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Published on: March 1, 2016
The biology and therapeutic implications of HDACs in the heart
1Department of Medicine, Division of Cardiology, University of Colorado Denver, Aurora, CO 80045-0508, USA. timothy.mckinsey@ucdenver.edu
Insights
Histone deacetylases (HDACs) regulate pathological cardiac remodeling. HDAC inhibitors show promise in animal models, suggesting potential for new heart failure therapies.
Area of Science:
- Cardiovascular Science
- Molecular Biology
- Pharmacology
Background:
- The heart undergoes pathological remodeling in response to stress, leading to heart failure.
- Histone deacetylases (HDACs) are increasingly recognized as key regulators of this remodeling process.
- Existing research indicates HDAC inhibitors can mitigate adverse cardiac remodeling in preclinical models.
Purpose of the Study:
- To review the specific roles of individual HDAC isoforms in cardiac remodeling.
- To discuss the therapeutic potential of HDAC inhibitors for cardiovascular diseases.
- To identify challenges in developing HDAC-directed therapies for heart conditions.
Main Methods:
- Review of current literature on HDACs in cardiac remodeling.
- Analysis of preclinical data on HDAC inhibitors in heart failure models.
- Discussion of the functional roles of different HDAC isoforms in the heart.
Main Results:
- HDACs act as both positive and negative regulators in pathological cardiac remodeling.
- Small molecule HDAC inhibitors have shown efficacy in animal models of heart failure.
- Understanding individual HDAC isoform functions is crucial for targeted therapy.
Conclusions:
- HDACs are critical targets for managing cardiac remodeling and heart failure.
- Further research is needed to overcome challenges in developing HDAC-based cardiovascular therapies.
- Targeting specific HDAC isoforms may offer a novel therapeutic strategy for cardiovascular indications.
Abstract:
The heart responds to stresses such as chronic hypertension and myocardial infarction by undergoing a remodeling process that is associated with myocyte hypertrophy, myocyte death, inflammation and fibrosis, often resulting in impaired cardiac function and heart failure. Recent studies have revealed key roles for histone deacetylases (HDACs) as both positive and negative regulators of pathological cardiac remodeling, and small molecule HDAC inhibitors have demonstrated efficacy in animal models of heart failure. This chapter reviews the functions of individual HDAC isoforms in the heart and highlights issues that need to be addressed to enable development of novel HDAC-directed therapies for cardiovascular indications.
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