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氧化应激在类风湿关节炎炎症反应中的作用OACSTPCD

Research Progress on Oxidative Stress on Inflammatory Response of Rheumatoid Arthritis

中文摘要英文摘要

氧化应激在类风湿关节炎(rheumatoid arthritis,RA)炎症反应中具有重要作用,既是该病发病的诱发因素,也是其重要病理结果.RA发病机制繁杂,氧化应激主要通过调节促炎细胞因子活性、滑膜成纤维细胞及成纤维样滑膜细胞的异常增殖、一氧化氮及前列腺素E2 的活化、滑膜血管的过度生长、血管翳的生成、脂质过氧化等病理反应影响其炎症反应的表达,使机体发生氧化损伤.目前RA的病理生理研究多基于单一机制,对"炎症反应——氧化应激"机制的研究尚处于早期阶段,今后需进一步探索各损伤机制间的内在关联,明确氧化应激在RA炎症反应中的作用,以期为RA的临床治疗提供新的诊疗思路.

Oxidative stress(OS)plays an important role in the inflammatory response of rheumatoid arthritis(RA),which is not only the inducing factor of the disease,but also its important pathological result.The pathogenesis of RA is complicated.Oxidative stress mainly affects the expression of inflammatory response by regulating the activity of proinflammatory cytokines,abnormal proliferation of synovial fibroblasts and fibroblast-like synoviocyte,activation of nitric oxide and prostaglandin E2,excessive growth of synovial blood vessels,pannus formation,lipid peroxidation and other pathological reactions,leading to oxidative damage in the body.At present,the pathophysiological research of RA is mostly based on a single mechanism,and the research on the mechanism of"inflammatory reaction-oxidative stress"is still in the early stage.In the future,it is necessary to further explore the internal correlation between various injury mechanisms and clarify the role of oxidative stress in RA inflammatory response,to provide new ideas for the clinical treatment of RA.

吕璐;姚小强;袁博;火琳嵛;徐影杰

甘肃中医药大学,甘肃 兰州 730000甘肃中医药大学附属医院,甘肃 兰州 730000

中医学

类风湿关节炎炎症反应氧化应激促炎细胞因子滑膜增生软骨损坏脂质过氧化

rheumatoid arthritisinflammatory responseoxidative stressproinflammatory cytokinessynoviocyte proliferationcartilage injurylipid peroxidation

《中医学报》 2024 (007)

1448-1453 / 6

甘肃省自然科学基金项目(20JR5A167);甘肃省青年科技基金项目(20JR10RA344);甘肃省针灸临床医学研究中心项目(18JR2FA002);甘肃省皇甫谧针灸医院科研孵化项目(02)

10.16368/j.issn.1674-8999.2024.07.242

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