Clinical Potential of Hydrogen Sulfide in Peripheral Arterial Disease

被引:6
作者
Bechelli, Clemence [1 ]
Macabrey, Diane [1 ]
Deglise, Sebastien [1 ]
Allagnat, Florent [1 ,2 ]
机构
[1] Lausanne Univ Hosp, Dept Vasc Surg, CH-1005 Lausanne, Switzerland
[2] CHU Vaudois, Dept Sci Biomed, Serv Chirurg Vasc, Bugnon 7A, CH-1005 Lausanne, Switzerland
关键词
peripheral artery disease; PAD; intimal hyperplasia; hydrogen sulfide; H2S; atherosclerosis; inflammation; calcification; SMOOTH-MUSCLE-CELLS; ENDOTHELIAL PROGENITOR CELLS; CONVERTING ENZYME-INHIBITOR; CALCIUM SENSING RECEPTOR; VASCULAR CALCIFICATION; NITRIC-OXIDE; MICROVASCULAR DYSFUNCTION; MYOCARDIAL-INFARCTION; PROMOTES ANGIOGENESIS; ENDOGENOUS H2S;
D O I
10.3390/ijms24129955
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Peripheral artery disease (PAD) affects more than 230 million people worldwide. PAD patients suffer from reduced quality of life and are at increased risk of vascular complications and all-cause mortality. Despite its prevalence, impact on quality of life and poor long-term clinical outcomes, PAD remains underdiagnosed and undertreated compared to myocardial infarction and stroke. PAD is due to a combination of macrovascular atherosclerosis and calcification, combined with microvascular rarefaction, leading to chronic peripheral ischemia. Novel therapies are needed to address the increasing incidence of PAD and its difficult long-term pharmacological and surgical management. The cysteine-derived gasotransmitter hydrogen sulfide (H2S) has interesting vasorelaxant, cytoprotective, antioxidant and anti-inflammatory properties. In this review, we describe the current understanding of PAD pathophysiology and the remarkable benefits of H2S against atherosclerosis, inflammation, vascular calcification, and other vasculo-protective effects.
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