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趋化素成为焦点:揭示其在急性心肌梗死中的多方面作用。

Chemerin in the Spotlight: Revealing Its Multifaceted Role in Acute Myocardial Infarction.

作者信息

Mitsis Andreas, Khattab Elina, Myrianthefs Michael, Tzikas Stergios, Kadoglou Nikolaos P E, Fragakis Nikolaos, Ziakas Antonios, Kassimis George

机构信息

Cardiology Department, Nicosia General Hospital, State Health Services Organization, Nicosia 2029, Cyprus.

Third Department of Cardiology, Aristotle University of Thessaloniki, 54636 Thessaloniki, Greece.

出版信息

Biomedicines. 2024 Sep 20;12(9):2133. doi: 10.3390/biomedicines12092133.

Abstract

Chemerin, an adipokine known for its role in adipogenesis and inflammation, has emerged as a significant biomarker in cardiovascular diseases, including acute myocardial infarction (AMI). Recent studies have highlighted chemerin's involvement in the pathophysiological processes of coronary artery disease (CAD), where it modulates inflammatory responses, endothelial function, and vascular remodelling. Elevated levels of chemerin have been associated with adverse cardiovascular outcomes, including increased myocardial injury, left ventricular dysfunction, and heightened inflammatory states post-AMI. This manuscript aims to provide a comprehensive review of the current understanding of chemerin's role in AMI, detailing its molecular mechanisms, clinical implications, and potential as a biomarker for diagnosis and prognosis. Additionally, we explore the therapeutic prospects of targeting chemerin pathways to mitigate myocardial damage and improve clinical outcomes in AMI patients. By synthesizing the latest research findings, this review seeks to elucidate the multifaceted role of chemerin in AMI and its promise as a target for innovative therapeutic strategies.

摘要

凯莫瑞蛋白(chemerin)是一种以在脂肪生成和炎症中发挥作用而闻名的脂肪因子,已成为包括急性心肌梗死(AMI)在内的心血管疾病中的重要生物标志物。最近的研究强调了凯莫瑞蛋白参与冠状动脉疾病(CAD)的病理生理过程,在该过程中它调节炎症反应、内皮功能和血管重塑。凯莫瑞蛋白水平升高与不良心血管结局相关,包括心肌损伤增加、左心室功能障碍以及AMI后炎症状态加剧。本手稿旨在全面综述目前对凯莫瑞蛋白在AMI中作用的理解,详细阐述其分子机制、临床意义以及作为诊断和预后生物标志物的潜力。此外,我们探讨了靶向凯莫瑞蛋白途径以减轻心肌损伤并改善AMI患者临床结局的治疗前景。通过综合最新研究结果,本综述旨在阐明凯莫瑞蛋白在AMI中的多方面作用及其作为创新治疗策略靶点的前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92c2/11428948/0cb7a2de721b/biomedicines-12-02133-g001.jpg

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