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The pathological role of transient receptor potential channels in heart disease
Hiroyuki Watanabe1, Manabu Murakami, Takayoshi Ohba
1Second Department of Internal Medicine, Akita University School of Medicine, Akita, Japan.
Abstract:
Transient receptor potential (TRP) channels are expressed in almost every human tissue, including the heart and vasculature. Most are permeable to Ca(2+) and play unique roles as multifunctional cellular sensors. Their involvement in many fundamental cell functions (eg, contraction, proliferation, and cell death) has made investigating their roles in human disease an urgent priority for medical science. This review presents an overview of current knowledge about the pathological role of TRP channels in heart disease and highlights some TRP channels with anticipated roles in disease. Evidence suggests that (a) upregulation of TRPC channels is involved in the development of cardiac hypertrophy and heart failure; (b) TRPC1, TRPC6, and TRPV2 play a role in the pathogenesis of cardiomyopathy associated with muscular dystrophy; (c) TRPC6 or TRPM4 is involved in the delayed after-depolarization; (d) TRPP2 is involved in the normal development of the interventricular and interatrial septa; and (e) neuronal TRPV1 acts as a detector of pain-producing stimuli. Ultimately, TRP channels might become novel pharmacological targets in the treatment of human heart disease.
Insights
Transient receptor potential (TRP) channels are crucial cellular sensors in the heart. This review details their pathological roles in heart disease, suggesting TRP channels as potential therapeutic targets.
Area of Science:
- Cardiovascular Physiology
- Molecular Biology
- Medical Science
Background:
- Transient receptor potential (TRP) channels are ubiquitous in human tissues, including the heart and vasculature.
- These Ca(2+)-permeable channels function as multifunctional cellular sensors, regulating vital processes like contraction, proliferation, and cell death.
- Their fundamental roles underscore the urgency of investigating TRP channel involvement in human diseases.
Purpose of the Study:
- To review current knowledge on the pathological role of TRP channels in heart disease.
- To highlight specific TRP channels implicated in various cardiac conditions.
- To explore the potential of TRP channels as novel therapeutic targets for heart disease.
Main Methods:
- Literature review of existing research on TRP channels and cardiovascular disease.
- Synthesis of evidence linking specific TRP channel subtypes to cardiac pathologies.
- Identification of TRP channels with potential roles in disease pathogenesis.
Main Results:
- Upregulation of TRPC channels is associated with cardiac hypertrophy and heart failure.
- TRPC1, TRPC6, and TRPV2 are implicated in muscular dystrophy-related cardiomyopathy.
- TRPC6 or TRPM4 contribute to delayed after-depolarizations, while TRPP2 is vital for septal development.
- Neuronal TRPV1 acts as a pain-sensing channel.
Conclusions:
- TRP channels play significant, multifaceted roles in cardiovascular health and disease.
- Specific TRP channel dysfunctions are linked to conditions like hypertrophy, heart failure, and cardiomyopathy.
- TRP channels represent promising targets for future pharmacological interventions in treating heart disease.
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