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氧化型低密度脂蛋白,冠状动脉疾病中的双面杰纳斯?

Oxidized low-density lipoprotein, a two-faced Janus in coronary artery disease?

作者信息

Parthasarathy S, Santanam N, Augé N

机构信息

Department of Gynecology and Obstetrics, Emory University, Atlanta, GA 30322, USA.

出版信息

Biochem Pharmacol. 1998 Aug 1;56(3):279-84. doi: 10.1016/s0006-2952(98)00074-4.

DOI:10.1016/s0006-2952(98)00074-4
PMID:9744562
Abstract

The word antioxidant has become a household term, and every day we are bombarded with claims of antioxidant protection against a host of diseases. Atherosclerosis, cancer, gastric ulcers, memory loss, rheumatoid arthritis, endometriosis, pregnancy complications, hypertension, stroke, and a host of other diseases have been suggested to be induced by oxidative stress, and antioxidants have been suggested to be beneficial in the prevention and treatment of these disorders. While some of these may be exuberant claims, atherosclerosis is one disease in which the oxidation hypothesis has taken firm roots. The oxidation of low-density lipoprotein (LDL) has been suggested to be a key step in the initiation of the early atherosclerotic lesion. A number of proatherogenic effects have been described for both the protein and lipid components of oxidized low-density lipoprotein. In this commentary, a brief description of the involvement of oxidation and the potential for antioxidant treatment for cardiovascular disease will be provided. However, there are innumerable questions plaguing the hypothesis; this commentary, therefore, will also serve as a devil's advocate and propose that some form of oxidation might actually be beneficial.

摘要

“抗氧化剂”一词已成为家喻户晓的词汇,每天我们都会受到各种关于抗氧化剂能预防多种疾病的宣传的轰炸。动脉粥样硬化、癌症、胃溃疡、记忆力减退、类风湿性关节炎、子宫内膜异位症、妊娠并发症、高血压、中风以及许多其他疾病都被认为是由氧化应激引发的,而抗氧化剂被认为对这些疾病的预防和治疗有益。虽然其中一些说法可能有些夸张,但动脉粥样硬化是氧化假说已深深扎根的一种疾病。低密度脂蛋白(LDL)的氧化被认为是早期动脉粥样硬化病变起始的关键步骤。氧化型低密度脂蛋白的蛋白质和脂质成分都已被描述有许多促动脉粥样硬化作用。在这篇评论中,将简要描述氧化作用的参与情况以及抗氧化剂治疗心血管疾病的潜力。然而,这个假说存在无数问题;因此,这篇评论也将扮演唱反调的角色,并提出某种形式的氧化实际上可能是有益的。

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Oxidized low-density lipoprotein, a two-faced Janus in coronary artery disease?氧化型低密度脂蛋白,冠状动脉疾病中的双面杰纳斯?
Biochem Pharmacol. 1998 Aug 1;56(3):279-84. doi: 10.1016/s0006-2952(98)00074-4.
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Oxidized low-density lipoprotein and atherosclerosis.氧化型低密度脂蛋白与动脉粥样硬化
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Dietary antioxidants and cardioprotection--fact or fallacy?膳食抗氧化剂与心脏保护——事实还是谬误?
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Low density lipoprotein oxidation and atherogenesis: from experimental models to clinical studies.低密度脂蛋白氧化与动脉粥样硬化形成:从实验模型到临床研究
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Oxidatively modified LDL and atherosclerosis: an evolving plausible scenario.氧化修饰低密度脂蛋白与动脉粥样硬化:一个不断演变的似是而非的情形。
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Oxidized low density lipoproteins in atherogenesis: role of dietary modification.氧化型低密度脂蛋白在动脉粥样硬化发生中的作用:饮食调整的影响
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