Vascular-device suit concordance: a tri-ecological framework for eco-rebalancing.

IF 18.1 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY
Lingsen You, Yaxuan Li, Yuchen Luo, Qiang Cheng, Liuliu Feng, Li Shen, Junbo Ge
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引用次数: 0

Abstract

Panvascular intervention can restore lumen patency, exclude structural defects, or replace diseased valves, but procedural success does not reestablish ecological stability within the treated vessel. We propose eco-rebalancing as a tri-ecological framework in which durable device performance depends on coordinated recovery across three domains: the mechanical, cellular, and physicochemical-immune ecologies. Vascular-device suitcordance denotes the spatiotemporal match between a device's mechanical behavior, biological interface, and material persistence, and the healing trajectory of a specific vascular bed, lesion, and patient; we introduce the Suitcordance Score (Su-Score) as a conceptual metric of that match. This perspective reinterprets restenosis, thrombosis, fibrosis, calcification, and structural degeneration as signatures of incomplete eco-rebalancing, providing a translational basis for device design and patient-device matching.

血管装置套装协调:生态再平衡的三生态框架。
全血管介入可以恢复管腔通畅,排除结构缺陷,或更换病变瓣膜,但手术上的成功并不能重建治疗血管内的生态稳定性。我们提出生态再平衡作为一个三生态框架,其中耐用的设备性能取决于三个领域的协调恢复:机械、细胞和物理化学免疫生态。血管-器械匹配指的是器械的机械行为、生物界面和材料持久性与特定血管床、病变和患者的愈合轨迹之间的时空匹配;我们引入关联度分数(Su-Score)作为匹配的概念度量。这一观点将再狭窄、血栓形成、纤维化、钙化和结构变性重新解释为不完全生态再平衡的特征,为器械设计和患者-器械匹配提供了翻译基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Trends in molecular medicine
Trends in molecular medicine 医学-生化与分子生物学
CiteScore
24.60
自引率
0.00%
发文量
142
审稿时长
6-12 weeks
期刊介绍: Trends in Molecular Medicine (TMM) aims to offer concise and contextualized perspectives on the latest research advancing biomedical science toward better diagnosis, treatment, and prevention of human diseases. It focuses on research at the intersection of basic biology and clinical research, covering new concepts in human biology and pathology with clear implications for diagnostics and therapy. TMM reviews bridge the gap between bench and bedside, discussing research from preclinical studies to patient-enrolled trials. The major themes include disease mechanisms, tools and technologies, diagnostics, and therapeutics, with a preference for articles relevant to multiple themes. TMM serves as a platform for discussion, pushing traditional boundaries and fostering collaboration between scientists and clinicians. The journal seeks to publish provocative and authoritative articles that are also accessible to a broad audience, inspiring new directions in molecular medicine to enhance human health.
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