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Published on: July 7, 2014
Oxidative stress-induced ischemic heart disease: protection by antioxidants
Debashis Bandyopadhyay1, Aindrila Chattopadhyay, Goutam Ghosh
1Department of Life Science and Biotechnology, Jadavpur University, Kolkata-700 032, India.
Insights
Reactive oxygen species contribute to heart disease by causing oxidative myocardial damage. This review explores antioxidant defenses and potential treatments like ischemic pre-conditioning and novel drug therapies for ischemic heart disease.
Area of Science:
- Cardiology
- Biochemistry
- Pathophysiology
Background:
- Heart disease is a leading global health issue.
- Reactive oxygen species (ROS) are implicated in oxidative myocardial damage and cardiac malfunction.
Purpose of the Study:
- To review current knowledge on oxygen free radicals in ischemic heart disease.
- To discuss mechanisms of oxidative myocardial damage and antioxidant defenses.
- To explore protective strategies including pre-conditioning, antioxidants, and cardioprotective drugs.
Main Methods:
- Comprehensive literature review.
- Analysis of mechanisms of oxidative stress in the heart.
- Evaluation of endogenous and exogenous antioxidant systems.
- Discussion of therapeutic interventions.
Main Results:
- Free radicals, specifically ROS, are central to the pathogenesis of ischemic heart disease.
- Oxidative damage leads to impaired cardiac function.
- Both endogenous and exogenous antioxidant systems play a crucial role in mitigating damage.
Conclusions:
- Understanding oxidative stress is key to treating ischemic heart disease.
- Ischemic pre-conditioning, antioxidants, and specific drugs show cardioprotective potential.
- Future research should focus on combinatorial therapeutics for effective treatment.
Abstract:
Heart disease is one of the major health problems of advanced as well as developing countries of the world. Extensive research through the last decade has shown beyond doubt that free radicals, particularly, reactive oxygen species play a cardinal role in the pathogenesis of oxidative myocardial damage with consequential cardiac malfunction. This review presents a comprehensive account of the present day knowledge regarding the oxygen free radicals involved in the genesis of ischemic heart disease, the mechanism(s) of oxidative myocardial damage and the endogenous as well as exogenous antioxidant defense systems. Furthermore, the role of ischemic pre-conditioning, some antioxidants and the ability of some cardioprotective drugs in providing protection against the ischemic myocardial damage are also discussed. The text of the article comes to an end with a commentary on the future research perspective in the concerned area, which throws a light on the development of combinatorial therapeutics in the treatment of ischemic myocardial disease.
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