Lee Da Young
Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
J Lipid Atheroscler. 2024 Sep;13(3):262-279. doi: 10.12997/jla.2024.13.3.262. Epub 2024 Jul 1.
Cardiovascular disease (CVD) continues to be the primary cause of mortality worldwide, underscoring the importance of identifying additional cardiovascular risk factors. The consensus is that lipid levels alone do not fully reflect the status of atherosclerosis, thus necessitating extensive research on cardiovascular biomarkers. This review encompasses a wide spectrum of methodologies for identifying novel risk factors or biomarkers for CVD. Inflammation, oxidative stress, plaque instability, cardiac remodeling, and fibrosis play pivotal roles in CVD pathogenesis. We introduce and discuss several promising biomarkers-namely, osteocalcin, angiogenin, lipoprotein-associated phospholipase A2, growth differentiation factor 15, galectin-3, growth stimulation expressed gene 2, and microRNAs, all of which have potential implications in the assessment and management of cardiovascular risk.
心血管疾病(CVD)仍然是全球范围内主要的死亡原因,这凸显了识别更多心血管危险因素的重要性。目前的共识是,仅血脂水平并不能完全反映动脉粥样硬化的状况,因此有必要对心血管生物标志物进行广泛研究。本综述涵盖了用于识别CVD新危险因素或生物标志物的多种方法。炎症、氧化应激、斑块不稳定、心脏重塑和纤维化在CVD发病机制中起着关键作用。我们介绍并讨论了几种有前景的生物标志物,即骨钙素、血管生成素、脂蛋白相关磷脂酶A2、生长分化因子15、半乳糖凝集素-3、生长刺激表达基因2和微小RNA,所有这些在心血管风险评估和管理中都具有潜在意义。