低密度脂蛋白在肺动脉高压中作用的研究进展

轩  冉
青海大学附属医院

摘要


肺动脉高压(Pulmonary arterial hypertension,PAH)是一类以肺小动脉重构为主要病变的慢性进展性恶性疾
病,表现为肺血管阻力增加、肺动脉压力升高,最终导致右心衰竭和死亡。有研究观察到PAH患者血浆中Ox-LDL/
LDL比值增加,同时研究者评估了肺Ox-LDL免疫标记信号强弱,发现PAH肺血管周围区域和巨噬细胞中Ox-LDL
总体增加。LDL为人所熟知的主要作用是将胆固醇从血液运送到外周组织,通过与低密度脂蛋白受体(Low density
lipoprotein receptor,LDLR)结合,将胆固醇从血液中清除,这叫做胆固醇的逆向运输。除此之外,还发现LDL具有
以下这些功能,包括促炎、导致血栓形成、引起氧化应激等。了解这些特殊作用,有助于更好研究低密度脂蛋白与
肺动脉高压的发生、发展关系以及它如何影响疾病预后。该文回顾该领域的相关文献,对低密度脂蛋白在肺动脉高
压发生发展中的作用进行综述,以期为PAH的治疗和预后提供新思路。

关键词


肺动脉高压;低密度脂蛋白;LDL;LDL亚类:Ox-LDL;LDLR;预后;危险因素

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