair. This has motivated researchers to develop novel treatment options, including drug applications, endovascular-combined and tissue engineering therapies. Although preclinical studies have shown promising results, there is still a considerable way to go before clinical translation and eventual benefits for patients. Nonetheless, these findings offer hope for improving the treatment and management of this condition.

摘要

脑动脉瘤(CA)是一个重大的健康问题,它是由脑血管的病理性扩张引起的,可能导致严重的、甚至危及生命的情况。虽然CA的发病机制很复杂,但新兴研究表明,内皮祖细胞(EPCs)起着关键作用。在本文中,我们进行了全面的文献综述,以研究EPCs在CA发病机制和治疗中的潜在作用。目前的研究表明,EPCs数量减少和功能障碍会破坏内皮功能障碍与修复之间的平衡,从而增加CA形成的风险。逆转这些EPCs异常可能会减少动脉瘤诱导后血管退变的进展,这表明EPCs是开发促进CA修复的新治疗策略的一个有前景的靶点。这促使研究人员开发新的治疗选择,包括药物应用、血管内联合治疗和组织工程疗法。尽管临床前研究已显示出有希望的结果,但在临床转化以及最终让患者受益之前,仍有很长的路要走。尽管如此,这些发现为改善这种疾病的治疗和管理带来了希望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/07a8/11348393/5a35ef91fabd/fncel-18-1456775-g001.jpg

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