[1]施逸 武立达 谭雅楠 邵梦倩 张俊霞.脂滴在心血管疾病中作用和机制的研究进展[J].心血管病学进展,2025,(12):1112.[doi:10.16806/j.cnki.issn.1004-3934.2025.12.012]
 SHI Yi,WU Lida,TAN Yanan,et al.The Effects and Mechanisms of Lipid Droplets in Cardiovascular Diseases[J].Advances in Cardiovascular Diseases,2025,(12):1112.[doi:10.16806/j.cnki.issn.1004-3934.2025.12.012]
点击复制

脂滴在心血管疾病中作用和机制的研究进展()

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2025年12期
页码:
1112
栏目:
综述
出版日期:
2025-12-25

文章信息/Info

Title:
The Effects and Mechanisms of Lipid Droplets in Cardiovascular Diseases
作者:
施逸 武立达 谭雅楠 邵梦倩 张俊霞
(南京市第一医院心血管内科 南京医科大学附属南京医院,江苏 南京 210006)
Author(s):
SHI YiWU LidaTAN YananSHAO MengqianZHANG Junxia
(Department of Cardiology,Nanjing First Hospital,Nanjing First Hospital Affiliated to Nanjing Medical University,Nanjing 210006,Jiangsu,China)
关键词:
脂滴心血管疾病作用机制细胞器
Keywords:
Lipid dropletCardiovascular diseaseechanismOrganelle
DOI:
10.16806/j.cnki.issn.1004-3934.2025.12.012
摘要:
脂滴(LD)作为细胞内特化的脂质储存细胞器,在能量代谢调控、信号转导网络及细胞稳态维持中发挥着核心作用。其形成与降解的动态平衡,以及与线粒体、内质网等亚细胞结构的互作关系,直接影响细胞脂质代谢的效率和氧化应激水平。LD在心血管疾病(CVD)的病理进程中呈现出双重调控特性:在生理状态下,LD是维持心肌细胞能量稳态的代谢中枢;而在病理条件下,LD的病理性动态变化可引发脂毒性积累,激活炎症级联反应,成为多种CVD进展的关键驱动因素。为系统阐释LD在CVD发生发展中的作用机制,现对近年来相关研究进行系统性梳理,旨在为开发靶向LD的CVD治疗策略提供理论参考。
Abstract:
Lipid droplets (LD),as specialized intracellular lipid storage organelles,play a central role in the regulation of energy metabolism,signal transduction networks,and the maintenance of cellular homeostasis. The dynamic balance between LD formation and degradation,as well as their interactions with subcellular structures such as mitochondria and endoplasmic reticulum,directly determines cellular lipid metabolic efficiency and the level of oxidative stress. LD exhibit dual regulatory properties in the pathological processes of cardiovascular diseases (CVD): Under physiological conditions,LD serve as metabolic hubs maintaining energy homeostasis in cardiomyocytes;whereas under pathological conditions,pathological changes in LD dynamics trigger lipotoxic accumulation and activate inflammatory cascades,acting as key drivers in the progression of various CVD. To systematically elaborate the mechanism of LDs in the occurrence and development of CVD,this review systematically summarizes recent relevant studies,aiming to provide a theoretical reference for developing therapeutic strategies targeting LD in CVD

参考文献/References:

[1]Mathiowetz AJ,Olzmann JA. Lipid droplets and cellular lipid flux[J]. Nat Cell Biol,2024,26(3):331-345.?div>[2]Wan N,Hong Z,Parson MAH,et al. Spartin-mediated lipid transfer facilitates lipid droplet turnover[J]. Proc Natl Acad Sci U S A,2024,121(3):e2314093121.?/div>

[3]Corbo JH,Chung J. Mechanisms of lipid droplet degradation[J]. Curr Opin Cell Biol,2024,90:102402.?/div>
[4]Dian YT,Yang Y,Zhu P,et al. [Lipid droplets and perilipins in cardiovascular diseases][J]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao,2022,44(3):463-471.
[5]Thiele C,Spandl J. Cell biology of lipid droplets[J]. Curr Opin Cell Biol,2008,20(4):378-385.?/div>
[6]O’Connor FK,Sabapathy S,Sharma P,et al. Acute lower-limb heating improves exercise performance in heart failure with reduced ejection fraction[J]. Eur J Heart Fail,2025,27(5):1123-1132.?/div>
[7]Eichelmann F,Prada M,Sellem L,et al. Lipidome changes due to improved dietary fat quality inform cardiometabolic risk reduction and precision nutrition[J].?at Med,2024,30(10):2867-2877.?/div>
[8]Kumari RM,Khatri A,Chaudhary R,et al. Concept of lipid droplet biogenesis[J].?ur J Cell Biol,2023,102(4):151362.?/div>
[9]Martin S,Parton RG. Lipid droplets:a unified view of a dynamic organelle[J].?at Rev Mol Cell Biol,2006,7(5):373-378.?/div>
[10]Tang L,Hu D,Feng J,et al. Liquid core fluorescent organic nanoprobes:long-term stability and highly selective lipid droplets bio-imaging[J]. Talanta,2024,267:125169.?/div>
[11]Gluchowski NL,Becuwe M,Walther TC,et al. Lipid droplets and liver disease:from basic biology to clinical implications[J].?at Rev Gastroenterol Hepatol,2017,14(6):343-355.?/div>
[12]Enkler L,Spang A. Functional interplay of lipid droplets and mitochondria[J].?EBS Lett,2024,598(10):1235-1251.?/div>
[13]秦颐雪,金磷璐,曾烨. 糖萼介导的低层流剪切力诱导血管内皮细胞泡沫化[J]. 医用生物力学,2024,39(S01):363-369。
[14]Ahmed ME,Leistner DM,Hakim D,et al. Endothelial shear stress metrics associate with proinflammatory pathways at the culprit site of coronary erosion[J].?ACC Basic Transl Sci,2024,9(11):1269-1283.?/div>
[15]Chen B,Shi Y,Zhang K,et al. Inulin reduces liver triacylglycerol by increasing lipid droplet lipolysis in fat-loaded mice[J].?ood Res Int,2023,163:112226.?/div>
[16] Zhou R,Wang Y,Chen S,et al. Anti-Inflammatory effect of?endrobium officinale?xtract on high-fat diet-induced obesity in rats:involvement of gut microbiota,liver transcriptomics,and NF-κB/IκB Pathway[J]. Antioxidants (Basel),2025,4(4):432.
[17]Perman JC,Bostr? P,Lindbom M,et al. The VLDL receptor promotes lipotoxicity and increases mortality in mice following an acute myocardial infarction[J].? Clin Invest,2011,121(7):2625-2640.?/div>
[18]Cho KY,Miyoshi H,Nakamura A,et al. Lipid droplet protein PLIN1 regulates inflammatory polarity in human macrophages and is involved in atherosclerotic plaque development by promoting stable lipid storage[J].? Atheroscler Thromb,2023,30(2):170-181.?/div>
[19]Todosenko N,Yurova K,Khaziakhmatova O,et al. The Role of (nuclear) lipid droplets in the pathogenesis of metabolic syndrome[J].?ront Biosci (Landmark Ed),2025,30(6):26742.?/div>
[20]Hayward GC,Fenech RK,Yang AJ,et al. The role of PLIN protein in healthy lipid storage and lipid droplet expansion[J].? Physiol,2017,595(24):7273-7274.?/div>
[21]Yoon H,Shaw JL,Haigis MC,et al. Lipid metabolism in sickness and in health:Emerging regulators of lipotoxicity[J].?ol Cell,2021,81(18):3708-3730.?/div>
[22]浦冬青,刘政,周超,等. 近10年动脉粥样硬化发病机制研究热点的可视化分析[J]. 世界科学技术(中医药现代化),2021,23(7):2276-2284。
[23]Bookmeyer CHM,Correig Blanchar FX,Masana L,et al. Advancing atherosclerosis research:the power of lipid imaging with MALDI-MSI[J]. Atherosclerosis,2025,403:119130.?/div>
[24]Tan YJ,Huang ZZ,Jin Y,et al. Lipid droplets sequester palmitic acid to disrupt endothelial ciliation and exacerbate atherosclerosis in male mice[J]. Nat Commun,2024,15(1):1-19.
[25]Boutagy NE,Gamez-Mendez A,Fowler JW,et al. Dynamic metabolism of endothelial triglycerides protects against atherosclerosis in mice[J].? Clin Invest,2024,134(4):e170453.?/div>
[26]Liu QN,Zhao XH,Li S,et al. Plin2 involved in oxLDL-induced LOX1 expression in macrophages via NF-κB pathway[J]. Prog Biochem Biophys,2023,50(11):2697-2708.
[27]You YZ,Liang W. SIRT1 and SIRT6:the role in aging-related diseases[J]. Biochim Biophys Acta Mol Basis Dis,2023,1869(7):166815.
[28]Wang T,Cheng Z,Zhao R,et al. Sirt6 enhances macrophage lipophagy and improves lipid metabolism disorder by regulating the Wnt1/β-catenin pathway in atherosclerosis[J]. Lipids Health Dis,2023,22(1):156.?/div>
[29]Ghafoor A. Turning heart failure into heart success[J]. Heart Fail Clin,2024,20(4):xi-xii.?/div>
[30]Khandait H,Sodhi SS,Khandekar N,et al. Cardiorenal syndrome in heart failure with preserved ejection fraction:insights into pathophysiology and recent advances[J]. Cardiorenal Med,2025,15(1):41-60.
[31]D’Amato A,Prosperi S,Severino P,et al. Current approaches to worsening heart failure:pathophysiological and molecular insights[J]. Int J Mol Sci,2024,25(3):1574.?/div>
[32]Holzem KM,Vinnakota KC,Ravikumar VK,et al. Mitochondrial structure and function are not different between nonfailing donor and end-stage failing human hearts[J]. FASEB J,2016,30(8):2698-2707.?/div>
[33]Tan W,Wang Y,Cheng S,et al. AdipoRon ameliorates the progression of heart failure with preserved ejection fraction via mitigating lipid accumulation and fibrosis[J]. J Adv Res,2025,68:299-315.?/div>
[34]Sera AC,Bui TA,Oceandy D. Expression of pontin (RUVBL1) reduces lipid accumulation and improves survival of cardiomyoblast cells following stimulation with saturated fatty acid[J]. Heart,2024,110(3):279-286.
[35]Li LH,Zhang HN,Wang WY,et al. Comparative proteomics reveals abnormal binding of ATGL and dysferlin on lipid droplets from pressure overload-induced dysfunctional rat hearts[J]. Sci Rep,2016,6:19782.
[36]Kantharia BK,Zhao S,Linz D,et al. Hypertension and atrial fibrillation:insight from basic to translational science into the mechanisms and management[J]. J Cardiovasc Electrophysiol,2025,36(10):2712-2719.?/div>
[37]杨红霞,景策,刘睿,等. 高血压发病机制研究进展[J]. 医学综述,2019,25 (22):4483-4487.
[38]Kim B,Zhao W,Tang SY,et al. Endothelial lipid droplets suppress eNOS to link high fat consumption to blood pressure elevation[J]. J Clin Invest,2023,133(24):e173160.?/div>
[39]Swiatlowska P,Tipping W,Marhuenda E,et al. Hypertensive pressure mechanosensing alone triggers lipid droplet accumulation and transdifferentiation of vascular smooth muscle cells to foam cells[J].?dv Sci (Weinh),2024,11(9):e2308686.
[40]刘旋,赵福森,徐启耀,等. 基于管周脂肪炎性微环境的黄芩汤调控NEK7-NLRP3/IL-1β保护肥胖高血压大鼠血管内皮功能研究[J]. 南京中医药大学学报,2024,40(9):896-905.
[41]Li Y,Zhou E,Yu Y,et al. Butyrate attenuates cold-induced hypertension via gut microbiota and activation of brown adipose tissue[J].?ci Total Environ,2024,943:173835.
[42]Eleid MF,Nkomo VT,Pislaru SV,et al. Valvular heart disease:new concepts in pathophysiology and therapeutic approaches[J].?nnu Rev Med,2023,74:155-170.?/div>
[43]Zhuang W,Li J,Qu T,et al. A lipid activated color switchable probe for the imaging of diseased aortic valves[J].?alanta,2024,275:126069.?/div>
[44]潘路华,朱明利,陈多学,等. 血清脂蛋白a水平与二尖瓣环钙化的相关性分析[J]. 中华全科医学,2024,22(10):1700-1704.
[45]Golledge J,Thanigaimani S,Powell JT,et al. Pathogenesis and management of abdominal aortic aneurysm[J].?ur Heart J,2023,44(29):2682-2697.?/div>
[46]田丽,张瑾瑾,张娜娜,等. 二甲双胍通过抑制缺氧诱导脂滴相关蛋白与卷曲蛋白10相互作用及其下游Wnt信号减缓腹主动脉瘤形成的研究[J].中国糖尿病杂志,2022,30(2):120-125.
[47]Ray L,Geier C,DeWitt KM. Pathophysiology and treatment of adults with arrhythmias in the emergency department,part 1:atrial arrhythmias[J].?m J Health Syst Pharm,2023,80(16):1039-1055.?/div>
[48]Morrissette-McAlmon J,Xu WR,Teuben R,et al. Adipocyte-mediated electrophysiological remodeling of human stem cell-derived cardiomyocytes[J].? Mol Cell Cardiol,2024,189:52-65.?/div>
[49]Filipski KJ,Edmonds DJ,Garnsey MR,et al. Design of next-generation DGAT2 inhibitor PF-07202954 with longer predicted half-life[J].?CS Med Chem Lett,2023,14(10):1427-1433.?/div>
[50]Sun Q,Xing X,Wang H,et al. SCD1 is the critical signaling hub to mediate metabolic diseases:mechanism and the development of its inhibitors[J].?iomed Pharmacother,2024,170:115586.?/div>
[51]Haemmerle G,Moustafa T,Woelkart G,et al. ATGL-mediated fat catabolism regulates cardiac mitochondrial function via PPAR-α and PGC-1[J].?at Med,2011,17(9):1076-1085.?/div>
[52]Kopietz F,Alshuweishi Y,Bijland S,et al. A-769662 inhibits adipocyte glucose uptake in an AMPK-independent manner[J].?iochem J,2021,478(3):633-646.?/div>
[53]Zhang C,Deng J,Liu D,et al. Nuciferine ameliorates hepatic steatosis in high-fat diet/streptozocin-induced diabetic mice through a PPARα/PPARγ coactivator-1α pathway[J].?r J Pharmacol,2018,175(22):4218-4228.

相似文献/References:

[1]白春兰,张军.正五聚蛋白-3:新型心血管病炎性标志物[J].心血管病学进展,2016,(1):87.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.023]
 BAI Chunlan,ZHANG Jun.Pentraxin-3: A Novel Inflammation Biomarker for Cardiovascular Disease[J].Advances in Cardiovascular Diseases,2016,(12):87.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.023]
[2]任茂佳,贺文帅,张琪,等.围绝经期对心血管疾病相关危险因素的影响[J].心血管病学进展,2019,(6):911.[doi:10.16806/j.cnki.issn.1004-3934.2019.06.018]
 REN Maojia,HE Wenshuai,ZHANG Qi,et al.Effects of Perimenopause on Cardiovascular Risk Factors[J].Advances in Cardiovascular Diseases,2019,(12):911.[doi:10.16806/j.cnki.issn.1004-3934.2019.06.018]
[3]尹琳 黄从新.JP2蛋白和心血管疾病的研究进展[J].心血管病学进展,2019,(7):1004.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.010]
 YIN Lin HUANG Congxin.Research Progress of JP2 Protein and Cardiovascular Disease[J].Advances in Cardiovascular Diseases,2019,(12):1004.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.010]
[4]朱峰 汪汉 蔡琳.抗体与心血管疾病[J].心血管病学进展,2019,(7):1007.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.011]
 ZHU FengWANG HanCAI Lin.Antibodies and Cardiovascular Disease[J].Advances in Cardiovascular Diseases,2019,(12):1007.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.011]
[5]邱明仙 王正龙 许官学.心肌肌球蛋白结合蛋白-C磷酸化与心血管疾病关系的研究进展[J].心血管病学进展,2019,(7):1015.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.013]
 QIU MingxianWANG ZhenglongXU Guanxue.Research Progress of the Relationship Between Cardiac Myosin Binding Protein-C and Cardiovascular Disease[J].Advances in Cardiovascular Diseases,2019,(12):1015.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.013]
[6]姬楠楠 杨晓静 谢勇.单核细胞/高密度脂蛋白比值与心血管疾病的研究进展[J].心血管病学进展,2019,(7):1019.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.014]
 JI Nannan YANG Xiaojing XIE Yong.Monocyte/High-density Lipoprotein Ratio and Cardiovascular Disease[J].Advances in Cardiovascular Diseases,2019,(12):1019.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.014]
[7]渠海贤 李涛 程流泉.人工智能在心脏磁共振成像中的应用进展[J].心血管病学进展,2019,(5):659.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.001]
[8]侯冬华 郝丽荣.长正五聚蛋白3在动脉粥样硬化和心血管疾病中作用研究的新进展[J].心血管病学进展,2019,(5):805.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.035]
 HOU Donghua H AO Lirong.The Study of Atherosclerosis and Cardiovascular Diseases with Pentapycin 3[J].Advances in Cardiovascular Diseases,2019,(12):805.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.035]
[9]张维 张恒 康品方.外泌体在心血管疾病中的研究进展[J].心血管病学进展,2019,(5):818.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.038]
 Zhang WeiKang Pinfang.Exosome in Cardiovascular Diseases[J].Advances in Cardiovascular Diseases,2019,(12):818.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.038]
[10]韦莹 刘书旺 李蕾 崔鸣.生长分化因子-15在心房颤动中的研究进展[J].心血管病学进展,2019,(8):1073.[doi:10.16806/j.cnki.issn.1004-3934.2019.08.001]
 WEI Ying,LIU Shuwang,LI Lei,et al.Growth Differentiation Factor-15 in Development of Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2019,(12):1073.[doi:10.16806/j.cnki.issn.1004-3934.2019.08.001]
[11]李甜甜 亓秉超 陈亮 李妍.以线粒体为中心的调控网络在心血管疾病中的研究进展[J].心血管病学进展,2024,(4):350.[doi:10.16806/j.cnki.issn.1004-3934.2024.04.014]
 LI Tiantian,QI Bingchao,CHEN Liang,et al.Mitochondria-Centered Regulatory Network in Cardiovascular Diseases[J].Advances in Cardiovascular Diseases,2024,(12):350.[doi:10.16806/j.cnki.issn.1004-3934.2024.04.014]
[12]蒲思颖 胡朗 郭艳杰 李妍.脂滴与细胞器之间的相互作用在心血管疾病中的研究进展[J].心血管病学进展,2025,(1):37.[doi:10.16806/j.cnki.issn.1004-3934.2025.01.009]
 PU Siying,HU Lang,GUO Yanjie,et al.The Interaction Between Lipid Droplets and Organelles in Cardiovascular Diseases[J].Advances in Cardiovascular Diseases,2025,(12):37.[doi:10.16806/j.cnki.issn.1004-3934.2025.01.009]

更新日期/Last Update: 2026-04-14