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心肌缺血后适应的保护机制研究进展

Study Progress on Protection Mechanism of Myocardial Ischemic Postconditioning

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【作者】 丘睿业王立军

【Author】 QIU Rui-ye,WANG Li-jun.(Department of Cardiology,Baoan People′s Hospital,Shengzhen City,Shengzhen 518101,China)

【机构】 深圳市宝安区人民医院心内科

【摘要】 再灌注治疗是急性心肌梗死的重要治疗手段,再灌注治疗在迅速恢复缺血心肌的血液灌注,挽救大量濒死心肌的同时也引起再灌注损伤。近年来大量实验研究及临床应用表明,后适应可以减轻再灌注损伤,其信号转导通路虽未完全阐明,但抑制再灌注早期线粒体mPTP开放,减轻mPTP开放引起的细胞坏死被认为是其作用的重要原因。

【Abstract】 After an acute myocardial infarction,early reperfusion remains the most effective strategy for rapid recovery of blood perfusion in ischemic myocardium and saving a large number of dying myocardial.However,lethal reperfusion injury can not be ignored.Nowadays,many researches conclude that post-conditioning can reduce the injury.Postconditioning have been successfully applied to the clinical setting and have been found to reduce infarct size.The signal pathways are incompletely mapped but they probably converge on suppression of mPTP (mitochondrial permeability transition pore) opening during early reperfusion,an event that is thought to promote cell death at reperfusion.In this article,the protection mechanism of myocardial ischemic postconditioning were reviewed.

  • 【文献出处】 医学综述 ,Medical Recapitulate , 编辑部邮箱 ,2010年03期
  • 【分类号】R542.22
  • 【被引频次】3
  • 【下载频次】450
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