氨基酸代谢紊乱在冠心病发生发展中的作用机制及临床意义OA
The role of amino acid metabolism disorders in the pathogenesis and clinical significance of coronary heart disease
鉴于氨基酸代谢紊乱与冠心病(coronary heart disease,CHD)发生发展密切相关,文章旨在系统梳理相关氨基酸代谢异常与CHD的关联、作用机制及临床应用前景.采用系统综述的方法,围绕同型半胱氨酸、支链氨基酸、芳香族氨基酸等,分析其代谢异常在CHD相关病理过程中的作用,同时探讨氨基酸代谢产物及肠道菌群的潜在影响.明确了多种氨基酸代谢异常与CHD风险存在关联,其通过参与动脉粥样硬化、血栓形成及内皮功能障碍等病理过程影响疾病进展;氨基酸代谢指标在CHD风险预测、辅助诊断及治疗干预中展现出临床应用潜力.因此,氨基酸代谢紊乱作为CHD防治的新靶点,尽管相关研究仍有矛盾与不足,但具临床价值和研究潜力,为心血管疾病研究提供了新的方向.
Given the close association between amino acid metabolism disorders and the occurrence and progression of coronary heart disease(CHD),this article aims to systematically summarize the correlations,mechanisms of action,and clinical application prospects of relevant amino acid metabolic abnormalities with CHD.A systematic review approach was adopted to analyze the role of metabolic abnormalities of homocysteine,branched-chain amino acids,aromatic amino acids,and other amino acids in CHD-related pathological processes.Meanwhile,the potential impacts of amino acid metabolites and gut microbiota on CHD were explored.Multiple amino acid metabolic abnormalities were confirmed to be associated with CHD risk,which influence disease progression by participating in pathological processes such as atherosclerosis,thrombosis,and endothelial dysfunction.Amino acid metabolism indicators have shown promising clinical application potential in CHD risk prediction,auxiliary diagnosis,and therapeutic intervention.Despite existing contradictions and limitations in current research,amino acid metabolism disorders,as a new target for CHD prevention and treatment,hold clinical value and research potential,providing a new direction for cardiovascular disease research.
崔入元;任琼迪;朱明军
河南中医药大学第一附属医院心脏中心,河南 郑州 450000||中西医防治重大疾病河南省协同创新中心,河南 郑州 450000||河南中医药大学第一临床医学院,河南 郑州 450000河南中医药大学康复医学院,河南 郑州 450000河南中医药大学第一附属医院心脏中心,河南 郑州 450000||中西医防治重大疾病河南省协同创新中心,河南 郑州 450000
医药卫生
氨基酸代谢紊乱冠心病同型半胱氨酸支链氨基酸芳香族氨基酸动脉粥样硬化风险预测
amino acid metabolism disordercoronary heart diseasehomocysteinebranched-chain amino acidaromatic amino acidatherosclerosisrisk prediction
《南京医科大学学报(自然科学版)》 2026 (5)
725-738,14
国家科技重大专项(2024ZD0522000)河南省重点研发专项(23111310200)国家中医药高层次人才-岐黄学者支持项目(CZ0277)
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