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The Notch pathway: a novel therapeutic target for cardiovascular diseases?
Giorgio Aquila1, Aleksandra Kostina2,3, Francesco Vieceli Dalla Sega4
1Department of Medical Sciences, University of Ferrara , Ferrara , Italy.
Abstract:
Introduction: The Notch pathway is involved in determining cell fate during development and postnatally in continuously renewing tissues, such as the endothelium, the epithelium, and in the stem cells pool. The dysregulation of the Notch pathway is one of the causes of limited response, or resistance, to available cancer treatments and novel therapeutic strategies based on Notch inhibition are being investigated in preclinical and clinical studies in oncology. A large body of evidence now shows that the dysregulation of the Notch pathway is also involved in the pathophysiology of cardiovascular diseases (CVDs). Areas covered: This review discusses the molecular mechanisms involving Notch which underlie heart failure, aortic valve calcification, and aortic aneurysm. Expert opinion: Despite the existence of preventive, pharmacological and surgical interventions approaches, CVDs are the first causes of mortality worldwide. The Notch pathway is becoming increasingly recognized as being involved in heart failure, aortic aneurysm and aortic valve calcification, which are among the most common global causes of mortality due to CVDs. As already shown in cancer, the dissection of the biological processes and molecular mechanisms involving Notch should pave the way for new strategies to prevent and cure these diseases.
Insights
The Notch pathway regulates cell fate and is implicated in cancer treatment resistance. Its dysregulation is increasingly linked to cardiovascular diseases like heart failure and aortic conditions.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Developmental Biology
Background:
- The Notch pathway is crucial for cell fate determination in developing and adult tissues.
- Dysregulation of the Notch pathway contributes to cancer treatment resistance.
- Emerging evidence implicates Notch pathway dysregulation in cardiovascular diseases (CVDs).
Purpose of the Study:
- To review the molecular mechanisms of Notch signaling in heart failure, aortic valve calcification, and aortic aneurysm.
- To highlight the role of Notch in CVD pathophysiology.
- To explore potential therapeutic strategies targeting the Notch pathway for CVDs.
Main Methods:
- Literature review of molecular mechanisms.
- Analysis of Notch pathway involvement in specific cardiovascular conditions.
- Synthesis of current research on Notch and CVDs.
Main Results:
- The Notch pathway plays a significant role in the molecular underpinnings of heart failure.
- Notch signaling is implicated in the pathogenesis of aortic valve calcification.
- Molecular mechanisms involving Notch contribute to the development of aortic aneurysm.
Conclusions:
- Cardiovascular diseases remain a leading cause of global mortality despite existing interventions.
- The Notch pathway is a key player in common CVDs such as heart failure and aortic diseases.
- Understanding Notch signaling mechanisms offers potential for novel preventative and therapeutic strategies for CVDs, mirroring successes in oncology.
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