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中国临床药理学与治疗学 ›› 2012, Vol. 17 ›› Issue (4): 463-471.

• 综述与讲座 • 上一篇    下一篇

肺血管内皮损伤与肺动脉高压

武彩霞1,2, 杜冠华1   

  1. 1中国医学科学院药物研究所国家药物筛选中心,药物靶点研究与新药筛选北京市重大实验室, 北京 100050;
    2山东医学高等专科学校药学系,临沂 276000, 山东
  • 收稿日期:2011-11-07 修回日期:2012-02-02 出版日期:2012-04-26 发布日期:2012-04-28
  • 通讯作者: 杜冠华,男,博士生导师,研究员,研究方向:药物筛选与新药发现。 Tel: 010-63165184 E-mail: dugh@imm.ac.cn
  • 作者简介:武彩霞,女, 在读博士,副教授,研究方向:心血管药理学。Tel: 13969936918 E-mail: sdyx91@126.com
  • 基金资助:
    重大新药创制科技重大专项资助调查(20092X09302-003)

Pulmonary vascular endothelial injury and pulmonary hypertension

WU Cai-xia1,2, DU Guan-hua1   

  1. 1Department of Pharmacy, Shandong Medical College,Linyi 276000,Shangdong,China;
    2National Centre for Pharmaceutical Screening, Institute of Materia Medica, Chinese Academy of Medical Sciences,Beijing 100050,China
  • Received:2011-11-07 Revised:2012-02-02 Online:2012-04-26 Published:2012-04-28

摘要: 肺动脉高压(PAH)是一组由不同病因和发病机制引起的以肺血管阻力持续增加为特征的临床综合征,潜在原因还不明确。越来越多的研究表明,肺血管内皮损伤是引起肺动脉收缩和特征性病理改变的首要因素,在PAH发生发展的不同时期,保护肺血管内皮细胞,改善内皮功能或恢复内源性血管活性物质之间的平衡,恢复血管内皮结构和功能的完整性,延缓或逆转肺血管的增殖重塑过程,已成为治疗PAH的重要目标之一。

关键词: 肺血管内皮损伤, 肺动脉高压, 肺动脉高压治疗

Abstract: Pulmonary arterial hypertension (PAH) is a group of clinical syndrome characterized by increasing pulmonary vascular resistance due to different etiologies and pathogenesis. Potential causes are not clear. More and more studies have shown that pulmonary vascular endothelial injury is the primary factor causing the characteristic pathological changes. In the different periods of PAH, protection of the pulmonary vascular endothelial cells and improvement of endothelial function or restoration of the balance between endogenous vasoactive substances, recovery of vascular endothelial integrity in terms of structure and function, and delay or reversal of the pulmonary vascular proliferation and remodeling processes, have become important goals for treatment of PAH.

Key words: Pulmonary vascular endothelial injury, Pulmonary hypertension, Treatment of pulmonary hypertension

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