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Published on: September 3, 2020
Understanding STAT3 signaling in cardiac ischemia
K E O'Sullivan1, E P Breen2, H C Gallagher3,4,5
1The Mater Private Hospital, Eccles St, Dublin 7, Ireland. kaosulli@tcd.ie.
Insights
Cardiovascular disease, a leading cause of death, can be treated by targeting the STAT3 pathway. Activating STAT3 offers cardioprotective effects against ischemia, presenting a promising therapeutic strategy for heart attack patients.
Area of Science:
- Cardiology
- Molecular Biology
- Biomedical Research
Background:
- Cardiovascular disease is the primary global cause of mortality, with acute myocardial infarction causing millions of deaths annually.
- Current treatments for myocardial infarction focus on restoring blood flow, but reperfusion still results in significant infarct size.
- Signaling transducer and activator of transcription 3 (STAT3) is recognized for its cardioprotective properties.
Purpose of the Study:
- To review existing evidence on manipulating the STAT3 pathway for therapeutic benefit in cardiac ischemia.
- To explore the role of STAT3 in cardiomyocyte function and the cardiac microenvironment.
- To identify future research directions for STAT3-based cardiac therapies.
Main Methods:
- Review of in vitro and in vivo studies investigating STAT3 activation in cardiac ischemia.
- Analysis of STAT3's canonical and non-canonical signaling pathways.
- Examination of STAT3's influence on mitochondrial and transcriptional responses.
Main Results:
- Evidence supports STAT3 activation as a mechanism for cardioprotection against ischemia.
- STAT3 modulates mitochondrial function and transcriptional responses, contributing to a protective effect.
- STAT3 influences cardiomyocyte function and interacts with cardiac fibroblasts.
Conclusions:
- Targeting the STAT3 signaling pathway holds therapeutic potential for mitigating cardiac ischemia damage.
- Further research is warranted to fully elucidate and exploit STAT3's role in cardiac protection.
- Modulating STAT3 offers a promising avenue for developing novel treatments for cardiovascular diseases.
Abstract:
Cardiovascular disease is the leading cause of death worldwide. It remains one of the greatest challenges to global health and will continue to dominate mortality trends in the future. Acute myocardial infarction results in 7.4 million deaths globally per annum. Current management strategies are centered on restoration of coronary blood flow via percutaneous coronary intervention, coronary artery bypass grafting and administration of anti-platelet agents. Such myocardial reperfusion accounts for 40-50 % of the final infarct size in most cases. Signaling transducer and activator of transcription 3 (STAT3) has been shown to have cardioprotective effects via canonical and non-canonical activation and modulation of mitochondrial and transcriptional responses. A significant body of in vitro and in vivo evidence suggests that activation of the STAT3 signal transduction pathway results in a cardio protective response to ischemia and attempts have been made to modulate this with therapeutic effect. Not only is STAT3 important for cardiomyocyte function, but it also modulates the cardiac microenvironment and communicates with cardiac fibroblasts. To this end, we here review the current evidence supporting the manipulation of STAT3 for therapeutic benefit in cardiac ischemia and identify areas for future research.
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