Autophagy during cardiac remodeling
Kazuhiko Nishida1, Kinya Otsu1
1Cardiovascular Division, King's College London British Heart Foundation Centre of Excellence, London, SE5 9NU, UK.
Insights
Autophagy, a cellular recycling process, is crucial for maintaining heart function during cardiac remodeling. This review explores recent advances in understanding autophagy's role in preventing heart failure progression.
Area of Science:
- Cardiovascular Biology
- Cellular Biology
- Autophagy Research
Background:
- Heart failure remains a major cause of death globally, despite advances in treatment.
- Cardiac remodeling, a process involving changes in the heart's structure and function, contributes to heart failure.
- Autophagy, a cellular degradation and recycling pathway, is vital for maintaining cellular health.
Purpose of the Study:
- To review recent findings on the role of autophagy in cardiac remodeling.
- To highlight autophagy's importance in preserving cardiac function and cellular balance.
Main Methods:
- Literature review of recent research on autophagy and cardiac remodeling.
- Synthesis of current understanding of molecular mechanisms involved.
Main Results:
- Autophagy plays a critical role in managing cellular stress and waste during cardiac remodeling.
- Dysfunctional autophagy is linked to the progression of maladaptive cardiac remodeling and heart failure.
- Maintaining adequate autophagy is essential for preserving cardiomyocyte health and overall cardiac performance.
Conclusions:
- Autophagy is a key regulator of cardiac remodeling, essential for maintaining heart function.
- Targeting autophagy pathways presents a potential therapeutic strategy for heart failure.
Abstract:
Despite progress in cardiovascular research and evidence-based therapies, heart failure is a leading cause of morbidity and mortality in industrialized countries. Cardiac remodeling is a chronic maladaptive process, characterized by progressive ventricular dilatation, cardiac hypertrophy, fibrosis, and deterioration of cardiac performance, and arises from interactions between adaptive modifications of cardiomyocytes and negative aspects of adaptation such as cardiomyocyte death and fibrosis. Autophagy has evolved as a conserved process for bulk degradation and recycling of cytoplasmic components, such as long-lived proteins and organelles. Accumulating evidence demonstrates that autophagy plays an essential role in cardiac remodeling to maintain cardiac function and cellular homeostasis in the heart. This review discusses some recent advances in understanding the role of autophagy during cardiac remodeling. This article is part of a Special Issue entitled: Autophagy in the Heart.
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