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高密度脂蛋白逆转运胆固醇的分子生物学基础
引用本文:梅俊,徐凤芹.高密度脂蛋白逆转运胆固醇的分子生物学基础[J].中国动脉硬化杂志,2019,27(3):267-272.
作者姓名:梅俊  徐凤芹
作者单位:中国中医科学院西苑医院综合内科
基金项目:国家自然科学基金(81473529);中国中医科学院自主课题项目(220808043)
摘    要:高密度脂蛋白(HDL)能够将胆固醇从泡沫细胞中转运到肝脏,代谢转化为胆汁排出体外,进而产生抗动脉粥样硬化作用,称之为HDL的胆固醇逆转运(RCT)。因此,如何提高HDL浓度并促进HDL的功能,充分发挥其抗动脉粥样硬化的功能,成为近年来研究的热点。但研究显示单纯升高HDLC并未发现有明显的临床效果,揭示了HDL功能的复杂性。因此有必要进行系统的回顾HDL的分子结构、合成、代谢等,重新认识其RCT功能的分子生物学基础,为进一步研究HDL的RCT功能提供理论支撑。

关 键 词:高密度脂蛋白  动脉粥样硬化  胆固醇逆转运
收稿时间:2018/8/2 0:00:00
修稿时间:2018/9/18 0:00:00

Molecular biological basis of reverse cholesterol transport by high density lipoprotein
MEI Jun and XU Fengqin.Molecular biological basis of reverse cholesterol transport by high density lipoprotein[J].Chinese Journal of Arteriosclerosis,2019,27(3):267-272.
Authors:MEI Jun and XU Fengqin
Institution:Department of General Medicine, Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100091, China and Department of General Medicine, Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100091, China
Abstract:High density lipoprotein (HDL) can transfer cholesterol from foam cells to the liver and metabolize it into bile and excreted into intestinal tract, finally exhaust out of body, then it produces an anti-atherosclerosis effect, which is called HDL''s reverse cholesterol transport (RCT). Therefore, how to increase the concentration of HDL and promote the function of HDL to give full play to its anti-atherosclerosis function are becoming a research hotspot in recent years. However, studies have shown that simple elevation of HDLC level has no significant clinical effect, revealing the complexity of HDL function. Therefore, it is necessary to systematically review the molecular structure, synthesis and metabolism of HDL, and re-recognize the molecular biological basis of its RCT function, so as to provide theoretical support for further research on the RCT function of HDL.
Keywords:high density lipoprotein  atherosclerosis  reverse cholesterol transport
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