目的:探讨慢性阻塞性肺疾病肺血管重塑的研究进展。方法:总结、归纳、分析近年来的相关文献资料。结果:目前研究显示慢性阻塞性肺疾病(COPD)肺血管重塑、肺动脉高压是发展至肺心病的关键环节,内皮素-1(ET-1)、转化生长因子-β(TGF-β)、血管内皮细胞生长因子(VEGF)、人结缔组织生长因子(bFGF)、碱性成纤维细胞(CTGF)等多种细胞因子参与并影响血管重塑的发生。结论:认识COPD血管重塑相关细胞因子的表达变化,对COPD病情发展机制的探讨和临床治疗产生深远的影响。
Objective:To investigate the research progress of pulmonary vascular remodeling for chronic obstructive pulmonary disease(COPD).Methods:The relevant literature in recent years was summed up,summarized and analyzed.Results:At present,studies have shown that pulmonary vascular remodeling of COPD and pulmonary hypertension is the key link to the development of pulmonary heart disease.ET-1,TGF-β,VEGF,bFGF,CTGF and other cytokines were involved and affected the vascular remodeling.Conclusion:Understanding changes of related cytokine expression of vascular remodeling for COPD can bring about a far-reaching impact for the mechanism of disease development and the clinical treatment of COPD.