Li Yunyi, Zhou Quan, Zhang Kai, Meng Xiao
The Key Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education, Chinese National Health Commission and Chinese Academy of Medical Sciences, The State and Shandong Province Joint Key Laboratory of Translational Cardiovascular Medicine, Department of Cardiology, Qilu Hospital, Cheeloo College of Medicine, Shandong University, 250012 Jinan, Shandong, China.
Rev Cardiovasc Med. 2024 Oct 9;25(10):361. doi: 10.31083/j.rcm2510361. eCollection 2024 Oct.
Abdominal aortic aneurysm (AAA) is a chronic vascular degenerative disease characterized by progressive segmental dilation of the abdominal aorta. The rupture of an AAA represents a leading cause of death in cardiovascular diseases. Despite numerous experimental and clinical studies examining potential drug targets and therapies, currently there are no pharmaceutical treatment to prevent AAA growth and rupture. Iron is an essential element in almost all living organisms and has important biological functions. Epidemiological studies have indicated that both iron deficiency and overload are associated with adverse clinical outcomes, particularly an increased risk of cardiovascular events. Recent evidence indicates that iron overload is involved in the pathogenesis of abdominal aortic aneurysms. In this review, we provide an overview of the role of iron overload in AAA progression and explore its potential pathological mechanisms. Although the exact molecular mechanisms of iron overload in the development of AAA remain to be elucidated, the inhibition of iron deposition may offer a promising strategy for preventing these aneurysms.
腹主动脉瘤(AAA)是一种慢性血管退行性疾病,其特征为腹主动脉进行性节段性扩张。腹主动脉瘤破裂是心血管疾病死亡的主要原因。尽管有大量实验和临床研究探讨潜在的药物靶点和治疗方法,但目前尚无预防腹主动脉瘤生长和破裂的药物治疗方法。铁是几乎所有生物中的必需元素,具有重要的生物学功能。流行病学研究表明,缺铁和铁过载均与不良临床结局相关,尤其是心血管事件风险增加。最近的证据表明,铁过载参与腹主动脉瘤的发病机制。在本综述中,我们概述了铁过载在腹主动脉瘤进展中的作用,并探讨其潜在的病理机制。尽管腹主动脉瘤发生过程中铁过载的确切分子机制仍有待阐明,但抑制铁沉积可能为预防这些动脉瘤提供一种有前景的策略。