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Published on: June 28, 2019
Reappraisal of functional importance of coronary collateral circulation
Masatoshi Fujita1, Shigetake Sasayama
1Human Health Sciences, Kyoto University Graduate School of Medicine, Japan. mfujita@kuhp.kyoto-u.ac.jp
Insights
Coronary collateral circulation (CCC) provides alternative blood flow to the heart muscle during artery blockages. Research advances in molecular biology and genetic engineering are paving the way for new therapies for severe coronary artery disease.
Area of Science:
- Cardiovascular Biology
- Translational Medicine
Background:
- Coronary collateral circulation (CCC) represents an alternative blood supply to the myocardium when a coronary artery is compromised.
- Decades of basic and clinical research have illuminated the functional significance of CCC.
Purpose of the Study:
- To review the progress in understanding the mechanisms of collateral growth.
- To highlight the translation of basic science findings into clinical applications.
- To emphasize the potential for novel collateral-promoting therapies in severe coronary artery disease.
Main Methods:
- Elucidation of collateral growth mechanisms through advancements in molecular biology and genetic engineering.
- Development of novel experimental models for studying CCC.
- Implementation of accurate assessment methods for CCC.
Main Results:
- Significant progress in understanding the molecular and genetic underpinnings of collateral development.
- Successful translation of basic research findings into clinical practice.
- Establishment of robust methods for CCC assessment.
Conclusions:
- Continued interaction between basic and clinical research is crucial for advancing CCC knowledge.
- Innovative therapeutic strategies targeting collateral growth hold promise for treating severe coronary artery disease.
- Further research in CCC can lead to improved patient outcomes in ischemic heart conditions.
Abstract:
Coronary collateral circulation (CCC) is defined as an alternative blood-conveying circuit to the ischemic myocardium supplied by a jeopardized coronary artery. Accumulating evidence on CCC and its functional role has been derived from basic and clinical studies over several decades. Progress in molecular biology and genetic engineering has enabled us to elucidate the mechanisms of collateral growth on the basis of the development of new experimental models and methods for accurate assessment of CCC. These achievements in basic research have been promptly translated into the clinical setting. Interaction between basic and clinical sciences in the fascinating field of CCC will contribute to the establishment of innovative collateral-promoting therapy for severe coronary artery disease.
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