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Published on: July 10, 2019
Therapeutic applications of PI3K inhibitors in cardiovascular diseases
Alessandra Ghigo1, Fulvio Morello, Alessia Perino
1University of Torino, Molecular Biotechnology Center, Department of Molecular Biotechnology & Health Sciences, Via Nizza 52, 10126, Torino, Italy.
Abstract:
PI3Ks are signaling enzymes engaged by different types of membrane receptors and activated in cardiovascular diseases such as hypertension, atherosclerosis, thrombosis and heart failure. Studies performed on genetically modified animals have provided proof-of-concept that general or isoform-specific blockade of these enzymes can modify disease development and progression. Hence, therapeutic inhibition of PI3Ks with novel pharmacological compounds constitutes a promising area of drug development. In particular, inhibitors of PI3Ks have the potential to reduce blood pressure, restrain the development of atherosclerosis and/or stabilize atherosclerotic plaques, blunt platelet aggregation, prevent left ventricular remodeling and preserve myocardial contractility in heart failure. This review summarizes the rationale of PI3K inhibition in the most prevalent cardiovascular diseases, and the available data on the therapeutic effects of PI3K inhibitors in their preclinical models. Implications for future drug development and human therapy are also discussed.
Insights
Phosphoinositide 3-kinases (PI3Ks) are key in cardiovascular diseases. Inhibiting PI3Ks shows promise for treating hypertension, atherosclerosis, and heart failure in preclinical models.
Area of Science:
- Cardiovascular Biology
- Pharmacology
- Enzymology
Background:
- Phosphoinositide 3-kinases (PI3Ks) are crucial signaling enzymes activated in various cardiovascular diseases.
- These enzymes are implicated in conditions including hypertension, atherosclerosis, thrombosis, and heart failure.
- Genetic studies in animal models demonstrate that blocking PI3Ks can impact disease progression.
Purpose of the Study:
- To review the rationale for targeting PI3K signaling in prevalent cardiovascular diseases.
- To summarize preclinical data on the therapeutic effects of PI3K inhibitors.
- To discuss the future implications for drug development and human therapy.
Main Methods:
- Review of existing literature on PI3K signaling in cardiovascular diseases.
- Analysis of preclinical studies investigating PI3K inhibitors.
- Discussion of genetic modification studies in animal models.
Main Results:
- PI3K inhibition demonstrates potential in preclinical models for cardiovascular conditions.
- Therapeutic strategies targeting PI3Ks may reduce blood pressure and restrain atherosclerosis.
- PI3K inhibitors show promise in stabilizing plaques, preventing remodeling, and preserving heart function.
Conclusions:
- PI3K inhibition is a promising therapeutic strategy for cardiovascular diseases.
- Further drug development and clinical trials are warranted based on preclinical evidence.
- Targeting PI3Ks offers a potential new avenue for managing complex cardiovascular conditions.
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