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Diagnosis and individual treatment of cardiovascular diseases: targeting vascular oxidative stress
Melanie E Armitage1, Mylinh La, Harald H H W Schmidt
1Florey Neuroscience Institutes, National Stroke Research Institute, Heidelberg, Melbourne, VIC 3084, Australia.
Insights
New strategies for cardiovascular diseases focus on individualized medicine. Targeting oxidative stress sources, not just symptoms, offers a more effective and cost-saving approach to preventing and treating these conditions.
Area of Science:
- Biomedical research
- Cardiovascular medicine
- Oxidative stress
Background:
- Cardiovascular diseases (CVDs) are a leading global cause of mortality and morbidity.
- Current CVD treatments are often symptom-oriented and lack personalization.
- A deeper understanding of CVDs' underlying mechanisms is crucial for effective prevention and treatment.
Purpose of the Study:
- To explore the role of oxidative stress in cardiovascular disease pathogenesis.
- To propose novel therapeutic strategies beyond traditional antioxidant supplements.
- To highlight the potential of individualized medicine in managing CVDs.
Main Methods:
- Reviewing the limitations of current antioxidant supplement approaches for CVDs.
- Investigating oxidative stress as a key mechanism in endothelial dysfunction.
- Identifying enzymatic sources of reactive oxygen species in the vascular wall.
- Exploring emerging biomarkers for oxidative stress in CVDs.
Main Results:
- Traditional antioxidant supplements have proven ineffective for CVDs.
- Oxidative stress, driven by reactive oxygen species, contributes to endothelial dysfunction.
- Targeting enzymatic sources of oxidative stress presents a promising alternative.
- Emerging biomarkers can aid in monitoring oxidative stress levels.
Conclusions:
- Individualized medicine, incorporating diagnostics, molecular imaging, and mechanism-based drugs, is essential for advancing CVD care.
- Targeting the enzymatic origins of oxidative stress offers a more effective strategy than general antioxidant supplementation.
- This approach promises more individualized, effective, and cost-efficient CVD management.
Abstract:
Cardiovascular diseases are the leading cause of death and disability worldwide, yet we do not fully understand their underlying causes to reliably identify and treat, let alone prevent, these diseases. The majority of therapeutic approaches are symptom orientated, and current practice often follows a 'one-fits-all' approach. New strategies are needed, which harness the potential of individualized medicine with its three major pillars: in vitro diagnostics for early identification of individuals at risk and monitoring of drug efficacy; molecular imaging for disease localization and monitoring; and innovative, mechanism-based drugs. One so far untargeted mechanism of cardiovascular disease is oxidative stress, that is, the increased occurrence of reactive oxygen species in the vascular wall that leads to endothelial dysfunction. We outline why previous antioxidant supplements do not work and suggest an alternative approach targeting the enzymatic sources of oxidative stress and using emerging biomarkers of oxidative stress. These and similar approaches may be applied to fewer patients but in a much more individualized, effective and cost-saving manner.
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