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老年人心肌细胞自噬的变化及其调控机制研究进展
引用本文:杨利国,赵惠萍,李保,秦富忠. 老年人心肌细胞自噬的变化及其调控机制研究进展[J]. 中华老年医学杂志, 2021, 0(2): 265-268
作者姓名:杨利国  赵惠萍  李保  秦富忠
作者单位:山西医科大学第二医院心血管内科
基金项目:国家自然科学基金(81470526、81670369、81870214)。
摘    要:心肌细胞自噬对维持正常心脏结构和功能起重要作用。近年来的研究结果表明老年人心肌细胞自噬功能降低,老年人心肌自噬基因Atg5、Atg7和Beclin1表达降低;心肌细胞自噬下调与磷脂酰肌醇3-激酶/丝氨酸-苏氨酸激酶/雷帕霉素靶蛋白和单磷酸腺苷激活的蛋白激酶及SIRT1信号通路失调有关;此外,活性氧及一些神经内分泌因子也可介导老年人心肌细胞自噬下调。调控心肌细胞自噬将为老年人心肌病的预防和治疗提供新的途径。

关 键 词:自噬  肌细胞,心脏  细胞衰老

Advances in research on altered cardiomyocyte autophagy and its regulatory mechanisms in the elderly
Yang Liguo,Zhao Huiping,Li Bao,Qin Fuzhong. Advances in research on altered cardiomyocyte autophagy and its regulatory mechanisms in the elderly[J]. Chinese Journal of Geriatrics, 2021, 0(2): 265-268
Authors:Yang Liguo  Zhao Huiping  Li Bao  Qin Fuzhong
Affiliation:(Department of Cardiovascular Medicine,the Second Hospital of Shanxi Medical University,Taiyuan 030001,China)
Abstract:Cardiomyocyte autophagy plays an important role in maintaining normal cardiac structure and function.Recent studies have shown that cardiomyocyte autophagy is decreased in the aging heart.The expression of autophagy-related genes Atg5,Atg7 and Beclin1 decreases in the aging myocardium.Decreased cardiomyocyte autophagy in the aging heart is associated with dysregulation of phosphatidylinositol-3-kinase(PI3K)/serine-threonine kinase(Akt)/mammalian target of rapamycin(mTOR),adenosine monophosphate-activated protein kinase(AMPK)and/or the SIRT1 signaling pathways.In addition,reactive oxygen species and some neural hormonal factors such as endothelin-1 can also mediate the decrease of cardiomyocyte autophagy in cardiac aging.The regulation of cardiomyocyte autophagy may provide new strategies for the prevention and treatment of cardiomyopathy in the elderly.
Keywords:Autophagy  Myocardial,cardiac  Cell aging
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