已发表论文

糖酵解代谢重编程在动脉粥样硬化中平滑肌细胞的作用及研究进展

 

Authors Sun Y, Zhang B, Liu F, Luan B, Ding Y 

Received 27 June 2025

Accepted for publication 12 September 2025

Published 26 September 2025 Volume 2025:18 Pages 5803—5810

DOI https://doi.org/10.2147/IJGM.S550081

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Redoy Ranjan

Yurong Sun,1 Bin Zhang,2 Fengyi Liu,1 Bo Luan,2 Yanchun Ding1 

1Department of Cardiovascular Medicine, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116021, People’s Republic of China; 2Department of Cardiovascular Medicine, Renmin Hospital of China Medical University, Shenyang, 110013, People’s Republic of China

Correspondence: Yanchun Ding, Department of Cardiovascular Medicine, The Second Affiliated Hospital of Dalian Medical University, Dalian, Liaoning, 116021, People’s Republic of China, Email etc2280@163.com

Abstract: Atherosclerosis(AS) is a chronic vascular disease resulting from the combined effects of lipid deposition and inflammatory responses, in which the phenotypic plasticity of vascular smooth muscle cells (VSMCs) plays a central role in disease progression. Under aerobic conditions, VSMCs undergo a metabolic shift reminiscent of the “Warburg effect”, supporting their proliferation, migration, and phenotypic modulation through enhanced glycolytic flux. Despite its pathophysiological significance, the mechanistic interplay between glycolytic reprogramming in VSMCs and atherosclerotic progression remains inadequately systematized. This review aims to bridge this knowledge gap by synthesizing emerging evidence on how glycolysis orchestrates VSMCs remodeling and contributes to the clinical manifestations of AS. Furthermore, we explore the synergistic coupling between glycolytic metabolism and electrophysiological dynamics in VSMCs—an emerging area with transformative potential. Our methodology integrates multidimensional strategies: first, we delineate the metabolic drivers of VSMCs phenotypic switching in AS; second, we combine in vitro and in vivo models to elucidate the role of VSMCs glycolysis in diabetes-accelerated AS and in-stent restenosis; lastly, we investigate metaboloelectrophysiological crosstalk and ion channel regulation as central mechanisms. This synthesis provides a conceptual and mechanistic foundation for targeting glycolytic pathways in AS and its complications, offering novel avenues for therapeutic intervention.

Keywords: smooth muscle cells, glycolysis, atherosclerosis