2015年第42卷第9期目录
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封面故事:近年来我国心血管疾病患病率显著上升,心血管疾病已成为中国居民的首位死亡原因. 脂代谢异常是心血管疾病的独立危险因素,与多种心血管疾病的发生发展密切相关.因此,探讨脂代谢异常在心血管疾病发生发展中的作用及其机制具有重要的理论和临床意义.为促进对该领域的了解和思考,本刊特别邀请唐朝克教授为特邀编辑,组织11位国内知名专家撰写论文,现集萃成辑于本期发表.本期封面素材由《PCSK9/LDLR通路介导姜黄素烟酸酯促进HepG2摄取脂质》一文作者提供.低密度脂蛋白胆固醇(low-density lipoprotein cholesterol,LDL-C)是致动脉粥样硬化性心血管疾病(atherosclerotic cardiovascular disease,ASCVD)最重要的危险因素,2014年国内外脂质协会先后提出降低LDL-C应作为治疗ASCVD的主要目标.肝脏是清除血浆LDL-C的主要器官,经LDLR途径摄取并转化LDL-C经胆道系统排出体外.LDLR识别LDL-C内化形成网格蛋白包被的内涵体将LDL-C摄取到细胞内进行转化,LDLR则回到细胞表面再次循环.然而肝脏合成的前蛋白转化酶枯草杆菌蛋白酶9型(pro-protein convertase subtilisin/kexin type 9,PCSK9)可进入血液循环介导LDLR经溶酶体途径降解,导致细胞表面LDLR循环量减少,阻碍了血浆LDL-C的清除.Evolocumab(Amgen)和Alirocumab(Regeneron)作为人类单克隆IgG2抗体抑制PCSK9活性,在Ⅱ期和Ⅲ期临床试验结果显示可显著改善血脂异常,降低ASCVD风险.然而这两种药物自身的免疫原性、价格昂贵及使用方式受限均使其作为药物开发仍面临着挑战.CurTn是由姜黄素中的两个羟基和烟酸中的羧基合成的具有多个功能基团的酯类衍生物,体外结果显示CurTn降低PCSK9蛋白表达,增高LDLR的蛋白表达,有潜质成为联合用他汀类的新型调脂药物.
(张彩平,孙少卫,龚勇珍,欧 露,林丽美,郑 兴,庹勤慧,雷小勇,廖端芳. PCSK9/LDLR通路介导姜黄素烟酸酯促进HepG2摄取脂质,本期第825~832页)
Cover Story:Low-density lipoprotein cholesterol (LDL-C) is a major risk factor for the atherosclerotic cardiovascular disease (ASCVD). Over 70% of circulating LDL-C is metabolized by binding hepatic LDL receptor (LDLR). Therefore, elevation of LDLR expression would reduce the progression of ASVCD. In order to study the molecular mechanism of Curcumin Nieotinate (CurTn) reducing lipid deposition of arterial intima by lowering plasma LDL-C, HepG2 cells were treated with 5, 10, 15 μmol/L CurTn co-incubated with 25 mg/L LDL for 24 h. Cellular lipid was detected by oil red O staining. Cholesterol content was detected by cholesterol quantitative fluorometric kit. LDL uptake was visualized by DiI-LDL and Hoechst33342. The mRNA expression of LDLR and SREBP2 was analyzed by quantitative Real-time PCR (RT-Q-PCR) and protein expression of LDLR, SREBP2 and PCSK9 by Western blotting. Oil Red O staining showed that lipid droplets increased significantly in 10, 15 μmol/L CurTn groups. The content of Cholesterol and DiI-LDL uptake were higher in 10, 15 μmol/L CurTn groups than in control group. RT-Q-PCR and Western blotting showed that CurTn increased LDLR protein expression and decreased PCSK9 protein expression, although CurTn also increased SREBP2 mRNA expression. CurTn had no effect on LDLR mRNA expression in HepG2 cells. These results suggest that PCSK9/LDLR pathway may play a key role in lowering serum LDL-C and attenuating ASCVD risk by CurTn.
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脂代谢与心血管疾病研究专刊
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