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炎症和代谢背景对缺血性中风的分子联系及临床影响:最新综述

Molecular Links and Clinical Effects of Inflammation and Metabolic Background on Ischemic Stroke: An Update Review.

作者信息

Pacinella Gaetano, Ciaccio Anna Maria, Tuttolomondo Antonino

机构信息

Internal Medicine and Stroke Care Ward, Department of Promoting Health, Maternal-Infant, Excellence and Internal and Specialized Medicine (PROMISE), University of Palermo, 90127 Palermo, Italy.

出版信息

J Clin Med. 2024 Dec 10;13(24):7515. doi: 10.3390/jcm13247515.

DOI:10.3390/jcm13247515
PMID:39768436
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11679813/
Abstract

Stroke is a major global health concern, with 12.2 million new cases and 6.6 million deaths reported in 2019, making it the second leading cause of death and third leading cause of disability worldwide. Ischemic stroke, caused by blood vessel occlusion, accounts for 87% of stroke cases and results in neuronal death due to oxygen and nutrient deprivation. The rising global stroke burden is linked to aging populations and increased metabolic risk factors like high blood pressure, obesity, and elevated glucose levels, which promote chronic inflammation. This article explores the intricate molecular and clinical interplay between inflammation and metabolic disorders, emphasizing their role in ischemic stroke development, progression, and outcomes.

摘要

中风是一个重大的全球健康问题,2019年报告有1220万新发病例和660万人死亡,使其成为全球第二大死因和第三大致残原因。由血管闭塞引起的缺血性中风占中风病例的87%,并由于氧气和营养物质缺乏导致神经元死亡。全球中风负担的增加与人口老龄化以及高血压、肥胖和血糖升高等代谢风险因素增加有关,这些因素会促进慢性炎症。本文探讨炎症与代谢紊乱之间复杂的分子和临床相互作用,强调它们在缺血性中风发生、发展和结局中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ddc/11679813/1375068f9761/jcm-13-07515-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ddc/11679813/8b12b57d8e3a/jcm-13-07515-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ddc/11679813/d0b04cd02bd9/jcm-13-07515-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ddc/11679813/1375068f9761/jcm-13-07515-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ddc/11679813/8b12b57d8e3a/jcm-13-07515-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ddc/11679813/d0b04cd02bd9/jcm-13-07515-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ddc/11679813/1375068f9761/jcm-13-07515-g003.jpg

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本文引用的文献

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Update on Obesity and Cardiovascular Risk: From Pathophysiology to Clinical Management.肥胖与心血管风险更新:从病理生理学到临床管理。
Nutrients. 2024 Aug 20;16(16):2781. doi: 10.3390/nu16162781.
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Inflammation: Is It a Healer, Confounder, or a Promoter of Cardiometabolic Risks?炎症:它是治疗者、混杂因素还是代谢心血管风险的促进因素?
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Predictive value of interleukin-6 combined with serum neuron-specific enolase on the prognosis of acute ischemic stroke.白细胞介素-6 联合血清神经元特异性烯醇化酶对急性缺血性脑卒中预后的预测价值。
Clin Neurol Neurosurg. 2024 Sep;244:108406. doi: 10.1016/j.clineuro.2024.108406. Epub 2024 Jun 24.
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Discovering Inflammation in Atherosclerosis: Insights from Pathogenic Pathways to Clinical Practice.从致病途径到临床实践看动脉粥样硬化中的炎症反应。
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