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中国临床药理学与治疗学 ›› 2019, Vol. 24 ›› Issue (8): 957-960.doi: 10.12092/j.issn.1009-2501.2019.08.018

• 综述与讲座 • 上一篇    

硼替佐米治疗肺动脉高压的作用机制

王 超,格根图雅,徐 磊   

  1. 内蒙古医科大学附属医院呼吸与危重症学科,呼和浩特 010059,内蒙古
  • 收稿日期:2019-05-20 修回日期:2019-07-09 出版日期:2019-08-26 发布日期:2019-08-30
  • 通讯作者: 徐磊,男,博士,副教授,研究方向: 肺动脉高压,肺癌。 E-mail:LXU81@126.com
  • 作者简介:王超,男,硕士,主治医师,研究方向: 肺动脉高压。 E-mail: 420912490@qq.com
  • 基金资助:

    国家自然科学基金地区基金项目(81460011);内蒙古卫计委课题(201702084);内蒙古医科大学教改课题(YJG201824)

Mechanisms of bortezomib in the treatment of pulmonary hypertension

WANG Chao, GeGentuya, XU Lei   

  1. Department of Respiratory and Critical Care, the Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010059, Inner Mongolia, China
  • Received:2019-05-20 Revised:2019-07-09 Online:2019-08-26 Published:2019-08-30

摘要:

硼替佐米可抑制多种细胞的增殖,目前用于多发性骨髓瘤、肿瘤的治疗中。肺动脉平滑肌细胞的增殖、重构是肺动脉高压的重要发病机制,在多种肺动脉高压大鼠模型中,硼替佐米可抑制肺血管的增厚、重构,但相关的研究仍较少,究其原因主要为调节机制不明确。本文就目前已发现的机制进行归纳,为硼替佐米在肺动脉高压中的应用提供参考。

关键词: 硼替佐米, 肺动脉高压

Abstract:

Bortezomib (BTZ) can inhibit the proliferation of many kinds of cell. Studies have shown promising evidence of BTZ in the treatment of multiple myeloma and tumor. To date, researchers have believed the proliferation and migration of pulmonary artery smooth muscle cells (PASMC) play as the two major causes that induce the excessive thickening and remodeling of the distal pulmonary arteries (PA), which drives the disease pathogenesis of pulmonary hypertension (PH). Lately, a number of recent studies have indicated that BTZ can effectively suppress the PH development in multiple commonly used PH rat models via inhibiting the distal PA remodeling and PASMC proliferation. However, neither the underlying molecular mechanism nor the related clinical relevance are fully understood and remain future dissection. Therefore, in this review, we briefly summarize the recent published literature, which provide mechanistic evidence to guide the utilization of BTZ as a potential novel treatment option in PH and other pulmonary vascular diseases.

Key words: bortezomib, pulmonary hypertension

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