Lian Yanjie, Lai Xiaolei, Wu Cong, Wang Li, Shang JuJu, Zhang Heyi, Jia Sihan, Xing Wenlong, Liu Hongxu
Department of Cardiovascular Medicine, Beijing Hospital of Traditional Chinese Medicine, Capital Medical University, Beijing, China.
Beijing Hospital of Traditional Chinese Medicine, Huairou Hospital, Beijing, China.
Front Cardiovasc Med. 2025 Mar 19;12:1526170. doi: 10.3389/fcvm.2025.1526170. eCollection 2025.
The immune response plays a vital role in the development of cardiovascular diseases (CVDs). As a crucial component of the innate immune system, neutrophils are involved in the initial inflammatory response following cardiovascular injury, thereby inducing subsequent damage and promoting recovery. Neutrophils exert their functional effects in tissues through various mechanisms, including activation and the formation of neutrophil extracellular traps (NETs). Once activated, neutrophils are recruited to the site of injury, where they release inflammatory mediators and cytokines. This study discusses the main mechanisms associated with neutrophil activity and proposes potential new therapeutic targets. In this review, we systematically summarize the diverse phenotypes of neutrophils in disease regulatory mechanisms, different modes of cell death, and focus on the relevance of neutrophils to various CVDs, including atherosclerosis, acute coronary syndrome, myocardial ischemia/reperfusion injury, hypertension, atrial fibrillation, heart failure, and viral myocarditis. Finally, we also emphasize the preclinical/clinical translational significance of neutrophil-targeted strategies.
免疫反应在心血管疾病(CVDs)的发展中起着至关重要的作用。作为固有免疫系统的关键组成部分,中性粒细胞参与心血管损伤后的初始炎症反应,从而引发后续损伤并促进恢复。中性粒细胞通过多种机制在组织中发挥其功能作用,包括激活和形成中性粒细胞胞外陷阱(NETs)。一旦被激活,中性粒细胞就会被招募到损伤部位,在那里它们会释放炎症介质和细胞因子。本研究讨论了与中性粒细胞活性相关的主要机制,并提出了潜在的新治疗靶点。在这篇综述中,我们系统地总结了中性粒细胞在疾病调节机制、不同细胞死亡模式中的多种表型,并重点关注中性粒细胞与各种心血管疾病的相关性,包括动脉粥样硬化、急性冠状动脉综合征、心肌缺血/再灌注损伤、高血压、心房颤动、心力衰竭和病毒性心肌炎。最后,我们还强调了以中性粒细胞为靶点的策略的临床前/临床转化意义。