内皮-间充质转化在心脏毒性中作用机制及干预策略的研究进展OA
Progress in mechanisms and intervention strategies of endothelial-mesen-chymal transition in cardiotoxicity
内皮-间充质转化(endothelial-mesenchymal transition,EndMT)是内皮细胞受到外界刺激失去内皮特征并向间充质细胞转化的过程,是生理性心脏发育不可或缺的环节,而异常的EndMT广泛参与心血管疾病的发生发展.心脏毒性是指由于药物、辐射、病毒等毒性物质对心脏造成的损害,可导致严重的心血管病变,包括心力衰竭、心脏纤维化、心脏瓣膜病等.大量研究表明,EndMT在心脏毒性的发生中具有重要调控作用.本文综述了外源性毒性物质通过诱导EndMT引发心脏毒性的作用及分子机制,并对靶向EndMT减轻心脏毒性的治疗策略进行了总结,提出EndMT在心脏毒性研究中的未来探索方向,期望为临床上心脏毒性的治疗提供参考资料.
Endothelial-mesenchymal transition(EndMT)is a process in which endothelial cells lose their en-dothelial characteristics and acquire mesenchymal features in response to external stimuli.While EndMT is essential for physiological cardiac development,aberrant EndMT is widely involved in the onset and progression of cardiovascular dis-eases.Cardiotoxicity refers to heart damage caused by toxic agents such as drugs,radiation,or viruses,and may result in serious cardiovascular conditions,including heart failure,cardiac fibrosis,and valvular heart disease.A growing body of research has demonstrated that EndMT plays a crucial regulatory role in the development of cardiotoxicity.This review summarizes the effects and molecular mechanisms by which exogenous toxic substances induce EndMT to cause cardio-toxicity.It also discusses therapeutic strategies targeting EndMT to alleviate cardiotoxicity and outlines future directions for research in this area,aiming to provide reference materials for the clinical management of cardiotoxicity.
朱林;高红刚;赵立敏;秦玮
济宁医学院附属医院心内科,山东省心血管疾病诊治重点实验室,山东 济宁 272000||山东大学心血管重构与功能研究教育部与卫生部重点实验室,山东 济南 250000||济宁医学院药学院,山东 日照 276800||山东中医药大学药学院,山东 济南 250000济宁医学院药学院,山东 日照 276800济宁医学院药学院,山东 日照 276800济宁医学院附属医院心内科,山东省心血管疾病诊治重点实验室,山东 济宁 272000||山东大学心血管重构与功能研究教育部与卫生部重点实验室,山东 济南 250000||济宁医学院药学院,山东 日照 276800
医药卫生
心脏毒性内皮-间充质转化分子机制治疗策略
cardiotoxicityendothelial-mesenchymal transitionmolecular mechanismtherapeutic strategy
《中国病理生理杂志》 2026 (8)
1660-1666,7
中国博士后科学基金资助项目(No.2024M761149)山东省自然科学基金联合基金资助项目(No.ZR2024LMB019)山东省博士后创新项目(No.SDCX-ZG-202502106)济宁医学院院士工作站科研基金(No.JYHL2025KY06)
评论