Macrophage death and defective inflammation resolution in atherosclerosis.

Macrophage death and defective inflammation resolution in atherosclerosis.
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DOI:
10.1038/nri2675
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发表时间:
2010-01
期刊:
Nature reviews. Immunology
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其他
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动脉粥样硬化的一个关键事件是对内皮下脂蛋白的不适应性炎症反应。这种反应的一个关键方面是炎症消退失败,这通常包括抑制炎症细胞进入,有效清除凋亡细胞(胞吐),促进炎症细胞外流。这些过程中的缺陷会促进动脉粥样硬化病变进展为危险的斑块,从而引发动脉粥样硬化性血栓性血管疾病,这是工业化社会的主要死亡原因。这篇综述将提供这些概念的概述,重点是巨噬细胞死亡、有缺陷的泡泡吞噬作用以及旨在促进动脉粥样硬化炎症消退的新的治疗策略。
A key event in atherosclerosis is a maladaptive inflammatory response to subendothelial lipoproteins. A critical aspect of this response is failure of inflammation resolution, which normally consists of suppression of inflammatory cell influx, effective clearance of apoptotic cells (efferocytosis), and promotion of inflammatory cell egress. Defects in these processes promote the progression of atherosclerotic lesions into dangerous plaques, which can trigger atherothrombotic vascular disease, the leading cause of death in industrialized societies. This review will provide an overview of these concepts, with a focus on macrophage death, defective efferocytosis, and novel therapeutic strategies designed to boost inflammation resolution in atherosclerosis.
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