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Atherosclerosis: Cell biology and lipoproteins-paraoxonases protect against atherosclerosis and diabetes development

机译:动脉粥样硬化:细胞生物学和脂蛋白-对氧磷酶可预防动脉粥样硬化和糖尿病的发展

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摘要

There is clinical evidence for the usefulness of antiplatelet agents, beta-blockers, renin-angioten-sin-aldosterone system (RAAS) inhibitors, as well as that of antioxidant and anti-inflammatory agents . Macrophage foam cell formation is the hallmark of early atherogenesis and human coronary atherosclerosis disease is associated with macrophage polarization in epicardial adipose tissue .Recently, the spleen tyrosine kinase inhibitor, fostamatinib, was shown as a potentially anti-inflammatory therapeutic strategy in atherosclerosis, as it attenuates atherogenesis in mice . Similarly, dipeptidyl peptidase-4 inhibitors, a new class of antidiabetic, anti-inflammatory compounds, are effective in the treatment of hyperglycemia and the DDP-4 inhibitor, alogliptin, inhibited toll-like receptor 4 (TLR-4)-mediated upregulation of inter-leukin (IL)-6 and IL-1beta, and reduced atherosclerotic lesions in diabetic mice . Immunization with malondialdehyde-fibronectin significantly reduced the development of atherosclerosis in apolipopro-tein E (apoE)-deficient mice, suggesting that the immune response observed in humans may have a cardioprotective effect .
机译:有临床证据表明抗血小板药,β受体阻滞剂,肾素-血管紧张素-醛固酮系统(RAAS)抑制剂以及抗氧化剂和抗炎药的有效性。巨噬细胞泡沫细胞形成是早期动脉粥样硬化的标志,人冠状动脉粥样硬化疾病与心外膜脂肪组织中的巨噬细胞极化有关。最近,脾酪氨酸激酶抑制剂fostamatinib被证明是动脉粥样硬化的一种潜在的抗炎治疗策略,因为减轻小鼠动脉粥样硬化。同样,二肽基肽酶-4抑制剂是一类新型的抗糖尿病,抗炎化合物,可有效治疗高血糖症,而DDP-4抑制剂阿格列汀可抑制Toll样受体4(TLR-4)介导的上调。白介素(IL)-6和IL-1beta,并减少糖尿病小鼠的动脉粥样硬化病变。丙二醛-纤连蛋白免疫可显着减少载脂蛋白E(apoE)缺陷小鼠的动脉粥样硬化发展,这表明在人体内观察到的免疫反应可能具有心脏保护作用。

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