摘要
已知全世界至少有10亿成年人吸烟,并且至少7亿儿童在家为被动吸烟者。吸烟对许多器官系统产生有害影响,也会引发许多疾病,如肺癌、肺炎、慢性阻塞性肺疾病、头颈部癌症、尿和胃肠道癌症、牙周病、白内障和关节炎等。另外,吸烟是心血管疾病发展的一个重要多变危险因素,如冠心病、稳定型心绞痛、急性冠脉综合征、猝死、中风、外周血管疾病、充血性心力衰竭、勃起功能障碍、通过动脉粥样硬化引发和进展的主动脉瘤。各种各样的研究已经证明,无论是初始还是长期吸烟者,主动还是被动吸烟者,吸烟都会导致氧化应激、血管炎症、血小板凝固、血管功能障碍和影响血清脂质分布,对心血管系统产生有害影响。本文旨在描述香烟烟雾的物理和生化特性。此外,阐明由吸烟引起的动脉粥样硬化的主要病理生理机制并概述了戒烟和增强心血管健康的新治疗方法。
关键词: 动脉粥样硬化,心血管疾病,吸烟
Current Medicinal Chemistry
Title:Smoking and Atherosclerosis: Mechanisms of Disease and New Therapeutic Approaches
Volume: 21 Issue: 34
Author(s): Gerasimos Siasos, Vasiliki Tsigkou, Eleni Kokkou, Evangelos Oikonomou, Manolis Vavuranakis, Charalambos Vlachopoulos, Alexis Verveniotis, Maria Limperi, Vasiliki Genimata, Athanasios G. Papavassiliou, Christodoulos Stefanadis and Dimitris Tousoulis
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关键词: 动脉粥样硬化,心血管疾病,吸烟
摘要: It has been clear that at least 1 billion adults worldwide are smokers and at least 700 million children are passive smokers at home. Smoking exerts a detrimental effect to many organ systems and is responsible for illnesses such as lung cancer, pneumonia, chronic obstructive pulmonary disease, cancer of head and neck, cancer of the urinary and gastrointestinal tract, periodontal disease, cataract and arthritis. Additionally, smoking is an important modifiable risk factor for the development of cardiovascular disease such as coronary artery disease, stable angina, acute coronary syndromes, sudden death, stroke, peripheral vascular disease, congestive heart failure, erectile dysfunction and aortic aneurysms via initiation and progression of atherosclerosis. A variety of studies has proved that cigarette smoking induces oxidative stress, vascular inflammation, platelet coagulation, vascular dysfunction and impairs serum lipid pro-file in both current and chronic smokers, active and passive smokers and results in detrimental effects on the cardiovascular system. The aim of this review is to depict the physical and biochemical properties of cigarette smoke and, furthermore, elucidate the main pathophysiological mechanisms of cigarette-induced atherosclerosis and overview the new therapeutic approaches for smoking cessation and augmentation of cardiovascular health.
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Siasos Gerasimos, Tsigkou Vasiliki, Kokkou Eleni, Oikonomou Evangelos, Vavuranakis Manolis, Vlachopoulos Charalambos, Verveniotis Alexis, Limperi Maria, Genimata Vasiliki, Papavassiliou G. Athanasios, Stefanadis Christodoulos and Tousoulis Dimitris, Smoking and Atherosclerosis: Mechanisms of Disease and New Therapeutic Approaches, Current Medicinal Chemistry 2014; 21 (34) . https://dx.doi.org/10.2174/092986732134141015161539
DOI https://dx.doi.org/10.2174/092986732134141015161539 |
Print ISSN 0929-8673 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-533X |
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