Revisión
Potencial rol protector del óxido nítrico y Hsp70 asociado a alimentos funcionales en la aterosclerosisPotential protective role of nitric oxide and Hsp70 linked to functional foods in the atherosclerosis

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Resumen

En la actualidad se encuentran en constante revisión los mecanismos determinantes primarios y las posibles terapéuticas de una de las principales entidades patológicas considerada epidémica y constituida como problema de salud pública mundial: la aterosclerosis. En tal sentido, pacientes que la padecen presentan como común denominador disfunción mitocondrial, estrés oxidativo e inflamación. De especial interés, el óxido nítrico, un conocido gas mensajero vasoactivo, ha sido estrechamente relacionado con el proceso inflamatorio, oxidativo y disfuncional mitocondrial propio de la aterosclerosis. Por otro lado, muy recientemente se ha demostrado que alteraciones en la biodisponibilidad del óxido nítrico inducirían la expresión de proteínas de shock térmico. Este mecanismo sería inducido también por el uso de los denominados alimentos funcionales como estrategia para prevenir el envejecimiento vascular así como el desarrollo de aterosclerosis. Finalmente, el mayor conocimiento de los mecanismos implicados en el desarrollo de la aterosclerosis nos permitirá proponer nuevas y posibles intervenciones higiénicas, sanitarias y terapéuticas.

Abstract

Atherosclerosis, one of the main pathologic entities considered epidemic and a worldwide public health problem, is currently under constant review as regards its basic determining mechanisms and therapeutic possibilities. In this regard, all patients afflicted with the disease exhibit mitochondrial dysfunction, oxidative stress and inflammation. Interestingly, nitric oxide — a known vasoactive messenger gas — has been closely related to the inflammatory, oxidative and mitochondrial dysfunctional process that characterizes atherosclerosis. In addition, it has recently been demonstrated that alterations in the bioavailability of nitric oxide would induce the expression of heat shock proteins. This agrees with the use of functional foods as a strategy to prevent both vascular aging and the development of atherosclerosis. Finally, a greater knowledge regarding the mechanisms implied in the development of atherosclerosis will enable proposing new and possible hygiene, health and therapeutic interventions.

Section snippets

Introducción

La ateroesclerosis como entidad patológica emergente en los países industrializados responde a un síndrome caracterizado por el depósito y la infiltración de sustancias lipídicas en las paredes de las arterias de mediano y grueso calibre. Además, provoca inflamación, multiplicación y migración de las células musculares lisas condicionando el estrechamiento de la luz arterial1, para finalmente conducir a la aparición de enfermedades cardiovasculares (ECV). En el proceso inflamatorio crónico

Óxido nítrico y Hsp70 en aterosclerosis

El NO, una especie reactiva del nitrógeno de vida media ultracorta, participa como factor regulador de una diversa gama de funciones fisiológicas como el control de la resistencia vascular, la neurotransmisión y la modulación de procesos inflamatorios, entre otras11, 26, 27, 28, 29, 30. Bioquímicamente y a nivel citosólico, el NO es una molécula sintetizada por enzimas NOS con L-arginina, NADPH y O2 como sustratos básicos31. Por otro lado, también se ha descrito una producción mitocondrial

Alimentos funcionales y salud cardiovascular

Si bien el concepto de alimentos funcionales fue introducido, es menester destacar que en la actualidad existen controversias respecto a trazar una línea que precise las características específicas de este grupo de alimentos que los diferencien del resto. En consecuencia, no se encuentra una definición de alimentos funcionales que sea universalmente aceptada y, por lo tanto, son escasas las regulaciones específicas en países de occidente63. Diferente es la situación en oriente, donde los

Alimentos funcionales, óxido nítrico y Hsp70 en aterosclerosis

El estado de conocimiento actual discute sobre las múltiples causas de la enfermedad ateroesclerótica; sin embargo, la inflamación y el estrés oxidativo juegan un papel fundamental en la patogénesis de la disfunción endotelial que se atribuye comúnmente a una alteración en la disponibilidad de NO. En adición, Hsp70 protegería a los elementos celulares de la lesión mediante la reducción de la oxidación, la inflamación y la apoptosis81. Por lo tanto, existen evidencias concretas que sugieren al

Conclusiones y perspectivas

El estado de conocimiento actual reconoce un importante número de causas de la enfermedad ateroesclerótica. Sin embargo, la inflamación y el estrés oxidativo destacan como determinantes fundamentales en la patogénesis de la disfunción endotelial atribuida comúnmente a una alteración en la disponibilidad de NO. En adición, Hsp70 protegería a los elementos celulares de la lesión mediante la reducción de la oxidación, la inflamación y la apoptosis. De interés, se encuentran en constante revisión

Protección de personas y animales

Los autores declaran que para esta investigación no se han realizado experimentos en seres humanos ni en animales.

Confidencialidad de los datos

Los autores declaran que han seguido los protocolos de su centro de trabajo sobre la publicación de datos de pacientes.

Derecho a la privacidad y consentimiento informado

Los autores declaran que en este artículo no aparecen datos de pacientes.

Conflicto de intereses

Los autores declaran no tener ningún conflicto de intereses potencial con respecto a la investigación, la autoría y/o la publicación de este artículo de revisión.

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