Review Article

改良低密度脂蛋白免疫复合物与心血管疾病

卷 26, 期 9, 2019

页: [1680 - 1692] 页: 13

弟呕挨: 10.2174/0929867325666180524114429

价格: $65

摘要

经修饰的低密度脂蛋白,无论是在有机体中自发形成还是在实验室制备,都具有免疫原性。因此,体内形成的抗原-抗体复合物(免疫复合物,IC)可以在外周血中测量,它们的水平是心血管疾病(CVD)的强预测因子。 已经有可能产生识别不同LDL修饰的抗体,从而分析循环IC结构。临床研究表明,IC的抗原构成对CVD的发展具有调节作用。IC与铜氧化低密度脂蛋白(oxldl)抗体反应强烈的患者显示动脉粥样硬化的进展,表现为内膜-中膜厚度增加和冠状动脉钙化评分增加。相比之下,IC与体外制备的严重氧化丙二醛低密度脂蛋白(mda-ldl)抗体发生强烈反应的患者有很高的急性血管事件风险,主要是心肌梗死。体外研究表明,虽然Oxldl-IC同时诱导细胞增殖和轻度到中度巨噬细胞凋亡,但MDA-LDL-IC却诱导更显著的巨噬细胞凋亡,而不是细胞增殖。此外,丙二醛-低密度脂蛋白IC比氧低密度脂蛋白IC诱导更高水平的基质金属蛋白酶和肿瘤坏死因子的释放。高水平的肿瘤坏死因子可能是导致细胞凋亡的主要因素,高水平的金属蛋白酶可能在粥样斑块纤维帽变薄中起作用。细胞凋亡和纤维帽变薄的结合是易损斑块的一个众所周知的特征,易损斑块更容易破裂并导致大多数急性心血管事件。

关键词: 改良的低密度脂蛋白,低密度脂蛋白免疫复合物,丙二醛低密度脂蛋白,凋亡,血管炎症,不稳定斑块,氧低密度脂蛋白

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