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首页> 外文期刊>Circulation journal >Does a Gene Polymorphism Predisposing to an Intermediate Phenotype Predict the Risk of Disease? -A Lesson From CETP, High-Density Lipoprotein-Cholesterol and Coronary Artery Disease-
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Does a Gene Polymorphism Predisposing to an Intermediate Phenotype Predict the Risk of Disease? -A Lesson From CETP, High-Density Lipoprotein-Cholesterol and Coronary Artery Disease-

机译:倾向于中间表型的基因多态性是否可以预测疾病风险? -CETP,高密度脂蛋白胆固醇和冠状动脉疾病的教训-

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Prevention of disease is the ultimate goal of medicine and to realize it, many step-by-step approaches have been taken. One approach is the identification of clinical parameters closely associated with the disease, because such parameters or intermediate phenotypes might be useful for predicting the risk of disease and, more importantly, might be interfered with to prevent the disease. For example, hyperlipidemia, or more specifically hypercho-lesterolemia, is a well-known clinical parameter closely associated with atherosclerosis, including coronary atherosclerosis, and hence associated with coronary artery disease (CAD), including myocardial infarction (MI). In other words, hypercholesterolemia and atherosclerosis can be intermediate phenotypes of CAD (Figure). Although there are several other risk factors for CAD (eg, smoking, hypertension, obesity and diabetes mellitus), which should be handled in appropriate ways to achieve the prevention of CAD, hyperlipidemia is a target for treatment and this is the rationale for cholesterol-lowering medication being used as a tool for preventing CAD in the clinics. It is also important to decipher the molecular mechanisms of regulation of the serum cholesterol level and its involvement in the pathogenesis of atherosclerosis in order to develop novel diagnostic or pharmacological tools in the management of CAD.
机译:预防疾病是医学的最终目标,并且要实现这一目标,已采取了许多循序渐进的方法。一种方法是鉴定与疾病密切相关的临床参数,因为这样的参数或中间表型可能对预测疾病的风险有用,更重要的是,可能会干扰疾病的预防。例如,高脂血症,或更具体地讲,高胆固醇血症是与包括冠状动脉粥样硬化的动脉粥样硬化密切相关的众所周知的临床参数,因此与包括心肌梗塞(MI)的冠状动脉疾病(CAD)有关。换句话说,高胆固醇血症和动脉粥样硬化可能是CAD的中间表型(图)。尽管还有其他几种CAD的危险因素(例如吸烟,高血压,肥胖和糖尿病),应通过适当的方式加以处理以预防CAD,但高脂血症是治疗的目标,这是胆固醇的基本原理-降低药物被用作预防诊所CAD的工具。理解调节血清胆固醇水平及其参与动脉粥样硬化发病机理的分子机制也很重要,以便开发出用于管理CAD的新型诊断或药理工具。

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