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推进心肌炎研究:评估动物模型以增进对病理生理学的认识。

Advancing Myocarditis Research: Evaluating Animal Models for Enhanced Pathophysiological Insights.

作者信息

Xu Yanzhe, Tan Yixing, Peng Zhonghui, Liu Meiyu, Zhang Bi, Wei Ke

机构信息

Medical College, Hunan University of Chinese Medicine, Changsha, 410208, Hunan, China.

出版信息

Curr Cardiol Rep. 2025 Jan 7;27(1):6. doi: 10.1007/s11886-024-02182-8.

Abstract

PURPOSE OF REVIEW

This review aims to assess the current landscape of animal models used in myocarditis research, with a focus on understanding their utility in uncovering the pathophysiology of the disease. The goal is to evaluate these models' strengths and weaknesses and propose optimizations to make them more relevant and reliable for both mechanistic studies and therapeutic interventions in myocarditis.

RECENT FINDINGS

Recent studies have primarily utilized animal models, particularly viral and autoimmune myocarditis models, to study disease mechanisms. Coxsackievirus remains the most common virus used in viral myocarditis models, offering high success rates but limited applicability to human cases due to differences in infection patterns. Autoimmune myocarditis models, often involving humanized mice, have made strides in mimicking human immune responses but still face challenges in accuracy and clinical relevance. COVID-19 has introduced new avenues for research, especially concerning vaccine-induced myocarditis, although findings remain preliminary. Animal models remain crucial for myocarditis research, but each comes with distinct challenges. Viral models excel in success rate but suffer from partial relevance to human conditions. Autoimmune models are useful in immunological studies, though costly and less replicable. Vaccine-associated models are closely related to modern clinical conditions, but lack theoretical support and therefore lack reliability. Optimizing these models could improve our understanding of myocarditis and lead to more effective treatments. Future research should aim to refine these models to better simulate human conditions and enhance their clinical applicability, ultimately advancing the diagnosis and treatment of myocarditis.

摘要

综述目的

本综述旨在评估心肌炎研究中使用的动物模型的现状,重点是了解它们在揭示该疾病病理生理学方面的效用。目标是评估这些模型的优缺点,并提出优化措施,使其在心肌炎的机制研究和治疗干预中更具相关性和可靠性。

最新发现

最近的研究主要利用动物模型,特别是病毒性和自身免疫性心肌炎模型,来研究疾病机制。柯萨奇病毒仍然是病毒性心肌炎模型中最常用的病毒,成功率高,但由于感染模式的差异,对人类病例的适用性有限。自身免疫性心肌炎模型通常涉及人源化小鼠,在模拟人类免疫反应方面取得了进展,但在准确性和临床相关性方面仍面临挑战。新冠病毒为研究开辟了新途径,特别是关于疫苗诱导的心肌炎,尽管研究结果仍属初步。动物模型对心肌炎研究仍然至关重要,但每种模型都有独特的挑战。病毒模型成功率高,但与人类情况的相关性部分不足。自身免疫模型在免疫学研究中有用,但成本高且重复性差。疫苗相关模型与现代临床情况密切相关,但缺乏理论支持,因此缺乏可靠性。优化这些模型可以增进我们对心肌炎的理解,并带来更有效的治疗方法。未来的研究应旨在完善这些模型,以更好地模拟人类情况并提高其临床适用性,最终推动心肌炎的诊断和治疗。

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