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Published on: June 30, 2023
Application of G-CSF in Congestive Heart Failure Treatment
Atena Pourtaji1, Vajiheh Jahani2, Seyed Mohammad Hassan Moallem3
1Department of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
Insights
Granulocyte Colony-Stimulating Factor (G-CSF) shows promise for treating congestive heart failure (CHF). G-CSF aids cardiac repair and prevents adverse remodeling, offering a novel therapeutic avenue for heart failure patients.
Area of Science:
- Cardiology
- Regenerative Medicine
- Pharmacology
Background:
- Congestive Heart Failure (CHF) involves the heart's inability to pump sufficient blood, leading to cardiac remodeling.
- Cardiac myocytes can proliferate post-myocardial infarction (MI), suggesting regeneration and neovascularization as therapeutic targets.
- Granulocyte Colony-Stimulating Factor (G-CSF) is a cytokine known for neutrophil development and cardiac repair post-MI.
Purpose of the Study:
- To review the potential of G-CSF as a novel treatment for congestive heart failure.
- To explore G-CSF's mechanisms in preventing cardiac remodeling and promoting repair.
- To evaluate G-CSF's efficacy for clinical application in CHF therapy.
Main Methods:
- Literature search of PubMed and other databases (2003-2017).
- Keywords included "G-CSF", "congestive heart failure", "new therapies for CHF", "filgrastim", and "in vivo study".
Main Results:
- G-CSF promotes cardiac repair via stem cell mobilization.
- G-CSF directly stimulates angiogenesis, contributing to heart repair.
- These mechanisms collectively enhance cardiac cell repair and function.
Conclusions:
- G-CSF presents a promising therapeutic target for CHF.
- It effectively prevents cardiac remodeling and promotes repair through multiple mechanisms.
- G-CSF's efficacy supports its potential use in clinical practice for heart failure.
Introduction:
Congestive Heart Failure (CHF) is a disorder in which the heart is unable to supply enough blood for body tissues. Since heart is an adaptable organ, it overcomes this condition by going under remodeling process. Considering cardiac myocytes are capable of proliferation after MI, stimulation of neovascularization as well as their regeneration might serve as a novel target in cardiac remodeling prevention and CHF treatment. Granulocyte Colony-Stimulating Factor (G-CSF), is a hematopoietic cytokine that promotes proliferation and differentiation of neutrophils and is involved in cardiac repair after MI. So far, this is the first review to focus on GCSF as a novel treatment for heart failure.
Methods:
We conducted a search of some databases such as PubMed for articles and reviews published between 2003 and 2017, with different keywords including "G-CSF", "congestive heart failure", "new therapies for CHF", "filgrastim", "in vivo study".
Results:
GCSF exerts its beneficial effects on cardiac repair through either stem cell mobilization or direct angiogenesis promotion. All of which are capable of promoting cardiac cell repair.
Conclusion:
GCSF is a promising target in CHF-therapy by means of cardiac repair and remodeling prevention through multiple mechanisms, which are effective enough to be used in clinical practice.
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