中国医学创新2024,Vol.21Issue(27) :184-188.DOI:10.3969/j.issn.1674-4985.2024.27.042

微RNA在支架内再狭窄中的作用与机制

The Role and Mechanisms of microRNA in In-stent Restenosis

刘行健 王金航 张博伦 刘润東 王川
中国医学创新2024,Vol.21Issue(27) :184-188.DOI:10.3969/j.issn.1674-4985.2024.27.042

微RNA在支架内再狭窄中的作用与机制

The Role and Mechanisms of microRNA in In-stent Restenosis

刘行健 1王金航 2张博伦 1刘润東 3王川1
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作者信息

  • 1. 首都医科大学燕京医学院 北京 101300
  • 2. 首都医科大学生物医学工程学院 北京 100069
  • 3. 中国医学科学院北京协和医院心内科 北京 100730
  • 折叠

摘要

经皮冠状动脉介入治疗(PCI)是冠状动脉粥样硬化的常用治疗手段.支架内再狭窄(ISR)是植入支架后较为高发的并发症.微RNA(microRNA,miRNA)可以作为再狭窄诊断和治疗的生物标志物和靶标,预防或减少再狭窄的发生.本文综述了ISR的病理生理机制,介绍了几种miRNA在ISR的功能和调节过程,阐释了其在调控血管平滑肌细胞(VSMC)和内皮细胞(EC)的表型、增殖和迁移中的作用.为针对miRNA的ISR的治疗和预防策略提出临床参考,从而指导治疗方案.

Abstract

Percutaneous coronary intervention(PCI)is a common treatment for coronary atherosclerosis.In-stent restenosis(ISR)is a relatively frequent complication following stent implantation.MicroRNA(miRNA)can serve as biomarkers and targets for the diagnosis and treatment of restenosis,potentially preventing or reducing its occurrence.This article reviews the pathophysiological mechanisms of ISR,presents the functions and regulatory processes of several miRNA in ISR,and elucidates their roles in regulating the phenotypes,proliferation,and migration of vascular smooth muscle cells(VSMC)and endothelial cells(EC).This article offers clinical insights into miRNA targeted therapeutic and preventive strategies for ISR,thereby guiding treatment protocols.

关键词

微RNA/支架内再狭窄/内皮细胞/血管平滑肌细胞/经皮冠状动脉介入治疗

Key words

microRNA/In-stent restenosis/Endothelial cell/Vascular smooth muscle cell/Percutaneous coronary intervention

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出版年

2024
中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
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