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Published on: October 19, 2016
Molecular pathways of arterial aging
Francesco Paneni1, Sarah Costantino1, Francesco Cosentino1
1*Cardiology Unit, Department of Medicine, Karolinska University Hospital, Stockholm, Sweden.
Insights
Vascular aging increases stroke and heart attack risks in older adults. Understanding arterial aging pathways may lead to new therapies for age-driven vascular disease prevention.
Area of Science:
- Cardiovascular Science
- Gerontology
- Molecular Biology
Background:
- Cardiovascular diseases like stroke and myocardial infarction are more common in aging populations.
- The rising incidence of cardiovascular disease poses challenges to public health and economics.
- There is a critical need to understand the fundamental processes of vascular aging.
Purpose of the Study:
- To review recent advances in the pathophysiology of age-related vascular dysfunction.
- To identify molecular targets for preventing or treating age-driven vascular diseases.
Main Methods:
- Literature review of studies on vascular aging.
- Discussion of key pathophysiological pathways including nitric oxide signaling, oxidative stress, inflammation, epigenetic changes, and vascular calcification.
- Exploration of vascular repair mechanisms.
Main Results:
- Age-related vascular dysfunction involves complex mechanisms.
- Key pathways include impaired nitric oxide signaling, altered oxidant/inflammatory gene expression, epigenetic modifications, and vascular calcification.
- Vascular repair mechanisms are also affected by aging.
Conclusions:
- A comprehensive understanding of vascular aging pathophysiology is essential.
- Identifying molecular targets within these pathways offers potential for therapeutic interventions.
- Targeting these mechanisms could prevent or reduce the impact of age-driven vascular disease.
Abstract:
The incidence of stroke and myocardial infarction increases in aged patients and it is associated with an adverse outcome. Considering the aging population and the increasing incidence of cardiovascular disease, the prediction for population well-being and health economics is daunting. Accordingly, there is an unmet need to focus on fundamental processes underlying vascular aging. A better understanding of the pathways leading to arterial aging may contribute to design mechanism-based therapeutic approaches to prevent or attenuate features of vascular senescence. In the present review, we discuss advances in the pathophysiology of age-related vascular dysfunction including nitric oxide signalling, dysregulation of oxidant/inflammatory genes, epigenetic modifications and mechanisms of vascular calcification as well as insights into vascular repair. Such an overview highlights attractive molecular targets for the prevention of age-driven vascular disease.
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