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NADPH Oxidase-2 and Atherothrombosis: Insight From Chronic Granulomatous Disease. NADPH氧化酶-2与动脉粥样硬化血栓形成:来自慢性肉芽肿病的见解。
Pub Date : 2017-02-01 DOI: 10.1161/ATVBAHA.116.308351
F. Violi, R. Carnevale, L. Loffredo, P. Pignatelli, J. Gallin
The phagocytic cell enzyme NADPH oxidase-2 (Nox2) is critical for killing micro-organisms via production of reactive oxygen species and thus is a key element of the innate immune system. Nox2 is also detectable in endothelial cells and platelets where it has vasoconstrictive and aggregating properties, respectively. Patients with X-linked chronic granulomatous disease with hereditary Nox2 deficiency not only have impaired bacterial killing but, in association with loss of Nox2 function, also have enhanced carotid artery dilation, impaired platelet-related thrombosis, and reduced carotid atherosclerotic burden. Experimental studies corroborated these reports in chronic granulomatous disease by demonstrating (1) Nox2 is upregulated in atherosclerotic plaque, and this upregulation significantly correlates with oxidative stress and (2) pharmacological inhibition of Nox2 is associated with a delayed atherosclerotic progression in animal models. Furthermore, the role of Nox2 in platelet-associated thrombosis was substantiated by experiments showing impaired platelet activation in animals treated with a Nox2 inhibitor or impaired platelet aggregation along with reduced platelet-related thrombosis in the mouse knockout model of Nox2. Interestingly, in chronic granulomatous disease patients and in the mouse knockout model of Nox2, no defects of primary hemostasis were detected. This review analyses experimental and clinical data suggesting Nox2 is a potential target for counteracting the atherothrombotic process.
吞噬细胞酶NADPH氧化酶-2 (Nox2)是通过产生活性氧杀死微生物的关键,因此是先天免疫系统的关键因素。在内皮细胞和血小板中也可以检测到Nox2,它分别具有血管收缩和聚集特性。遗传Nox2缺乏症的x连锁慢性肉芽肿病患者不仅细菌杀伤功能受损,而且与Nox2功能丧失相关,颈动脉扩张增强,血小板相关血栓形成受损,颈动脉粥样硬化负担减轻。实验研究在慢性肉芽肿疾病中证实了这些报道:(1)Nox2在动脉粥样硬化斑块中上调,这种上调与氧化应激显著相关;(2)动物模型中Nox2的药理抑制与动脉粥样硬化进展延迟相关。此外,Nox2在血小板相关血栓形成中的作用得到了证实,实验显示,在小鼠Nox2敲除模型中,使用Nox2抑制剂治疗的动物血小板活化受损或血小板聚集受损,血小板相关血栓形成减少。有趣的是,在慢性肉芽肿病患者和小鼠Nox2敲除模型中,未发现原发性止血缺陷。这篇综述分析了实验和临床数据,表明Nox2是对抗动脉粥样硬化血栓形成过程的潜在靶点。
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引用次数: 74
Pathology of Human Coronary and Carotid Artery Atherosclerosis and Vascular Calcification in Diabetes Mellitus. 糖尿病患者冠、颈动脉粥样硬化及血管钙化的病理研究。
Pub Date : 2017-02-01 DOI: 10.1161/ATVBAHA.116.306256
K. Yahagi, F. Kolodgie, C. Lutter, Hiroyoshi Mori, Maria E. Romero, A. Finn, R. Virmani
The continuing increase in the prevalence of diabetes mellitus in the general population is predicted to result in a higher incidence of cardiovascular disease. Although the mechanisms of diabetes mellitus-associated progression of atherosclerosis are not fully understood, at clinical and pathological levels, there is an appreciation of increased disease burden and higher levels of arterial calcification in these subjects. Plaques within the coronary arteries of patients with diabetes mellitus generally exhibit larger necrotic cores and significantly greater inflammation consisting mainly of macrophages and T lymphocytes relative to patients without diabetes mellitus. Moreover, there is a higher incidence of healed plaque ruptures and positive remodeling in hearts from subjects with type 1 diabetes mellitus and type 2 diabetes mellitus, suggesting a more active atherogenic process. Lesion calcification in the coronary, carotid, and other arterial beds is also more extensive. Although the role of coronary artery calcification in identifying cardiovascular disease and predicting its outcome is undeniable, our understanding of how key hormonal and physiological alterations associated with diabetes mellitus such as insulin resistance and hyperglycemia influence the process of vascular calcification continues to grow. Important drivers of atherosclerotic calcification in diabetes mellitus include oxidative stress, endothelial dysfunction, alterations in mineral metabolism, increased inflammatory cytokine production, and release of osteoprogenitor cells from the marrow into the circulation. Our review will focus on the pathophysiology of type 1 diabetes mellitus- and type 2 diabetes mellitus-associated vascular disease with particular focus on coronary and carotid atherosclerotic calcification.
一般人群中糖尿病患病率的持续增加预计将导致心血管疾病的发病率升高。虽然糖尿病相关动脉粥样硬化进展的机制尚不完全清楚,但在临床和病理水平上,这些受试者的疾病负担增加和动脉钙化水平升高。与非糖尿病患者相比,糖尿病患者冠状动脉斑块通常表现为更大的坏死核心和明显更大的炎症,主要由巨噬细胞和T淋巴细胞组成。此外,1型糖尿病和2型糖尿病患者的心脏愈合斑块破裂和正重构发生率更高,表明动脉粥样硬化过程更活跃。冠状动脉、颈动脉和其他动脉床的病变钙化也更为广泛。尽管冠状动脉钙化在识别心血管疾病和预测其预后方面的作用是不可否认的,但我们对与糖尿病相关的关键激素和生理改变(如胰岛素抵抗和高血糖)如何影响血管钙化过程的理解仍在继续增长。糖尿病患者动脉粥样硬化钙化的重要驱动因素包括氧化应激、内皮功能障碍、矿物质代谢改变、炎症细胞因子产生增加以及骨髓中骨祖细胞释放到循环中。我们的综述将集中于1型糖尿病和2型糖尿病相关血管疾病的病理生理学,特别是冠状动脉和颈动脉粥样硬化钙化。
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引用次数: 330
DNA Methylation and High-Density Lipoprotein Functionality-Brief Report: The REGICOR Study (Registre Gironi del Cor). DNA甲基化和高密度脂蛋白功能-简要报告:REGICOR研究(注册Gironi del Cor)。
Pub Date : 2017-01-05 DOI: 10.1161/ATVBAHA.116.308831
S. Sayols-Baixeras, Á. Hernáez, I. Subirana, C. Lluís-Ganella, D. Muñoz, M. Fitó, J. Marrugat, R. Elosúa
OBJECTIVEThe function of high-density lipoproteins (HDLs) may better reflect their atheroprotective role, compared with HDL-cholesterol levels. The association between DNA methylation and HDL function has not yet been established.APPROACH AND RESULTSWe designed an epigenome-wide association study including 645 individuals from the REGICOR study (Registre Gironi del Cor). We determined DNA methylation from peripheral blood cells using the HumanMethylation450 array. We analyzed HDL functionality by determining HDL cholesterol efflux capacity and HDL inflammatory index. We discovered 3 methylation sites located in HOXA3, PEX5, and PER3 related to cholesterol efflux capacity and 1 located in GABRR1 related to HDL inflammatory index. Using a candidate gene approach, we also found 2 methylation sites located in CMIP related to cholesterol efflux capacity.CONCLUSIONSWe identified 6 potential loci associated with HDL functionality in HOXA3, PEX5, PER3, CMIP, and GABRR1. Additional studies are warranted to validate these findings in other populations.
目的与高密度脂蛋白(hdl -胆固醇)相比,高密度脂蛋白(hdl -胆固醇)的功能可能更好地反映其动脉粥样硬化的保护作用。DNA甲基化与HDL功能之间的关系尚未确定。方法和结果我们设计了一项全表观基因组关联研究,包括来自REGICOR研究的645名个体。我们使用HumanMethylation450阵列检测外周血细胞的DNA甲基化。我们通过测定HDL胆固醇外排能力和HDL炎症指数来分析HDL的功能。我们在HOXA3、PEX5和PER3中发现了3个与胆固醇外排能力相关的甲基化位点,在GABRR1中发现了1个与HDL炎症指数相关的甲基化位点。使用候选基因方法,我们还发现了位于CMIP中与胆固醇外排能力相关的2个甲基化位点。结论:我们在HOXA3、PEX5、PER3、CMIP和GABRR1中发现了6个与HDL功能相关的潜在位点。需要进一步的研究在其他人群中验证这些发现。
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引用次数: 12
ATVB Named Lecture Review-Insight Into Author. ATVB命名讲座回顾-洞察作者。
Pub Date : 2017-01-01 DOI: 10.1161/ATV.0000000000000041
L. Wilkins
ATVB Named Lecture Reviews—2013 Jeffrey M. Hoeg ATVB Award for Basic Science and Clinical Research Insight Into the Author: Susan S. Smyth, MD, PhD, University of Kentucky According to my mother, I was always very curious as a child, bringing creatures such as snakes and frogs into the house and putting them in the bathtub to watch. In high school, I had a fantastic AP biology course that first opened my eyes to science. I entered college with the intent of being a biology major, and my enthusiasm for science grew at Mount Holyoke. Ultimately, I decided that pursuing dual MD and PhD training would provide me with the broadest possible education. During my clinical training, abciximab received approval as adjunctive therapy for angioplasty. Having used the parent molecule monoclonal antibody 7E3 in experiments as a graduate student, it was a career-changing experience to administer abciximab to patients. That is when I realized that a career in cardiovascular medicine was my future. I have been incredibly fortunate to have had the …
ATVB命名演讲评论- 2013年Jeffrey M. Hoeg ATVB基础科学和临床研究奖见解作者:Susan S. Smyth,医学博士,肯塔基大学据我母亲说,我小时候总是很好奇,把蛇和青蛙等生物带到家里,把它们放在浴缸里观看。高中时,我上了一门很棒的AP生物课程,这门课程让我第一次看到了科学。我进入大学的目的是主修生物学,我对科学的热情在霍利奥克山大学增长。最终,我决定攻读医学博士和博士学位,这样可以为我提供尽可能广泛的教育。在我的临床培训期间,阿昔单抗被批准作为血管成形术的辅助治疗。研究生期间曾在实验中使用过母体分子单克隆抗体7E3,给患者施用阿昔单抗是一次改变职业生涯的经历。就在那时,我意识到心血管医学是我的未来。我非常幸运地拥有……
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引用次数: 0
ATVB Named Lecture Review-Insight Into Author. ATVB命名讲座回顾-洞察作者。
Pub Date : 2017-01-01 DOI: 10.1161/ATV.0000000000000044
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引用次数: 0
ATVB Named Lecture Review-Insight Into Author. ATVB命名讲座回顾-洞察作者。
Pub Date : 2017-01-01 DOI: 10.1161/ATV.0000000000000042
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引用次数: 0
The Microvasculature: The Next Battlefield Where Transforming Growth Factor-β and Endoglin Draw Their Double-Edged Swords? 微血管:转化生长因子-β和内啡肽拔出双刃剑的下一个战场?
Pub Date : 2017-01-01 DOI: 10.1161/ATVBAHA.116.308610
G. Pasterkamp, M. Goumans
Regenerative tissue repair after injury is a delicate balance between pivotal biological processes, such as cell growth and differentiation, angiogenesis, and extracellular matrix remodeling. The notice that damage repair comes with enhanced angiogenic and profibrotic responses has inspired the scientific community with the idea that molecules involved in collagen turnover and proteolysis may act as biomarkers to predict remission or activation of chronic inflammatory diseases in which fibrosis is one of the major underlying key players. See accompanying article on page 49 Transforming growth factor-β (TGF-β) is a critical growth factor in tissue repair. TGF-β belongs to a large family of growth factors to which also the bone morphogenetic proteins (BMPs) belong.1 TGF-β has many functions such as inhibition of epithelial and endothelial cell growth, stimulation of mesenchymal cell growth, and diminishing the inflammatory response, but its most important role in tissue repair is to promote extracellular matrix turnover. Although TGF-β1 has proarteriogenic and angiogenic effects, depending on the context and concentration, TGF-β can also be antiangiogenic, inhibiting the growth of endothelial cells.2 Therefore, it plays a pivotal role during vascular homeostasis and maintenance. TGF-β1 seems a double-edged sword in vascular occlusive diseases. On one hand, it enhances smooth muscle cell proliferation and stimulates extracellular matrix production, 2 key components of restenosis and vessel remodeling. On the other hand, an increase in smooth muscle cell content and a thick fibrotic cap are also features of stable atherosclerotic lesions that are less prone to rupture. Endoglin is an accessory TGF-β receptor and a modulator of TGF-β signaling.3 Endoglin plays an important regulatory role in balancing the proangiogenic and antiangiogenic and fibrotic response of TGF-β. Endoglin exerts its function by interacting with the TGF-β type II receptor and the type 1 receptors ALK1 (activin receptor-like kinase) and ALK5 and …
损伤后的再生组织修复是关键生物过程之间的微妙平衡,如细胞生长和分化、血管生成和细胞外基质重塑。损伤修复伴随着血管生成和纤维化反应的增强,这一发现激发了科学界的想法,即参与胶原蛋白转化和蛋白质水解的分子可能作为生物标志物来预测慢性炎症性疾病的缓解或激活,而纤维化是慢性炎症性疾病的主要潜在关键因素之一。转化生长因子-β (TGF-β)是组织修复中的关键生长因子。TGF-β属于一个生长因子大家族,骨形态发生蛋白(BMPs)也属于这个大家族TGF-β具有抑制上皮和内皮细胞生长、刺激间充质细胞生长、减轻炎症反应等多种功能,但其在组织修复中最重要的作用是促进细胞外基质的更新。虽然TGF-β1具有促动脉生成和血管生成作用,但根据环境和浓度的不同,TGF-β也可能具有抗血管生成作用,抑制内皮细胞的生长因此,它在血管稳态和维持中起着关键作用。TGF-β1在血管闭塞性疾病中似乎是一把双刃剑。一方面,它促进平滑肌细胞增殖,刺激细胞外基质的产生,这是再狭窄和血管重塑的两个关键成分。另一方面,平滑肌细胞含量增加和纤维化帽厚也是稳定的动脉粥样硬化病变不易破裂的特征。内啡肽是一种辅助TGF-β受体,是TGF-β信号的调节剂内啡肽在平衡TGF-β的促血管生成和抗血管生成及纤维化反应中起重要的调节作用。内啡肽通过与TGF-β II型受体和1型受体ALK1(激活素受体样激酶)、ALK5和ALK5相互作用发挥作用。
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引用次数: 5
Monocyte Conversion During Inflammation and Injury. 炎症和损伤过程中的单核细胞转化。
Pub Date : 2017-01-01 DOI: 10.1161/ATVBAHA.116.308198
Rachel M. Kratofil, P. Kubes, J. Deniset
Monocytes are circulating leukocytes important in both innate and adaptive immunity, primarily functioning in immune defense, inflammation, and tissue remodeling. There are 2 subsets of monocytes in mice (3 subsets in humans) that are mobilized from the bone marrow and recruited to sites of inflammation, where they carry out their respective functions in promoting inflammation or facilitating tissue repair. Our understanding of the fate of these monocyte subsets at the site of inflammation is constantly evolving. This brief review highlights the plasticity of monocyte subsets and their conversion during inflammation and injury.
单核细胞是在先天免疫和适应性免疫中都很重要的循环白细胞,主要在免疫防御、炎症和组织重塑中起作用。小鼠单核细胞有2个亚群(人类有3个亚群),它们从骨髓中被动员到炎症部位,在那里它们执行各自的功能,促进炎症或促进组织修复。我们对这些单核细胞亚群在炎症部位的命运的理解是不断发展的。本文简要回顾了单核细胞亚群的可塑性及其在炎症和损伤过程中的转化。
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引用次数: 255
Sphingolipids Contribute to Human Atherosclerotic Plaque Inflammation. 鞘脂有助于人类动脉粥样硬化斑块炎症。
Pub Date : 2016-06-01 DOI: 10.1161/ATVBAHA.116.305675
A. Edsfeldt, P. Dunér, M. Ståhlman, I. Mollet, G. Asciutto, H. Grufman, M. Nitulescu, A. Persson, R. Fisher, O. Melander, M. Orho-Melander, J. Borén, J. Nilsson, I. Gonçalves
OBJECTIVELipids are central to the development of atherosclerotic plaques. Specifically, which lipids are culprits remains controversial, and promising targets have failed in clinical studies. Sphingolipids are bioactive lipids present in atherosclerotic plaques, and they have been suggested to have both proatherogenic and antiatherogenic. However, the biological effects of these lipids remain unknown in the human atherosclerotic plaque. The aim of this study was to assess plaque levels of sphingolipids and investigate their potential association with and contribution to plaque vulnerability.APPROACH AND RESULTSGlucosylceramide, lactosylceramide, ceramide, dihydroceramide, sphingomyelin, and sphingosine-1-phosphate were analyzed in homogenates from 200 human carotid plaques using mass spectrometry. Inflammatory activity was determined by analyzing plaque levels of cytokines and plaque histology. Caspase-3 was analyzed by ELISA technique. Expression of regulatory enzymes was analyzed with RNA sequencing. Human coronary artery smooth muscle cells were used to analyze the potential role of the 6 sphingolipids as inducers of plaque inflammation and cellular apoptosis in vitro. All sphingolipids were increased in plaques associated with symptoms and correlated with inflammatory cytokines. All sphingolipids, except sphingosine-1-phosphate, also correlated with histological markers of plaque instability. Lactosylceramide, ceramide, sphingomyelin, and sphingosine-1-phosphate correlated with caspase-3 activity. In vitro experiments revealed that glucosylceramide, lactosylceramide, and ceramide induced cellular apoptosis. All analyzed sphingolipids induced an inflammatory response in human coronary artery smooth muscle cells.CONCLUSIONSThis study shows for the first time that sphingolipids and particularly glucosylceramide are associated with and are possible inducers of plaque inflammation and instability, pointing to sphingolipid metabolic pathways as possible novel therapeutic targets.
目的脂质是动脉粥样硬化斑块形成的核心。具体来说,哪些脂质是罪魁祸首仍然存在争议,有希望的目标在临床研究中失败了。鞘脂是存在于动脉粥样硬化斑块中的生物活性脂类,它们被认为具有促动脉粥样硬化和抗动脉粥样硬化的双重作用。然而,这些脂质在人类动脉粥样硬化斑块中的生物学作用尚不清楚。本研究的目的是评估斑块的鞘脂水平,并研究它们与斑块易损性的潜在联系和贡献。方法和结果采用质谱法分析了200个人颈动脉斑块匀浆中的葡萄糖神经酰胺、乳糖神经酰胺、神经酰胺、二氢神经酰胺、鞘磷脂和鞘磷脂-1-磷酸。通过分析斑块细胞因子水平和斑块组织学来确定炎症活性。酶联免疫吸附法检测Caspase-3。通过RNA测序分析调控酶的表达。利用人冠状动脉平滑肌细胞分析6种鞘脂在体外诱导斑块炎症和细胞凋亡中的潜在作用。所有鞘脂在与症状相关的斑块中均升高,并与炎症细胞因子相关。除了鞘脂-1-磷酸外,所有鞘脂也与斑块不稳定的组织学标志物相关。乳糖神经酰胺、神经酰胺、鞘磷脂和鞘磷脂-1-磷酸与caspase-3活性相关。体外实验表明,葡萄糖神经酰胺、乳糖神经酰胺和神经酰胺均可诱导细胞凋亡。所有分析的鞘脂都能诱导人冠状动脉平滑肌细胞的炎症反应。结论本研究首次发现鞘脂特别是糖基神经酰胺与斑块炎症和不稳定相关,并可能是诱导因子,提示鞘脂代谢途径可能是新的治疗靶点。
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引用次数: 126
Recipients of the 2015 Early Career Investigator Awards. 2015年早期职业研究者奖获得者。
Pub Date : 2016-05-01 DOI: 10.1161/ATVBAHA.116.307358
A. Daugherty
This is the 11th year of competition for ATVB Early Career Investigator Awards. The Awards recognize papers published in ATVB in 2015 that were submitted by new investigators and judged to be the most outstanding in the Atherosclerosis/Lipoprotein, Thrombosis, and Vascular Biology sections of the journal. The 3 awards are named for Dr Daniel Steinberg, who devised a method to determine the site of degradation of the proteins and lipids …
今年是第11届ATVB早期职业研究者奖的比赛。该奖项旨在表彰2015年发表在ATVB上的新研究者提交的论文,这些论文被认为是该杂志动脉粥样硬化/脂蛋白,血栓形成和血管生物学部分最杰出的论文。这三个奖项都是以丹尼尔·斯坦伯格博士的名字命名的,他发明了一种方法来确定蛋白质和脂质降解的位置……
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引用次数: 0
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Arteriosclerosis, Thrombosis, & Vascular Biology
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