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Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
Reversing advanced heart failure by targeting Ca2+ cycling
David M Kaye1, Masahiko Hoshijima, Kenneth R Chien
1Heart Failure Research Group, Baker Heart Research Institute, Melbourne, Victoria 8008, Australia. david.kaye@baker.edu.au
Insights
Heart failure remains a significant cardiovascular disease with limited treatment options for severe cases. Targeting the cardiomyocyte calcium-handling pathway shows promise for developing new heart failure therapies.
Area of Science:
- Cardiovascular Medicine
- Molecular Biology
- Genetics
Background:
- Heart failure (HF) is a leading cause of cardiovascular morbidity and mortality.
- Current pharmacotherapy for HF has limitations, especially for end-stage patients.
- Recent research has identified molecular targets for progressive heart failure.
Purpose of the Study:
- To investigate the role of cardiomyocyte calcium-handling pathway defects in heart failure.
- To evaluate the therapeutic potential of targeting these defects.
Main Methods:
- Analysis of molecular basis of progressive heart failure.
- Examination of cardiomyocyte calcium-handling pathway alterations in heart failure models.
- Studies in genetically engineered mouse models of heart failure.
- Myocardial gene transfer techniques in experimental models.
Main Results:
- Characteristic changes in the cardiomyocyte calcium-handling pathway are observed in heart failure.
- Restoration of these calcium-handling defects in experimental models shows therapeutic promise.
- Evidence strongly supports the calcium-handling pathway as a viable clinical intervention target.
Conclusions:
- The cardiomyocyte calcium-handling pathway is a critical area for therapeutic development in heart failure.
- Targeting molecular defects, particularly in calcium handling, offers a promising strategy for future heart failure treatments.
Abstract:
Heart failure is a major cardiovascular disease, characterized by considerable morbidity and mortality. Despite major advances in the pharmacotherapy of heart failure, the options for patients with severe end-stage symptoms remain limited. However, recent developments in the identification of the molecular basis for the progressive nature of heart failure have identified a number of potentially important new therapeutic targets. In particular, key components of the cardiomyocyte calcium-handling pathway show characteristic changes in heart failure. A body of research examining the effect of restoration of these defects in experimental models of heart failure, whether in genetically engineered mouse models or by myocardial gene transfer, very strongly supports the calcium-handling pathway as a target for clinical intervention.
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