树突状细胞在心脏损伤修复中的作用及机制研究进展

    Research progress on the role and mechanism of dendritic cells in cardiac injury repair

    • 摘要: 心肌梗死(myocardial infarction,MI)后,梗死区及周边心肌细胞死亡引发的急性炎症可促进心力衰竭的进展,而随后的适应性免疫反应和抗心脏自身免疫也参与了这一过程。研究表明,骨髓和脾脏募集的单核细胞在成年小鼠MI后的心肌组织修复过程中发挥重要作用。其中,单核细胞来源的巨噬细胞在心肌损伤、修复及重塑中的作用已被广泛研究。近年来,针对专职抗原提呈细胞——树突状细胞(dendritic cells,DCs)在急性MI后心肌修复和重塑中的研究逐渐增多,但其具体机制尚未完全阐明。因此,本文将对DCs在心脏损伤修复中的作用及其研究前景进行综述。

       

      Abstract: Myocardial infarction (MI) triggers acute inflammation due to the death of myocardial cells within and surrounding the infarcted area, which can exacerbate heart failure. This process is further influenced by subsequent adaptive immune responses and anti-cardiac autoimmunity. Studies have demonstrated that monocytes recruited from the bone marrow and spleen are crucial in the myocardial tissue repair process in adult mice following MI. The role of monocyte-derived macrophages in myocardial injury, repair, and remodeling has been extensively investigated. Recently, there has been a growing interest in the involvement of dendritic cells (DCs), specialized antigen-presenting cells, in myocardial repair and remodeling after acute MI. However, the specific mechanisms through which DCs operate remain incompletely understood. This article aims to review the current understanding of the role of DCs in cardiac injury repair and explore future research directions in this field.

       

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