随着人们饮食的多样性,随着经济水平的升高,随着晚睡的生活方式越来越普遍,心脑血管疾病的发病率逐渐升高,尤其是心血管疾病,心血管疾病是当前全球死亡的主要原因,早发现、早诊断及早治疗在心血管疾病的预后起到了不可代替的作用。其中血指标,如肌钙蛋白、肌酸激酶同工酶等,对早发现、早诊断起到了至关重要的作用,但血指标同时在其他疾病中也会明显升高,如肌钙蛋白、肌酸激酶同工酶在炎症性疾病中也会升高,寻找更多评估心血管疾病的血指标显得尤为重要及急迫。近年来研究发现,高迁移率族蛋白1 (HGMB1)参与冠心病、心肌炎、心力衰竭、心房纤颤、高血压等心血管疾病的进程,进一步辅助心血管疾病的诊断及指导心血管疾病的预后。本文就HMGB1心血管疾病的诊断及预后的作用研究的进展做一综述。With the increasing diversity of people’s diets, the rising economic standards, and the growing prevalence of late-night lifestyles, the incidence of cardiovascular and cerebrovascular diseases is gradually increasing, especially cardiovascular diseases. Cardiovascular diseases are the main causes of global death. Early detection, early diagnosis and early treatment play an irreplaceable role in the prognosis of cardiovascular diseases. Among them, blood indicators, such as troponin and creatine kinase isoenzyme, play a vital role in early detection and early diagnosis. However, blood indicators will also increase significantly in other diseases. For example, troponin and creatine kinase isoenzyme will also increase inflammatory diseases. It is particularly important and urgent to find more blood indicators to evaluate cardiovascular diseases. In recent years, studies have found that high mobility group protein 1 (HGMB1) is involved in the process of cardiovascular diseases such as coronary heart disease, myocarditis, heart failure, atrial fibrillation, hypertension, etc., and further assists the diagnosis of cardiovascular diseases and guides prognosis of cardiovascular diseases. This article reviews the progress of research on the diagnosis and prognosis of HMGB1 cardiovascular disease.
晚期糖基化终产物受体可激活多种信号传导通路,并与多种配体相互作用,通过激活氧化应激反应及增加活性氧的产生,参与炎症反应及血栓形成等多种病理反应。以上机制与糖尿病血管并发症、心血管疾病、阿尔茨海默病、癌症生长和转移、胰岛素抵抗和非酒精性脂肪肝在内的多种疾病的发生发展相关。本综述系统总结了RAGE在多种心血管疾病中的作用机制,并梳理了RAGE作为治疗靶点的研究进展,为未来心血管疾病的防治提供了新的治疗思路。The receptor of advanced glycation end products can activate a variety of signal transduction pathways and interact with a variety of ligands, participating in various pathological reactions such as inflammation and thrombosis by activating oxidative stress response and increasing the production of reactive oxygen species. These mechanisms are associated with the occurrence and development of many diseases, including vascular complications of diabetes, cardiovascular disease, Alzheimer’s disease, cancer growth and metastasis, insulin resistance and non-alcoholic fatty liver disease. This review systematically summarizes the mechanism of RAGE in a variety of cardiovascular diseases, and reviews the research progress of RAGE as a therapeutic target, providing a new therapeutic idea for the prevention and treatment of cardiovascular diseases in the future.
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