首页|髋关节置换缺血性脑卒中粒细胞胞外陷阱的作用

髋关节置换缺血性脑卒中粒细胞胞外陷阱的作用

Role of neutrophil extracellular trap in ischemic stroke after hip arthroplasty

扫码查看
缺血性脑卒中是髋关节置换术后少见且严重的并发症之一,其致残率高,严重时危及生命,发病过程与创伤性炎症反应、血栓形成等密切相关.近十年研究发现,中性粒细胞胞外陷阱(neutrophil extracellular traps,NETs)参与动脉血栓形成.髋关节置换术后机体的炎症反应、血小板的活化等激活中性粒细胞,诱导NETs产生并释放,使血液处于高凝状态、血小板高效聚集、促进凝血酶产生、激活部分凝血因子、降低动脉粥样硬化斑块的稳定性,导致术后缺血性脑卒中发生.NETs相关生物标志物的检测可预测术后缺血性脑卒中发生,抑制NETs产生或促进NETs降解为术后缺血性脑卒中预防及治疗提供新的方向,为研发新的药物提供新的思路.
Ischemic stroke is one of the rare,but serious complications after hip arthroplasty.It has a high disability rate,and is life-threatening in severe cases.Its pathogenesis is closely related to traumatic inflammation and thrombosis.Recent studies have found that neu-trophil extracellular traps(NETs)are involved in the formation of arterial thrombosis.After hip arthroplasty,neutrophils are activated by in-flammation and platelet activation,inducing the production and release of NETs,keeping blood in a hypercoagulable state,efficiently aggre-gating platelets,promoting thrombin production,activating part of coagulation factors,and reducing the stability of atherosclerotic plaques,leading to ischemic stroke after surgery.The detection of NETs related biomarkers can predict the occurrence of postoperative ischemic stroke,inhibit the production or promote the degradation of NETs,and provide a new direction for the prevention and treatment of postopera-tive ischemic stroke,and provide a new idea for the development of new drugs.

neutrophil extracellular traphip arthroplastyischemic stroke

张吉美、于芳洲、耿榆杰、李作伟

展开 >

山东中医药大学第一临床医学院,山东济南 250014

山东中医药大学附属医院神经内科,山东济南 250014

中性粒细胞胞外陷阱 髋关节置换术 缺血性脑卒中

2024

中国矫形外科杂志
中国残疾人康复协会 中国人民解放军第八十八医院

中国矫形外科杂志

CSTPCD北大核心
影响因子:1.521
ISSN:1005-8478
年,卷(期):2024.32(9)
  • 44