国际麻醉学与复苏杂志   2011, Issue (3): 0-0
    
低氧诱导因子-1在冠心病患者围术期心肌保护作用的研究进展
米克热依, 郑宏1()
1.新疆医科大学第一附属医院麻醉科
Progress on perioperative myocardial protection of hypoxia-inducible factor-1 in coronary heart disease patients
 全文:
摘要:

目前我国需要接受手术治疗的冠心病患者逐年增加, 围术期心脏不良事件的发生是此类患者出现严重并发症和死亡的主要原因。低氧是诱发心脏不良事件重要的病理生理因素。低氧诱导因子-1作为低氧应答时基因表达和恢复细胞内环境稳定的调节中心,可以稳定地表达并调控一系列低氧相关基因[1],引起血管新生、血管平滑肌舒缩、抑制血小板凝聚和红细胞增生等变化,从而有可能成为治疗冠心病最有前途的潜在作用靶点。

关键词: 低氧诱导因子-1;冠心病;心肌保护
Abstract:

At present, the number of the patients with coronary heart disease who need operation is increasing every year in China, the primary cause of death in these patients is the happening of adverse cardiac events during perioperative period. Hypoxia is the important pathophysiological factor to induce the adverse cardiac events. As a regulation center of gene expression and recovery intracellular homeostasis of hypoxia-related genes, induce angiogenesis, vascular smooth muscle relaxation in hypoxia response, HIF can express, and regulate the expression of a series and contraction stabily, and induce angiogenesis, vascular smooth muscle relaxation and contraction, inhibition of platelet aggregation, red cell hyperplasia and the progression of coronary atherosclerosis, so it is likely to be the most promising and effective treatment for coronary artery disease.

Key words: hypoxia-inducible factor; coronary artery disease; myocardial preservation