国际麻醉学与复苏杂志   2014, Issue (3): 4-4
    
维甲酸在脑保护中的研究进展
杨炎梅, 汪晨, 董海龙1()
1.第四军医大学西京医院麻醉科
The research progress on retinoic acid in cerebral protection
 全文:
摘要:

[摘 要] 背景 脑卒中是一类严重危胁人类健康和生命安全的难治性、常见性疾病。它不但发病率高、致残率高和死亡率高,而且大多数患者发病后会遗留不同程度的心理状态的改变,是困扰当前医学界的一大科学难题。维甲酸(RA),作为维生素A的一种衍生物,是一种作用很强的分化诱导剂。研究证实RA在细胞形态发生﹑增殖分化﹑凋亡代谢以及免疫调节方面发挥着重要的作用。随着对RA研究的不断深入,近些年来关于其在神经保护方面的作用开始备受人们的关注。目的 阐释当前RA在脑保护作用中的研究进展。内容 简要描述脑卒中的研究现状和RA及其受体的生理功能,重点介绍RA通过不同的靶点和机制在脑保护中的作用。趋向 通过阐述RA中枢神经系统的生理及保护作用机制,为将来用于治疗临床脑卒中患者提供科学依据和理论支持。

关键词: [关键词]:脑卒中;维甲酸 ;脑保护
Abstract:

[Abstract] Background Stroke is a kind of the refractory, common disease which is a serious threat to human health and life safety. It is not only high incidence and high morbidity as well as high mortality, and most of the patients after onset would leave over different degrees of mental state changes, so it is one of science problems in the current medical field. Retinoic acid (RA), a derivative of vitamin A and a strong differentiation inducer. Studies confirm that RA play an important role in the cells morphogenesis, proliferation and differentiation, apoptosis and metabolism, immune regulation. Along with the deepening of the research for retinoic acid , the effect used for nerve protection came to the attention of the people in recent years. Objective This article presents an overview of current knowledge of RA in cerebral protection and mechanisms. Content This review concisely describe the research status of cerebral apoplexy and the physiological function of RA as well as its receptors, following to focus on the possible targets and mechanisms of RA as well as its role in brain protection. Trend Through explaining the physiology and protection mechanism of RA in the central nervous system,it would be helpful to provide the scientific basis and theoretical support for treating clinical stroke patients in the future.

Key words: [Key words]: Stroke; Retinoic acid; Cerebral protection