天津医药 ›› 2025, Vol. 53 ›› Issue (10): 1110-1115.doi: 10.11958/20251034

• 综述 • 上一篇    下一篇

低密度脂蛋白跨内皮细胞转运机制的研究进展

赵树站1(), 金冬霞1,2,3, 李曦铭1,2,3,(), 郝天旭3, 陆艺蓓3   

  1. 1 天津大学胸科医院心内科(邮编 300222)
    2 天津市心血管急危重症重点实验室
    3 天津医科大学胸科临床学院心内科
  • 收稿日期:2025-03-12 修回日期:2025-05-31 出版日期:2025-10-15 发布日期:2025-10-12
  • 通讯作者: E-mail:ljsunlight@126.com
  • 作者简介:赵树站(2000),男,硕士在读,主要从事心血管疾病方面研究。E-mail:z18839383512@163.com
  • 基金资助:
    天津市教委科研计划重点项目(2022YGZD01);天津市卫生健康科技项目(TJWJ2025MS035)

Research progress on the mechanism of low-density lipoprotein transendothelial transport

ZHAO Shuzhan1(), JIN Dongxia1,2,3, LI Ximing1,2,3,(), HAO Tianxu3, LU Yibei3   

  1. 1 Department of Chest Hospital of Tianjin University, Tianjin 300222, China
    2 Tianjin Key Laboratory of Cardiovascular Emergency and Critical Care
    3 Cardiology, Clinical College of Chest Medicine, Tianjin Medical University
  • Received:2025-03-12 Revised:2025-05-31 Published:2025-10-15 Online:2025-10-12
  • Contact: E-mail:ljsunlight@126.com

摘要:

低密度脂蛋白(LDL)跨内皮细胞转运并在内皮下层积聚是动脉粥样硬化发生的核心环节。这一过程涉及多种受体和分子机制,这些机制共同调控LDL在内皮细胞中的转运以及其在血管壁的积累。除了受体介导的转运机制外,激素、炎症介质以及代谢产物等生理和病理因素也在其中扮演着重要角色。近年来的研究进一步阐明了这些因子在LDL转运中的关键调节功能,提示调控LDL跨膜转运有望成为预防早期动脉粥样硬化及治疗相关血管疾病的有效策略。该文综述相关研究进展,并探讨其在临床中的应用前景。

关键词: 脂蛋白类, LDL, 蛋白质转运, 动脉粥样硬化, 细胞因子类, 跨内皮细胞转运

Abstract:

The transendothelial transport of low-density lipoprotein (LDL) and its subendothelial accumulation represent a central pathogenic mechanism in atherogenesis. This process involves a variety of receptors and molecular mechanisms that work together to regulate the transport of LDL in endothelial cells and its accumulation in blood vessel wall. In addition to receptor-mediated transport mechanisms, physiological and pathological factors such as hormones, inflammatory mediators and metabolites also play an important role in it. Recent studies have further elucidated the critical regulatory roles of these factors in LDL transendothelial transport, suggesting that targeting LDL transcytosis may represent an effective strategy for the prevention of early atherosclerosis and the treatment of related vascular diseases. This review summarizes recent advances in this field and discusses their potential clinical applications.

Key words: lipoproteins, LDL, protein transport, atherosclerosis, cytokines, transendotheial transcytosis

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