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Abdominal aortic aneurysm-an independent disease to atherosclerosis?

机译:腹主动脉瘤 - 血液粥样硬化的独立疾病?

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Atherosclerosis and abdominal aortic aneurysms (AAAs) are multifactorial and polygenic diseases with known environmental and genetic risk factors that contribute toward disease development. Atherosclerosis represents an important independent risk factor for AAA, as people with AAA often have atherosclerosis. Studies have shown that comorbidity is usually between similar to 25% and 55%, but it is still not fully known whether this association is causal or a result of common shared risk profiles. Most recent epidemiological, clinical, and biological evidence suggests that the two pathologies are more distinct than traditionally thought. For instance diabetes mellitus, hypercholesterolemia, and obesity are high risk for atherosclerosis development but are not as pronounced in AAA, whereas smoking, gender, and ethnicity are particularly high risk for AAA but less so for atherosclerosis. In addition, genetic and epigenetic studies have identified independent risk loci involved in AAA susceptibility that are not associated with other cardiovascular diseases, and research on important common cardiovascular biomarkers has illustrated discrepancies in those with AAA. (C) 2017 Elsevier Inc. All rights reserved.
机译:动脉粥样硬化和腹主动脉瘤(AAAs)是具有已知的环境和遗传危险因素的多因素和多基因疾病,有助于疾病发展。动脉粥样硬化是AAA的重要独立风险因素,因为AAA的人经常具有动脉粥样硬化。研究表明,合并症通常与25%和55%之间相似,但仍然没有完全知道这种关联是因果的或常见共享风险概况的结果。最近的流行病学,临床和生物学证据表明,这两种病理比传统上思想更明确。例如,糖尿病,高胆固醇血症和肥胖是动脉粥样硬化发展的高风险,但在AAA中并不明显,而吸烟,性别和种族对AAA的风险特别高,但动脉粥样硬化较少。此外,遗传和表观遗传研究已经确定了涉及与其他心血管疾病无关的AAA易感性的独立风险基因座,并对重要常见的心血管生物标志物的研究表明了具有AAA的人的差异。 (c)2017年Elsevier Inc.保留所有权利。

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