Lymphatic Clearance of Immune Cells in Cardiovascular Disease.

Lymphatic Clearance of Immune Cells in Cardiovascular Disease.
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心血管疾病中免疫细胞的淋巴清除率。

DOI:
10.3390/cells10102594
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发表时间:
2021-09-29
期刊:
影响因子:
6
通讯作者:
Riley PR
Riley PR
中科院分区:
生物学2区
文献类型:
--
作者:
Ravaud C;Ved N;Jackson DG;Vieira JM;Riley PR

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淋巴系统的功能,发展和在病理生理学中的作用的最新进展已经改变了我们对它的重要性的看法。历史上认为淋巴系统仅参与组织液、脂质和免疫细胞的运输,但淋巴系统显示出极大的异质性和可塑性,并积极参与免疫细胞调节。对这些过程的任何干预都可能是有害的,无论是在发育水平还是在成人水平。对心脏淋巴系统的临床前研究表明,在缺血心脏中引发淋巴管生成和增强免疫细胞运输可以减少心肌水肿,减少炎症,并改善心脏结局。了解免疫细胞和淋巴管内皮如何相互作用对于了解如何操纵淋巴管网络以改善免疫细胞清除也至关重要。在这篇综述中,我们研究了不同类型的免疫细胞参与心肌梗死后的纤维化修复。我们还讨论了心脏淋巴管系统的发展和功能,以及一些免疫细胞如何与心脏中的淋巴管内皮相互作用。最后,我们确定了促进淋巴管生成是如何成为减少免疫细胞持久性、炎症和水肿以恢复缺血性心脏病心脏功能的主要治疗靶点的。
Recent advances in our understanding of the lymphatic system, its function, development, and role in pathophysiology have changed our views on its importance. Historically thought to be solely involved in the transport of tissue fluid, lipids, and immune cells, the lymphatic system displays great heterogeneity and plasticity and is actively involved in immune cell regulation. Interference in any of these processes can be deleterious, both at the developmental and adult level. Preclinical studies into the cardiac lymphatic system have shown that invoking lymphangiogenesis and enhancing immune cell trafficking in ischaemic hearts can reduce myocardial oedema, reduce inflammation, and improve cardiac outcome. Understanding how immune cells and the lymphatic endothelium interact is also vital to understanding how the lymphatic vascular network can be manipulated to improve immune cell clearance. In this Review, we examine the different types of immune cells involved in fibrotic repair following myocardial infarction. We also discuss the development and function of the cardiac lymphatic vasculature and how some immune cells interact with the lymphatic endothelium in the heart. Finally, we establish how promoting lymphangiogenesis is now a prime therapeutic target for reducing immune cell persistence, inflammation, and oedema to restore heart function in ischaemic heart disease.
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