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肺静脉在肺动脉高压发病中的作用及其研究进展
吴雄婷
陈豫钦
卢文菊
王健
作者及单位信息
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DOI: 10.3760/cma.j.issn.1001-0939.2017.01.015
Role of pulmonary vein in pulmonary hypertension
Wu Xiongting
Chen Yuqin
Lu Wenju
Authors Info & Affiliations
Wu Xiongting
Chen Yuqin
Lu Wenju
·
DOI: 10.3760/cma.j.issn.1001-0939.2017.01.015
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摘要

肺动脉高压表现为肺循环血管压力和阻力进行性增加,并最终导致右心衰竭,其病理特征为远端肺动脉的异常收缩与重塑,包括肺动脉平滑肌和内皮细胞的异常增殖等。肺静脉是肺循环的重要组成部分,其结构功能改变直接影响肺循环血流动力学指标及肺换气功能。近年来肺静脉在肺动脉高压发病中的作用受到越来越多研究者的重视,研究结果表明慢性低氧不仅可以引起人肺小动脉重塑还能引起远端肺小静脉发生重塑,其病理改变为中膜增厚和内膜纤维化 [ 1 ] 。而且在低氧性肺动脉高压大鼠模型中出现远端肺静脉平滑肌发生增殖和迁移 [ 2 ] 。但目前肺静脉在肺动脉高压发病中的作用仍不清楚,进一步深入研究肺静脉在肺动脉高压发病中的作用,可以增加对疾病发病机制的认识,为临床诊治提供新的思路。

引用本文

吴雄婷,陈豫钦,卢文菊,等. 肺静脉在肺动脉高压发病中的作用及其研究进展[J]. 中华结核和呼吸杂志,2017,40(1):68-70.

DOI:10.3760/cma.j.issn.1001-0939.2017.01.015

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肺动脉高压表现为肺循环血管压力和阻力进行性增加,并最终导致右心衰竭,其病理特征为远端肺动脉的异常收缩与重塑,包括肺动脉平滑肌和内皮细胞的异常增殖等。肺静脉是肺循环的重要组成部分,其结构功能改变直接影响肺循环血流动力学指标及肺换气功能。近年来肺静脉在肺动脉高压发病中的作用受到越来越多研究者的重视,研究结果表明慢性低氧不仅可以引起人肺小动脉重塑还能引起远端肺小静脉发生重塑,其病理改变为中膜增厚和内膜纤维化 [ 1 ]。而且在低氧性肺动脉高压大鼠模型中出现远端肺静脉平滑肌发生增殖和迁移 [ 2 ]。但目前肺静脉在肺动脉高压发病中的作用仍不清楚,进一步深入研究肺静脉在肺动脉高压发病中的作用,可以增加对疾病发病机制的认识,为临床诊治提供新的思路。
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参考文献
[1]
Wagenvoort CA , Wagenvoort N . Pulmonary venous changes in chronic hypoxia[J]Virchows Arch A Pathol Anat Histol, 1976372(1):51-56.
返回引文位置Google Scholar
百度学术
万方数据
[2]
Xu L , Chen Y , Yang K ,et al. Chronic hypoxia increases TRPC6 expression and basal intracellular Ca2+ concentration in rat distal pulmonary venous smooth muscle[J]PLoS One, 20149(11):e112007. DOI: 10.1371/journal.pone.0112007 .
返回引文位置Google Scholar
百度学术
万方数据
[3]
Hall SM , Hislop AA , Haworth SG . Origin, differentiation, and maturation of human pulmonary veins[J]Am J Respir Cell Mol Biol, 200226(3):333-340. DOI: 10.1165/ajrcmb.26.3.4698 .
返回引文位置Google Scholar
百度学术
万方数据
[4]
deMello DE , Reid LM . Embryonic and early fetal development of human lung vasculature and its functional implications[J]Pediatr Dev Pathol, 20003(5):439-449.
返回引文位置Google Scholar
百度学术
万方数据
[5]
Pereda J , Sulz L , San MS ,et al. The human lung during the embryonic period: vasculogenesis and primitive erythroblasts circulation[J]J Anat, 2013222(5):487-494. DOI: 10.1111/joa.12042 .
返回引文位置Google Scholar
百度学术
万方数据
[6]
Haïssaguerre M , Jaïs P , Shah DC ,et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins[J]N Engl J Med, 1998339(10):659-666. DOI: 10.1056/NEJM199809033391003 .
返回引文位置Google Scholar
百度学术
万方数据
[7]
Takahashi H , Soma S , Muramatsu M ,et al. Upregulation of ET-1 and its receptors and remodeling in small pulmonary veins under hypoxic conditions[J]Am J Physiol Lung Cell Mol Physiol, 2001280(6):L1104-1114.
返回引文位置Google Scholar
百度学术
万方数据
[8]
Michel RP . Arteries and veins of the normal dog lung: qualitative and quantitative structural differences[J]Am J Anat, 1982164(3):227-241. DOI: 10.1002/aja.1001640304 .
返回引文位置Google Scholar
百度学术
万方数据
[9]
Zhao Y , Packer CS , Rhoades RA . Pulmonary vein contracts in response to hypoxia[J]Am J Physiol, 1993265(1Pt 1):L87-92.
返回引文位置Google Scholar
百度学术
万方数据
[10]
Arrigoni FI , Hislop AA , Haworth SG ,et al. Newborn intrapulmonary veins are more reactive than arteries in normal and hypertensive piglets[J]Am J Physiol, 1999277(5Pt 1):L887-892.
返回引文位置Google Scholar
百度学术
万方数据
[11]
Nagasaka Y , Bhattacharya J , Nanjo S ,et al. Micropuncture measurement of lung microvascular pressure profile during hypoxia in cats[J]Circ Res, 198454(1):90-95.
返回引文位置Google Scholar
百度学术
万方数据
[12]
Raj JU , Bland RD , Lai-Fook SJ . Microvascular pressures measured by micropipettes in isolated edematous rabbit lungs[J]J Appl Physiol (1985), 198660(2):539-545.
返回引文位置Google Scholar
百度学术
万方数据
[13]
Kuramoto K , Rodbard S . Effects of blood flow and left atrial pressure on pulmonary venous resistance[J]Circ Res, 196211240-246.
返回引文位置Google Scholar
百度学术
万方数据
[14]
Kholdani C , Fares WH , Mohsenin V . Pulmonary hypertension in obstructive sleep apnea: is it clinically significant? A critical analysis of the association and pathophysiology[J]Pulm Circ, 20155(2):220-227. DOI: 10.1086/679995 .
返回引文位置Google Scholar
百度学术
万方数据
[15]
Bouwmeester JC , Belenkie I , Shrive NG ,et al. Partitioning pulmonary vascular resistance using the reservoir-wave model[J]J Appl Physiol (1985), 2013115(12):1838-1845. DOI: 10.1152/japplphysiol.00750.2013 .
返回引文位置Google Scholar
百度学术
万方数据
[16]
Raj JU , Ramanathan R , Chen P ,et al. Effect of hematocrit on microvascular pressures in 3- to 5-wk-old rabbit lungs[J]Am J Physiol, 1989256(3Pt 2):H766-771.
返回引文位置Google Scholar
百度学术
万方数据
[17]
Chen Y , Liu C , Lu W ,et al. Clinical characteristics and risk factors of pulmonary hypertension associated with chronic respiratory diseases: a retrospective study[J]J Thorac Dis, 20168(3):350-358. DOI: 10.21037/jtd.2016.02.58 .
返回引文位置Google Scholar
百度学术
万方数据
[18]
Cakmak G , Alkan FA , Korkmaz K ,et al. Blood viscosity as a forgotten factor and its effect on pulmonary flow[J]Transl Respir Med, 20131(1):3. DOI: 10.1186/2213-0802-1-3 .
返回引文位置Google Scholar
百度学术
万方数据
[19]
Porres DV , Morenza OP , Pallisa E ,et al. Learning from the pulmonary veins[J]Radiographics, 201333(4):999-1022. DOI: 10.1148/rg.334125043 .
返回引文位置Google Scholar
百度学术
万方数据
[20]
Edwards JE . Congenital stenosis of pulmonary veins. Pathologic and developmental considerations[J]Lab Invest, 1960946-66.
返回引文位置Google Scholar
百度学术
万方数据
[21]
Laux D , Rocchisani MA , Boudjemline Y ,et al. Pulmonary Hypertension in the Preterm Infant with Chronic Lung Disease can be Caused by Pulmonary Vein Stenosis: A Must-Know Entity[J]Pediatr Cardiol, 201637(2):313-321. DOI: 10.1007/s00246-015-1279-1 .
返回引文位置Google Scholar
百度学术
万方数据
[22]
Swier NL , Richards B , Cua CL ,et al. Pulmonary Vein Stenosis in Neonates with Severe Bronchopulmonary Dysplasia[J]Am J Perinatol, 201633(7):671-677. DOI: 10.1055/s-0035-1571201 .
返回引文位置Google Scholar
百度学术
万方数据
[23]
Rostamian A , Narayan SM , Thomson L ,et al. The incidence, diagnosis, and management of pulmonary vein stenosis as a complication of atrial fibrillation ablation[J]J Interv Card Electrophysiol, 201440(1):63-74. DOI: 10.1007/s10840-014-9885-z .
返回引文位置Google Scholar
百度学术
万方数据
[24]
Padia SA , Budev M , Farver CF ,et al. Intravascular sarcoidosis presenting as pulmonary vein occlusion: CT and pathologic findings[J]J Thorac Imaging, 200722(3):268-270. DOI: 10.1097/RTI.0b013e3180437e3f .
返回引文位置Google Scholar
百度学术
万方数据
[25]
Gomes M , Bendaoud S , Wemeau-Stervinou L ,et al. Prevalence of Venoatrial Compression by Lymphadenopathy in Sarcoidosis[J]J Thorac Imaging, 201530(4):268-273. DOI: 10.1097/RTI.0000000000000134 .
返回引文位置Google Scholar
百度学术
万方数据
[26]
Albers EL , Pugh ME , Hill KD ,et al. Percutaneous vascular stent implantation as treatment for central vascular obstruction due to fibrosing mediastinitis[J]Circulation, 2011123(13):1391-1399. DOI: 10.1161/CIRCULATIONAHA.110.949180 .
返回引文位置Google Scholar
百度学术
万方数据
[27]
Anfinsen OG , Gude E , Andersen R ,et al. Haemodynamic measurements before and after angioplasty in post-ablation pulmonary vein stenosis[J]Int J Cardiol, 2014172(3):e391-392. DOI: 10.1016/j.ijcard.2013.12.268 .
返回引文位置Google Scholar
百度学术
万方数据
[28]
Zhu J , Ide H , Fu YY ,et al. Losartan ameliorates "upstream" pulmonary vein vasculopathy in a piglet model of pulmonary vein stenosis[J]J Thorac Cardiovasc Surg, 2014148(6):2550-2557. DOI: 10.1016/j.jtcvs.2014.07.050 .
返回引文位置Google Scholar
百度学术
万方数据
[29]
Henaine R , Vergnat M , Mercier O ,et al. Hemodynamics and arteriovenous malformations in cavopulmonary anastomosis: the case for residual antegrade pulsatile flow[J]J Thorac Cardiovasc Surg, 2013146(6):1359-1365. DOI: 10.1016/j.jtcvs.2013.02.036 .
返回引文位置Google Scholar
百度学术
万方数据
[30]
Acker SN , Mandell EW , Sims-Lucas S ,et al. Histologic identification of prominent intrapulmonary anastomotic vessels in severe congenital diaphragmatic hernia[J]J Pediatr, 2015166(1):178-183. DOI: 10.1016/j.jpeds.2014.09.010 .
返回引文位置Google Scholar
百度学术
万方数据
[31]
Dorfmüller P , Günther S , Ghigna MR ,et al. Microvascular disease in chronic thromboembolic pulmonary hypertension: a role for pulmonary veins and systemic vasculature[J]Eur Respir J, 201444(5):1275-1288. DOI: 10.1183/09031936.00169113 .
返回引文位置Google Scholar
百度学术
万方数据
[32]
Eyries M , Montani D , Girerd B ,et al. EIF2AK4 mutations cause pulmonary veno-occlusive disease, a recessive form of pulmonary hypertension[J]Nat Genet, 201446(1):65-69. DOI: 10.1038/ng.2844 .
返回引文位置Google Scholar
百度学术
万方数据
[33]
Runo JR , Vnencak-Jones CL , Prince M ,et al. Pulmonary veno-occlusive disease caused by an inherited mutation in bone morphogenetic protein receptor Ⅱ[J]Am J Respir Crit Care Med, 2003167(6):889-894. DOI: 10.1164/rccm.200208-861OC .
返回引文位置Google Scholar
百度学术
万方数据
[34]
Ranchoux B , Günther S , Quarck R ,et al. Chemotherapy-induced pulmonary hypertension: role of alkylating agents[J]Am J Pathol, 2015185(2):356-371. DOI: 10.1016/j.ajpath.2014.10.021 .
返回引文位置Google Scholar
百度学术
万方数据
[35]
Perros F , Günther S , Ranchoux B ,et al. Mitomycin-Induced Pulmonary Veno-Occlusive Disease: Evidence From Human Disease and Animal Models[J]Circulation, 2015132(9):834-847. DOI: 10.1161/CIRCULATIONAHA.115.014207 .
返回引文位置Google Scholar
百度学术
万方数据
[36]
Montani D , Lau EM , Descatha A ,et al. Occupational exposure to organic solvents: a risk factor for pulmonary veno-occlusive disease[J]Eur Respir J, 201546(6):1721-1731. DOI: 10.1183/13993003.00814-2015 .
返回引文位置Google Scholar
百度学术
万方数据
[37]
Dorfmüller P , Humbert M , Perros F ,et al. Fibrous remodeling of the pulmonary venous system in pulmonary arterial hypertension associated with connective tissue diseases[J]Hum Pathol, 200738(6):893-902. DOI: 10.1016/j.humpath.2006.11.022 .
返回引文位置Google Scholar
百度学术
万方数据
[38]
Dorfmüller P , Montani D , Humbert M . Beyond arterial remodelling: pulmonary venous and cardiac involvement in patients with systemic sclerosis-associated pulmonary arterial hypertension[J]Eur Respir J, 201035(1):6-8. DOI: 10.1183/09031936.00081009 .
返回引文位置Google Scholar
百度学术
万方数据
[39]
Schindler MB , Hislop AA , Haworth SG . Postnatal changes in pulmonary vein responses to endothelin-1 in the normal and chronically hypoxic lung[J]Am J Physiol Lung Cell Mol Physiol, 2007292(5):L1273-1279. DOI: 10.1152/ajplung.00173.2006 .
返回引文位置Google Scholar
百度学术
万方数据
[40]
Jin Y , Chen B , Calvert TJ ,et al. Chronic hypoxia decreases arterial and venous compliance in isolated perfused rat lungs: an effect that is reversed by exogenous L-arginine[J]Am J Physiol Heart Circ Physiol, 2013304(2):H195-205. DOI: 10.1152/ajpheart.00188.2012 .
返回引文位置Google Scholar
百度学术
万方数据
[41]
Rieg AD , Rossaint R , Uhlig S ,et al. Cardiovascular agents affect the tone of pulmonary arteries and veins in precision-cut lung slices[J]PLoS One, 20116(12):e29698. DOI: 10.1371/journal.pone.0029698 .
返回引文位置Google Scholar
百度学术
万方数据
[42]
Dospinescu C , Widmer H , Rowe I ,et al. Hypoxia sensitivity of a voltage-gated potassium current in porcine intrapulmonary vein smooth muscle cells[J]Am J Physiol Lung Cell Mol Physiol, 2012303(5):L476-486. DOI: 10.1152/ajplung.00157.2012 .
返回引文位置Google Scholar
百度学术
万方数据
[43]
Peng G , Li S , Hong W ,et al. Chronic Hypoxia Increases Intracellular Ca(2+) Concentration via Enhanced Ca(2+) Entry Through Receptor-Operated Ca(2+) Channels in Pulmonary Venous Smooth Muscle Cells[J]Circ J, 201579(9):2058-2068. DOI: 10.1253/circj.CJ-15-0067 .
返回引文位置Google Scholar
百度学术
万方数据
备注信息
A
王健,Email: mocdef.oabohay6891gnawnaij
B
国家自然科学基金重大国际合作项目 (1220108001)
国家自然科学基金面上项目 (81470246)
广东省自然科学基金重点项目 (2016A030311020)
广东省自然科学基金-自由申请项目 (2016A030313606)
广州市卫生局医药卫生科技项目 (20151A011073)
广州市科学(技术)研究专项一般项目 (201607010358)
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