冠状动脉微血管疾病实验动物模型的研究进展
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1. 南京中医药大学,南京 210046;2. 南京中医药大学附属南京中医院,南京 210022

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Research progress in experimental animal models of coronary microvascular disease
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1. Nanjing University of Chinese Medicine, Nanjing 210046, China; 2. Nanjing Hospital of Chinese Medicine Affiliated to Nanjing University of Chinese Medicine, Nanjing 210022, China

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    摘要:

    冠状动脉微血管疾病(coronary microvascular disease,CMVD)指在动脉粥样硬化性或非动脉粥样硬化性致病因素作用下,冠状前小动脉、小动脉和毛细血管结构或功能异常引发心肌缺血的临床综合征。因 CMVD 发病机制复杂、临床诊断困难、发病率日益攀升,故构建能多方面反映疾病特征的动物模型并开发针对性治疗药物便显得尤为迫切。 目前构建 CMVD 动物模型主要通过增加压力负荷、扰乱代谢等方式以模拟高血压、糖尿病、动脉粥样硬化等疾病引起的继发性微血管病变,或通过手术结扎冠脉、注射致栓剂等方式直接诱导微血管栓塞。 本文系统综述了 CMVD 动物模型的物种特点,概述其造模方法、适应症及优缺点,以期为 CMVD 基础研究提供参考。

    Abstract:

    Coronary microvascular disease ( CMVD) is a clinical syndrome characterized by myocardial ischemia caused by structural or functional abnormalities of the coronary precapillary arterioles, small arteries, and capillaries, resultsing from atherosclerotic or non-atherosclerotic pathogenic factors. Given the complex pathogenesis of CMVD, its increasing incidence, and the challenges in clinical diagnosis, it is crucial to develop animal models that can comprehensively reflect the disease’s characteristics and use these models to develop targeted therapeutic agents. Current approaches to constructing CMVD animal models primarily involve increasing hemodynamic load and disrupting metabolism to simulate secondary microvascular changes caused by diseases such as hypertension and diabetes, or directly inducing microvascular obstruction through surgical ligation of the coronary arteries or injection of thrombogenic agents. This article systematically reviews the characteristics of commonly used experimental animals in CMVD models, summarizes the method of model construction, the indications, and their advantages and disadvantages, to provide a reference for basic research in CMVD.

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黄克,左可可,顾宁.冠状动脉微血管疾病实验动物模型的研究进展[J].中国实验动物学报,2025,33(11):1648~1662.

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  • 收稿日期:2025-03-03
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  • 在线发布日期: 2026-01-08
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