首都医科大学学报 ›› 2025, Vol. 46 ›› Issue (1): 71-75.doi: 10.3969/j.issn.1006-7795.2025.01.012

• 国家卫生健康委加强脑卒中防治工作减少百万新发残疾工程 • 上一篇    下一篇

脂蛋白a在脑血管病中的研究新进展

郭怡兵,  孟  然*   

  1. 首都医科大学宣武医院 神经内科, 北京 100053
  • 收稿日期:2024-11-15 出版日期:2025-02-21 发布日期:2025-02-25
  • 通讯作者: 孟 然 E-mail:victor@126.com

Research advances on lipoprotein(a) in cerebrovascular diseases

Guo Yibing, Meng Ran*   

  1. Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
  • Received:2024-11-15 Online:2025-02-21 Published:2025-02-25

摘要: 脂蛋白a[lipoprotein (a),Lp(a)]是血浆中一种具有特殊结构的脂蛋白颗粒。Lp(a)浓度升高与多种脑血管疾病密切相关,且多种靶向降低 Lp(a)浓度的新型药物正处于临床试验阶段。本文综述了Lp(a)的结构、功能、遗传学特点、与脑血管病的相关性及其治疗的最新进展,旨在为Lp(a)的研究提供新方向,并为脑血管病的防治提供新思路。 

关键词: 脂蛋白a, 脑血管病, 临床研究进展, RNA靶向治疗

Abstract: Lipoprotein(a)[Lp(a)] is a unique plasma lipoprotein particle with a distinct structure that has garnered significant research attention due to its strong association with various cerebrovascular diseases. Recent studies underscore elevated Lp(a) levels as a critical risk factor, with multiple Lp(a)-targeted therapies advancing through clinical trials.  This review explores the structural, functional, and genetic features of Lp(a), its connection to cerebrovascular diseases, and the latest therapeutic strategies aimed at reducing its impact. By consolidating these advancements, we aim to provide new insights for Lp(a)-centered research and propose innovative approaches for cerebrovascular disease prevention and management.

Key words: lipoprotein(a), cerebrovascular diseases, RNA-targeted therapies, advances in clinical studies

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