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Published on: May 28, 2019
Ischemic Preconditioning And Myocardial Infarction: An Update and Perspective
Eric R Gross1, Garrett J Gross
1Medical College of Wisconsin, Department of Pharmacology and Toxicology, Milwaukee, WI 53226.
Insights
Ischemic preconditioning (IPC) offers promising therapeutic strategies against myocardial infarction, the leading cause of death. This review updates on IPC mechanisms, effects in aging/disease models, and potential treatments.
Area of Science:
- Cardiology
- Molecular Biology
- Pharmacology
Background:
- Myocardial infarction is a primary cause of mortality globally.
- Coronary artery disease incurs substantial healthcare costs.
- Ischemic preconditioning (IPC) research is advancing therapeutics for myocardial injury.
Purpose of the Study:
- To provide an updated review of ischemic preconditioning (IPC).
- To discuss the mechanisms and therapeutic potential of IPC in cardiac conditions.
- To summarize current and future research directions in cardiac IPC.
Main Methods:
- Literature review of preclinical and clinical studies on IPC.
- Analysis of molecular and general mechanisms underlying IPC.
- Evaluation of IPC's effects in aging and disease models.
Main Results:
- IPC involves complex molecular pathways conferring cardioprotection.
- IPC demonstrates efficacy in mitigating myocardial injury in various models.
- Several therapeutics based on IPC show promise in trials.
Conclusions:
- IPC represents a significant area for developing novel treatments for myocardial infarction.
- Further research into IPC mechanisms and clinical translation is warranted.
- Targeting IPC pathways could revolutionize cardiac care.
Abstract:
Myocardial infarction is the leading cause of mortality in Western societies with annual expenditures of $431.8 billion spent on coronary artery disease in man. Therapeutics to combat infarction from myocardial injury, based on studies of ischemic preconditioning (IPC), are currently in progress. Hence, this review provides an update on IPC, including general and molecular mechanisms responsible for IPC and the effects of IPC in models of aging or disease. A summary of therapeutics shown to possess efficacy in preclinical and clinical trials and future directions of studies regarding cardiac IPC are also discussed.
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