European Respiratory Journal ( IF 16.6 ) Pub Date : 2024-10-31 Guignabert, C., Aman, J., Bonnet, S., Dorfmüller, P., Olschewski, A. J., Pullamsetti, S., Rabinovitch, M., Schermuly, R. T., Humbert, M., Stenmark, K. R.
In recent years, major advances have been made in the understanding of the cellular and molecular mechanisms driving pulmonary vascular remodelling in various forms of pulmonary hypertension, including pulmonary arterial hypertension, pulmonary hypertension associated with left heart disease, pulmonary hypertension associated with chronic lung disease and hypoxia, and chronic thromboembolic pulmonary hypertension. However, the survival rates for these different forms of pulmonary hypertension remain unsatisfactory, underscoring the crucial need to more effectively translate innovative scientific knowledge into healthcare interventions. In these proceedings of the 7th World Symposium on Pulmonary Hypertension, we delve into recent developments in the field of pathology and pathophysiology, prioritising them while questioning their relevance to different subsets of pulmonary hypertension. In addition, we explore how the latest omics and other technological advances can help us better and more rapidly understand the myriad basic mechanisms contributing to the initiation and progression of pulmonary vascular remodelling. Finally, we discuss strategies aimed at improving patient care, optimising drug development, and providing essential support to advance research in this field.
中文翻译:
肺动脉高压的病理学和病理生物学:当前见解和未来方向
近年来,在了解驱动各种形式肺动脉高压肺血管重塑的细胞和分子机制方面取得了重大进展,包括肺动脉高压、与左心疾病相关的肺动脉高压、与慢性肺病和缺氧相关的肺动脉高压以及慢性血栓栓塞性肺动脉高压。然而,这些不同形式的肺动脉高压的存活率仍然不令人满意,这凸显了更有效地将创新科学知识转化为医疗保健干预措施的迫切需要。在第 7 届世界肺动脉高压研讨会的这些论文集中,我们深入研究了病理学和病理生理学领域的最新发展,对它们进行了优先排序,同时质疑它们与肺动脉高压不同亚群的相关性。此外,我们还探讨了最新的组学和其他技术进步如何帮助我们更好、更快速地了解导致肺血管重塑开始和进展的无数基本机制。最后,我们讨论了旨在改善患者护理、优化药物开发和为推进该领域研究提供必要支持的策略。