首页|含凝血酶原1型结构域的蛋白质1在颅内动脉瘤发生及破裂中的作用研究进展

含凝血酶原1型结构域的蛋白质1在颅内动脉瘤发生及破裂中的作用研究进展

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颅内动脉瘤破裂是造成蛛网膜下腔出血的首要病因,具有高病死率、高致残率的特点。电子显微镜下,颅内动脉瘤内膜表面内皮细胞的连接处可见小孔和扩大的间隙。黏着斑是连接细胞外的复杂大分子复合物结构,其作用为维持脑血管的完整性,含凝血酶原1型结构域的蛋白质1(THSD1)和踝蛋白相互作用可将内皮细胞拴系至下层基底膜上,组装形成黏着斑并促进其成熟,以维持血管内膜完整。THSD1可通过细胞内吞途径及小干扰核糖核酸调节自身数量及功能,THSD1突变后其翻译蛋白THSD1功能异常,易于发生颅内动脉瘤。该文从THSD1基因的定位与功能、颅内动脉瘤发生的病理机制、THSD1与动脉瘤发生的关系及THDSI功能的调节等方面进行综述,以期为颅内动脉瘤的治疗提供新的思路和靶点。
Advances of the thrombospondin type 1 domain containing protein 1 in intracranial aneurysms formation and rupture
Intracranial aneurysm(IA)is the predominant cause of subarachnoid haemorrhage and is characterised by high mortality and disability.Small holes and enlarged gaps are detected in the junctions of endothelial cells on the surface of the IA endothelial lumen under electron microscopy.Focal adhesions(FA)are complex macromolecular complex structures that connect extracellularly and serve to maintain cerebrovascular integrity.Thrombospondin type 1 domain containing protein 1(THSD1)and talin interact to tether endothelial cells to the underlying basement membrane,assembling to form FA and promoting its maturation to maintain endothelial integrity.THSD1 can regulate the number and function through the endocytosis pathway and small interfering ribonucleic acids.When THSD1 mutates,its translated protein THSD1 functions abnormally,making it prone to IA.This review summarized the location and function of the THSD1 gene,the pathogenic mechanism of IA,the relationship between THSD1 and IA formation,and the regulation of THSD1 function,with the aim of providing new ideas and treatment targets for the treatment of IA.

Intracranial aneurysmFocal adhesionTHSD1Review

文斌、吴浩

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741000 甘肃省天水市第一人民医院神经外科

颅内动脉瘤 黏着斑 THSD1 综述

2024

中国脑血管病杂志
中国医师协会 首都医科大学宣武医院

中国脑血管病杂志

CSTPCD北大核心
影响因子:1.076
ISSN:1672-5921
年,卷(期):2024.21(12)