首页|川崎病冠状动脉病变相关细胞因子研究进展

川崎病冠状动脉病变相关细胞因子研究进展

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川崎病是一种常见的小儿急性发热出疹性疾病,可导致冠状动脉病变,是引起后天性获得性心脏病较常见的原因之一.但是,川崎病及并发冠状动脉病变发病机制尚不明确,炎症因子与川崎病及并发冠状动脉病变之间的相互关系有待进一步阐明.该文对细胞因子在川崎病并发冠状动脉病变过程中的作用进行综述,探讨炎症因子和抗炎因子两方面的具体机制.研究显示细胞因子在川崎病的发病机制及冠状动脉并发症的形成中发挥关键作用.监测细胞因子的水平对于预测川崎病及其冠状动脉并发症的风险具有重要价值.此外,干预措施如抑制促炎因子和增强抗炎因子的活性,有望改善部分川崎病患儿的预后,显示出其在临床应用上的潜在重要性.
Advances in cytokines in Kawasaki disease with coronary artery lesions
Kawasaki disease,a common acute febrile and eruptive disease in children,can lead to coronary artery disease,emerging as one of the most common causes of acquired heart diseases.However,the pathogenesis of Kawasaki disease with coronary artery lesions is unknown,and interaction between inflammatory cytokines and Kawasaki disease with its coronary artery lesions remains to be elucidated.This paper reviews the role of cytokines in Kawasaki disease complicated with coronary artery lesions,and explores the specific mechanisms of inflammatory and anti-inflammatory factors in detail.Cytokines play a key role in the pathogenesis of Kawasaki disease and the formation of coronary complications.This review highlights that monitoring the levels of cytokines is of great value in predicting the risk of Kawasaki disease and coronary complications.In addition,it is expected that interventions,for example,inhibition of pro-inflammatory factors and enhancement of the activity of anti-inflammatory factors,could improve the prognosis of some children with Kawasaki disease,which has potential importance in clinical applications.

Kawasaki diseaseInflammatory factorCoronary artery lesionsPathogenesis

陈学鹏、黄子于、王亚洲

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海南医科大学儿科学院,海口 570000

海南省妇女儿童医学中心心血管内科,海口 570000

川崎病 炎症因子 冠状动脉病变 发病机制

2024

国际儿科学杂志
中华医学会,中国医科大学

国际儿科学杂志

CSTPCD
影响因子:1.057
ISSN:1673-4408
年,卷(期):2024.51(11)