首页|期刊导航|心脑血管病防治|炎症与脂质代谢的相互作用在动脉粥样硬化斑块破裂中的研究进展

炎症与脂质代谢的相互作用在动脉粥样硬化斑块破裂中的研究进展OA

Research progress on the interaction between inflammation and lipid metabolism in atherosclerotic plaque rupture

中文摘要英文摘要

动脉粥样硬化是心血管疾病的重要病理基础,动脉粥样硬化斑块破裂是引发急性心肌梗死和脑卒中的关键事件.近年来,炎症与脂质代谢在斑块发生及破裂中的作用机制受到广泛关注.一方面,炎症反应驱动斑块形成并削弱其稳定性;另一方面,脂质代谢异常直接影响斑块的组成与稳定性.现有研究揭示,这两种机制并非各自独立,而是相互交织、协同作用,共同决定了斑块的生物学命运.然而,在斑块破裂这一终末事件中,两者的相对贡献如何,迄今尚未明确,缺乏系统性的比较与共识.因此,本综述旨在系统探讨炎症与脂质代谢在斑块破裂过程中的作用,剖析其内在机制与交互关系,并结合最新研究进展,展望其在临床干预中的转化潜力,以期为该领域的未来研究与治疗策略提供新的视角与方向.

Atherosclerosis is a critical pathological basis of cardiovascular diseases,and the rupture of atherosclerotic plaques is a key event triggering acute myocardial infarction and stroke.In recent years,the mechanisms of inflammation and lipid metabolism in plaque formation and rupture have garnered widespread attention.On one hand,inflammatory responses drive plaque formation and undermine its stability;on the other hand,abnormalities in lipid metabolism directly affect the composition and stability of plaques.Current research reveals that these two mechanisms are not independent but rather intertwined and synergistic,collectively determining the biological fate of plaques.However,regarding the terminal event of plaque rupture,the relative contributions of these two mechanisms remain unclear to date,lacking systematic comparison and consensus.Therefore,this review aims to systematically investigate the roles of inflammation and lipid metabolism in the process of plaque rupture,analyze their intrinsic mechanisms and interrelationships,and,integrating the latest research advances,explore their potential for translation into clinical interventions,in order to provide new perspectives and directions for future research and therapeutic strategies in this field.

高咏蔷;鱼龙浩

541002 桂林,广西壮族自治区南溪山医院(广西壮族自治区第二人民医院)541002 桂林,广西壮族自治区南溪山医院(广西壮族自治区第二人民医院)

炎症脂质代谢斑块破裂动脉粥样硬化心血管疾病

InflammationLipid metabolismPlaque ruptureAtherosclerosisCardiovascular disease

《心脑血管病防治》 2026 (2)

35-39,5

10.3969/j.issn.1009-816x.2026.02.008

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