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A Model of Reverse Vascular Remodeling in Pulmonary Hypertension Due to Left Heart Disease by Aortic Debanding in Rats
Published on: March 1, 2022
[Molecular mechanism of vascular remodeling in hypertension and Chinese medicine intervention]
Chan-Juan Zhang1,2, Ya-Ning Shi1,2, Duan-Fang Liao2
1Department of Pharmacology, School of Pharmacy, Hunan University of Chinese Medicine, Changsha 410208, China.
Insights
Vascular remodeling is a key factor in hypertension, leading to organ damage. This review explores its mechanisms and traditional Chinese medicine therapies for vascular protection.
Area of Science:
- Cardiovascular Science
- Pathophysiology
- Pharmacology
Background:
- Vascular remodeling is a hallmark of hypertension, initially adaptive but ultimately maladaptive.
- This process compromises target organ function, leading to cardiovascular complications.
- Complex regulatory networks govern vascular remodeling in hypertension.
Purpose of the Study:
- To review the role and mechanisms of vascular remodeling in hypertension pathogenesis and progression.
- To explore traditional Chinese medicine (TCM) strategies for treating hypertensive vascular remodeling.
- To identify potential therapeutic targets and active TCM ingredients for vascular protection.
Main Methods:
- Literature review focusing on vascular remodeling in hypertension.
- Analysis of signaling pathways involved in hypertensive vascular remodeling.
- Examination of TCM syndrome differentiation for therapeutic applications.
Main Results:
- Vascular remodeling contributes significantly to hypertension and its complications.
- TCM offers evidence-based strategies for managing hypertensive vascular remodeling.
- Understanding molecular mechanisms can guide novel therapeutic approaches.
Conclusions:
- Vascular remodeling is a critical target for managing hypertension and preventing cardiovascular disease.
- TCM provides a valuable framework for developing new therapies.
- Further research into signaling pathways and TCM compounds is warranted for effective vascular protection.
Abstract:
Vascular remodeling is a significant pathological characteristic of hypertension, which is regulated by complex regulatory networks. The vascular remodeling may be adaptive initially, however it becomes maladaptive and decompensation eventually and further compromises target organ function, leading to hypertensive cardiovascular complications. This review focuses on the role and mechanisms of vascular remodeling in the pathogenesis and progression of hypertension and its complications. Moreover, the strategies of syndrome differentiation of traditional Chinese medicine application provide clinical and theoretical evidences for hypertensive vascular remodeling therapy. A better understanding of underlying signaling pathways, therapeutic targets in vascular remodeling, as well as screening of active ingredients from traditional Chinese medicine may be able to provide some effective approaches for vascular protection in hypertensive diseases.
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