一种啮齿类动物心脏代谢风险综合评分评估方法

A. K. Wuyt, Pamela A. Nono Nankam, E. P. Nguelefack-Mbuyo, T. B. Nguelefack
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摘要

心脏代谢疾病是全世界发病率和死亡率的主要原因之一。个体中一系列代谢危险因素的共存促使雷文将其视为一种综合征,称为“X综合征”。这个术语后来演变而来,这种健康状况今天被称为“心血管代谢综合征”(CMS)。在过去的几年里,对CMS的病理生理学的理解取得了重大进展。能够充分评估心血管代谢风险(CMR)对于CMS的正确诊断、预防和更好的管理至关重要,因为这可能有助于减缓其进展和并发症。这也可以用于临床前和临床评估潜在的治疗策略。已经开发了几种方法来评估慢性和临床环境中发生心脏代谢疾病的风险。然而,这些方法在适用于啮齿类动物的短期和实验性设置时显示出局限性。因此,本评论旨在重新定义和强调在心脏代谢综合征定义中需要重新考虑的主要危险因素;提出了一种评估啮齿动物CMR的综合估计方法。这与CMS术语的适当使用和实验设置中治疗靶点的深入评估有关。
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A comprehensive cardiometabolic risk score estimation method in rodents
Cardiometabolic diseases are among the main leading causes of morbidity and mortality over the world. The coexistence of a bundle of metabolic risk factors in an individual has prompted Reaven to consider it as a syndrome, called “X syndrome”. The term has later evolved and the health condition is today called “cardiometabolics syndrome” (CMS). Significant progress in the understanding of the pathophysiology of the CMS has been made during the past years. Being able to adequately assess cardiometabolic risk (CMR) is crucial for proper diagnosis, prevention, and better management of CMS, as this could be helpful to slow down its progression and complications. This could also be useful in the preclinical and clinical evaluation of potential treatment strategies. Several methods have been developed to assess the risk of developing cardiometabolic diseases in chronic and clinical setting. However, these methods show limitations when applying to short and experimental settings involving rodents. Therefore, this commentary aims at redefining and highlighting the main risk factors to be reconsidered in cardiometabolic syndrome definition; and proposing a comprehensive estimation method for the evaluation of the CMR in rodents. This is relevant for an appropriate utilization of the term CMS and a deep evaluation of therapeutic targets in experimental settings.
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