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细胞因子是动脉粥样硬化炎症发生与抑制的基础。

Cytokines are the Basis of the Development and Suppression of Inflammation in Atherosclerosis.

作者信息

Blagov Alexander V, Churov Alexey V, Starodubtseva Irina A, Kovyanova Tatiana I, Pecherina Tamara B, Sukhorukov Vasily N

机构信息

Institute of General Pathology and Pathophysiology, 125315 Moscow, Russia.

Institute on Aging Research, Russian Gerontology Clinical Research Centre, Pirogov Russian National Research Medical University, 129226 Moscow, Russia.

出版信息

Rev Cardiovasc Med. 2025 Mar 12;26(3):26421. doi: 10.31083/RCM26421. eCollection 2025 Mar.

Abstract

Cardiovascular diseases continue to be the primary cause of mortality in industrialised countries, and atherosclerosis plays a role in their development. A persistent inflammatory condition affecting big and medium-sized arteries is known as atherosclerosis. It is brought on by dyslipidemia and is facilitated by the immune system's innate and adaptive components. At every stage of the progression of atherosclerosis, inflammation plays a crucial role. It has been demonstrated that soluble factors, or cytokines, activate cells involved in the pathophysiology of atherosclerosis and have a significant impact on disease progression. Anti-inflammatory cytokines (such as interleukin (IL)-5 and IL-13) mitigate atherosclerosis, whereas pro-inflammatory cytokines (such as IL-1, IL-6) quicken the disease's course. Of interest is the fact that a number of cytokines can exhibit both atherogenic and atheroprotective properties, which is the topic of study and discussion in this review. This review provides a comparative analysis of the functions of the main cytokines involved in the pathogenesis of atherosclerosis. Their functional relationships with each other are also shown. In addition, potential therapeutic strategies targeting these cytokines for the treatment of atherosclerosis are proposed, with an emphasis on recent clinical research in this area.

摘要

心血管疾病仍然是工业化国家的主要死因,动脉粥样硬化在其发展过程中起作用。动脉粥样硬化是一种影响大中动脉的持续性炎症状态。它由血脂异常引起,并由免疫系统的固有和适应性成分促成。在动脉粥样硬化进展的每个阶段,炎症都起着至关重要的作用。已经证明,可溶性因子或细胞因子可激活参与动脉粥样硬化病理生理学的细胞,并对疾病进展产生重大影响。抗炎细胞因子(如白细胞介素(IL)-5和IL-13)可减轻动脉粥样硬化,而促炎细胞因子(如IL-1、IL-6)则加速疾病进程。有趣的是,许多细胞因子可同时表现出致动脉粥样硬化和抗动脉粥样硬化特性,这是本综述研究和讨论的主题。本综述对参与动脉粥样硬化发病机制的主要细胞因子的功能进行了比较分析。还展示了它们彼此之间的功能关系。此外,提出了针对这些细胞因子治疗动脉粥样硬化的潜在治疗策略,重点是该领域的近期临床研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/039f/11951496/9c3b31b41abd/2153-8174-26-3-26421-g1.jpg

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