首页|脑小血管病血管内皮功能障碍及其生物标志物研究进展

脑小血管病血管内皮功能障碍及其生物标志物研究进展

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脑小血管病(CSVD)是一组由不同病因引起的脑内小血管异常所致的脑组织局部病变,其发病机制尚未完全明确,当前其诊断主要依赖于临床影像学检查。脑血管中的内皮细胞(ECs)可在维持血脑屏障结构和功能,调节脑血流,以及神经血管耦合等方面发挥重要作用。近年研究显示,ECs功能障碍在CSVD病理改变中发挥重要的诱发和媒介作用,甚至可能是其发病的关键始动环节,且ECs功能障碍相关的生物标志物与CSVD的严重程度有关。本文综述ECs功能障碍在CSVD发病机制中的作用及相关生物标志物的研究进展,以期为CSVD的诊断和治疗提供参考。
Research progress on vascular endothelial dysfunction and its biomarkers in cerebral small vessel disease
Cerebral small vessel disease(CSVD)is a group of local brain tissue lesions caused by abnormal small vessels in the brain due to different etiologies.The pathogenesis of CSVD is not yet fully understood,and its diagnosis currently mainly relies on clinical imaging examinations.Endothelial cells(ECs)in cerebral blood vessels can play an important role in maintaining the structure and function of the blood-brain barrier,regulating cerebral blood flow,and mediating neurovascular coupling.In recent years,studies have shown that ECs dysfunction plays an important triggering and mediating role in the pathological changes of CSVD,and may even be a key initiating link in its pathogenesis.Moreover,biomarkers related to ECs dysfunction are associated with the severity of CSVD.The review summarizes the role of ECs dysfunction in the pathogenesis of CSVD,and the research progress of related biomarkers,aiming to provide references for the diagnosis and treatment of CSVD.

cerebral small-vessel diseaseblood-brain barrierwhite matter hyperintensitiesendothelial cell dysfunctionbiomarkers

张肇泽、焦好、陈颖、郭向阳、李正迁

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北京大学第三医院麻醉科,北京 100191

脑小血管病 血脑屏障 白质高信号 内皮细胞功能障碍 生物标志物

2024

解放军医学杂志
人民军医出版社

解放军医学杂志

CSTPCD北大核心
影响因子:1.644
ISSN:0577-7402
年,卷(期):2024.49(12)