新型生物标记物在冠状动脉粥样硬化性心脏病中的研究进展
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(1.南华大学心血管疾病研究所 动脉粥样硬化学湖南省重点实验室 医学研究实验中心 湖南省分子靶标新药研究协同创新中心,湖南省衡阳市 421001;2.南华大学附属第一医院心内科,湖南省衡阳市 421001)

作者简介:

王刚,博士研究生,副主任医师,研究方向为冠心病的基础与临床,E-mail为13875612313@126.com。通信作者唐朝克,博士,教授,博士研究生导师,研究方向为动脉粥样硬化发病的分子机制,E-mail为tangchaoke@qq.com。

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基金项目:

国家自然科学基金(81770461);湖南省教育厅科学研究项目(17C1390);南华大学研究生科学基金(2018KYY275)


Research progress of novel biomarkers in coronary atherosclerotic heart disease
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1.Institute of Cardiovascular Disease & Key Laboratory for Arteriosclerology of Hunan Province & Medical Research Experiment Center & Hunan Province Cooperative Innovation Center for Molecular Target New Drug Study, University of South China, Hengyang, Hunan 421001, China;2.Department of Cardiology, the First Affiliated Hospital of University of South China, Hengyang, Hunan 421001, China)

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    摘要:

    冠心病及其并发症是人类死亡的首要致病因素,故对其防治措施的研究受到了学术界广泛的关注。大量研究表明冠心病发病的主要病理过程为脂质代谢平衡的破坏和炎症反应的激活。若能对冠心病发病过程中的相关蛋白表达的变化规律进行归纳总结,将为临床诊断冠心病提供有效的方法。新型生物标记物的发现对冠心病的防治具有重要意义。近年新发现大量与心血管疾病密切相关的生物标记物,如枯草溶菌素转化酶9、Sortilin等血脂相关新型生物标记物通过调节体内氧化低密度脂蛋白胆固醇水平参与冠心病的发生发展;可溶性尿激酶型纤溶酶原激活受体等炎症标记物通过多种途径影响冠心病的病理生理过程。因此,本文主要综述血脂、炎症等相关新型生物标记物在冠心病中的研究进展,以期为心血管疾病的临床诊断、治疗和预后评估提供新的参考和思路。

    Abstract:

    Coronary heart disease (CHD) and its complications are the most important risk factors for human mortality, so the research on the prevention and treatment of CHD has been paid more and more attention in academic circles.A large number of studies have shown that the main pathological process of CHD is the destruction of lipid metabolism balance and the activation of inflammatory response. It will provide an effective method for clinical diagnosis of CHD if we can summarize the changes of related protein expression in the course of CHD. The discovery of new biomarkers is of great significance for the prevention and treatment of CHD. In recent years, a large number of biomarkers which are closely related to cardiovascular diseases have been discovered. Novel lipid-related biomarkers such as proprotein convertase subtilisin/kexin 9 and sortilin participates in the occurrence and development of CHD by regulating the level of oxidized low density lipoprotein cholesterol. Inflammatory markers such as soluble urokinase plasminogen activated receptor affect the pathophysiological process of CHD through a variety of pathways. Therefore, this article mainly reviews the research progress of blood lipids, inflammation and other related new biomarkers in CHD, in order to provide a new reference and ideas for the clinical diagnosis, treatment and prognosis evaluation of cardiovascular disease.

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王刚,莫中成,赵赛郦,王斯琦,唐朝克.新型生物标记物在冠状动脉粥样硬化性心脏病中的研究进展[J].中国动脉硬化杂志,2019,27(4):359~363.

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  • 收稿日期:2018-06-01
  • 最后修改日期:2018-09-10
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  • 在线发布日期: 2019-04-08