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自噬在动脉粥样硬化进展中的作用

he Influence of Autophagy in Advanced Atherosclerosis

中文摘要英文摘要

动脉粥样硬化(AS)的特点是受累动脉病变从内膜开始逐渐发展到阻塞整个动脉腔,随后导致该动脉所供应的组织或器官缺血或坏死。由于在动脉内膜积聚的脂质外观呈黄色粥样,因此称为动脉粥样硬化。AS是很多心血管疾病发病的重要基础,它可以引起心肌梗死和周围血管疾病等,因此对人类健康有很大的危害。自噬是一个分解代谢的循环途径,由不同的细胞内或细胞外信号刺激引起的,在自噬过程中,不同的细胞质内容物被双膜囊泡包裹形成自噬体后与溶酶体融合然后降解所包裹的内容物。由于自噬具有维持细胞自我稳态,促进细胞生存的作用,自噬的失衡与多种疾病密切相关,如心血管疾病等。自噬在AS斑块的稳定和破裂中起着重要作用,同时自噬在AS不同的阶段发挥着不同的作用,在早期巨噬细胞的选择性清除可能有利于斑块的稳定,但是在进展期自噬被过度激活可能引起AS斑块的不稳定甚至者破裂从而发生急性临床事件。所以在AS中自噬是一把双刃剑,如果探索清楚自噬对AS不同阶段的影响机制,从而以自噬为靶标采取有效的措施进行干预和调控可以AS的防治提供新思路。

therosclerosis (AS) is still the leading cause for cardiovascular disease global morbidity and mortality, such as it is a key cause of cardiopathy, myocardial infarction and peripheral vascular diseases. It does great harm to human health. Macrophages play a crucial role in atherosclerotic plaque stabilization and rupture. In this case, the selectivity of macrophage removal may be beneficial to the stability of the plaques. Autophagy is a catabolic recycling pathway that is triggered by various intracellular or extracellular stimuli and then during autophagy, diverse cytosolic constituents are enveloped by double-membrane vesicles, autophagosomes, which later fuse with lysosomes or the vacuole to degrade their cargo. Because autophagy has the function of maintaining cell homeostasis and promoting cell survival,and therefore imbalance in autophagy is related closely to a diverse range of pathologies including cardiovascular diseases, the leading cause of death in the world.

朱宇凝、屈顺林、郭芳、姜志胜、张弛、李维、王宇菲、范文静

基础医学内科学

动脉粥样硬化自噬血管治疗

utophagyAtherosclerosisMolecular mechanismVacularTreatment

朱宇凝,屈顺林,郭芳,姜志胜,张弛,李维,王宇菲,范文静.自噬在动脉粥样硬化进展中的作用[EB/OL].(2015-12-09)[2025-08-02].http://www.paper.edu.cn/releasepaper/content/201512-458.点此复制

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