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Notch信号通路与巨噬细胞在深静脉血栓形成中的分子机制:综述

Molecular Mechanism of Notch Signaling and Macrophages in Deep Vein Thrombosis: A Comprehensive Review.

作者信息

Joy Sisira, Prasannan Anusha, Venkatachalam Kaliyamurthi, Binesh Ambika

机构信息

Department of Basic Sciences, Institute of Fisheries Post Graduate Studies, Tamil Nadu Dr. J. Jayalalithaa Fisheries University (TNJFU), OMR Campus, Vaniyanchavadi, Chennai, Tamil Nadu, India.

出版信息

Cell Biochem Biophys. 2025 Apr 25. doi: 10.1007/s12013-025-01761-y.

Abstract

Deep vein thrombosis is an acute medical condition, and the molecular basis of this etiology will be crucial in the discovery of more advanced therapies. This review has focused at the Notch signaling pathway, which plays a significant role in different physiological activities such as homeostasis, development, and disease. Also, reveal macrophage function in inflammation and thrombosis in depth, with a focus on their polarization and interaction with the endothelium during thrombosis. In this context, some essential cellular and molecular mechanisms relevant to thrombus pathogenesis, DVT aetiology and risk factors, as well as elements and composition of the Notch pathway, are covered in the end, with a focus on elements that distinguish canonical from non-canonical signaling pathways and their biological relevance to macrophages. Notch signaling has been shown to influence macrophage activation and polarization, influencing their function in thrombosis breakdown and resolution. This interplay between Notch signaling and macrophages may reveal possible treatment targets for DVT. Discuss the physiological role of Notch signaling in vascular biology, as well as how it contributes to thrombosis. The difficulties in implementing these discoveries in clinical practice are discussed, along with the status of ongoing clinical trials and experimental investigations focussing on macrophage-directed treatments and Notch inhibitors. These molecular insights synthesis provides a basis for the creation of novel strategies for the efficient management of DVT.

摘要

深静脉血栓形成是一种急性病症,这种病因的分子基础对于发现更先进的治疗方法至关重要。本综述聚焦于Notch信号通路,其在诸如体内平衡、发育和疾病等不同生理活动中发挥着重要作用。此外,深入揭示巨噬细胞在炎症和血栓形成中的功能,重点关注它们在血栓形成过程中的极化以及与内皮细胞的相互作用。在此背景下,最后涵盖了与血栓发病机制、深静脉血栓形成病因和危险因素相关的一些重要细胞和分子机制,以及Notch通路的组成部分,重点关注区分经典信号通路与非经典信号通路的成分及其与巨噬细胞的生物学相关性。已证明Notch信号会影响巨噬细胞的激活和极化,从而影响其在血栓溶解和消退中的功能。Notch信号与巨噬细胞之间的这种相互作用可能揭示深静脉血栓形成的潜在治疗靶点。讨论Notch信号在血管生物学中的生理作用,以及它如何促成血栓形成。还讨论了在临床实践中应用这些发现的困难,以及正在进行的针对巨噬细胞导向治疗和Notch抑制剂的临床试验和实验研究的现状。这些分子见解的综合为制定高效管理深静脉血栓形成的新策略提供了基础。

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