引用本文: |
陈品珍,成细华,廖菁,陈聪,童巧珍,刘洋,张仪,袁梦.CSE/H2S通路对心肌缺血再灌注损伤保护作用的研究进展[J].湖南中医药大学学报,2021,41(1):159-163[点击复制] |
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CSE/H2S通路对心肌缺血再灌注损伤保护作用的研究进展 |
陈品珍,成细华,廖菁,陈聪,童巧珍,刘洋,张仪,袁梦 |
(湖南中医药大学, 湖南 长沙 410208;陆军军医大学, 重庆 400038) |
摘要: |
再灌注是急性心肌梗死常用的治疗措施,但再灌注常导致心肌舒缩功能障碍、心肌细胞不可逆损伤加重等并发症,引起心肌缺血再灌注损伤(myocardial ischemia reperfusion injury,MIRI)。胱硫醚-γ-裂解酶(cystathionine-γ-lyase,CSE)/硫化氢(hydrogen sulfide,H2S)通路在MIRI发生发展中起关键保护作用,其机制包括保护线粒体、抗氧化应激、调节内皮一氧化氮合酶活性等多方面,故本文从CSE/H2S产生的调节因素,对MIRI的保护机制及中西医临床应用的最新研究进展作一阐述。 |
关键词: 心肌缺血再灌注损伤 CSE/H2S通路 作用机制 H2S供体 |
DOI:10.3969/j.issn.1674-070X.2021.01.030 |
投稿时间:2020-08-26 |
基金项目:国家自然科学基金青年项目(81704065);湖南省教育厅科学研究项目(19B415,19C1393,20C1392,20A376);湖南省自然科学基金项目(2019JJ40225,2017JJ3239);湖南省中医药科研计划项目(201909,2020015);湖南省大学生研究性学习和创新性实验计划项目(2018-409,2018-401,2019-1667,2019-1706);湖南中医药大学科研基金项目(2017-6);黄政德全国名老中医药专家传承工作室。 |
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Research Advances in the Protective Effect of CSE/H2S Pathway on Myocardial Ischemia Reperfusion Injury |
CHEN Pinzhen,CHENG Xihua,LIAO Jing,CHEN Cong,TONG Qiaozhen,LIU Yang,ZHANG Yi,YUAN Meng |
(Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Third Military Medical University, Chongqing 400038, China) |
Abstract: |
Reperfusion is a common treatment in acute myocardial infarction. However, reperfusion can cause myocardial systolic and diastolic dysfunction, and aggravate irreversible damage to myocardial cells and other complications, cause myocardial ischemia reperfusion injury (MIRI). The cystathionine-γ-lyase (CSE)/hydrogen sulfide (H2S) pathway plays an important role in the occurrence and development of MIRI, with protective effects including protection of mitochondria, anti-oxidative stress, regulation of endothelial nitric oxide synthase activity. This paper will review the research advances of the regulatory factors for CSE/H2S production, the protective mechanism of MIRI, and the clinical application. |
Key words: myocardial ischemia reperfusion injury CSE/H2S pathway mechanism of action H2S donors |
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