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Iron and cardiovascular diseases
Yoshiro Naito1, Tohru Masuyama2, Masaharu Ishihara1
1Department of Cardiovascular and Renal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.
Insights
Iron is vital but excess causes oxidative stress. This review explores the complex "iron paradox" in cardiovascular diseases, examining iron
Area of Science:
- Cardiovascular Science
- Metabolic Research
- Oxidative Stress Studies
Background:
- Iron is essential for life but implicated in cardiovascular disease pathogenesis.
- Iron deficiency is common in heart failure, while iron overload is linked to atherosclerosis.
- The
- iron paradox
- highlights complex iron roles in cardiovascular health.
Purpose of the Study:
- To review the multifaceted role of iron in cardiovascular diseases.
- To elucidate the mechanisms of iron metabolism in cardiovascular conditions.
- To address the unknown regulatory pathways of systemic and cellular iron.
Main Methods:
- Literature review of studies on iron metabolism and cardiovascular diseases.
- Analysis of the Fenton reaction's role in iron-induced oxidative stress.
- Synthesis of current knowledge on iron dysregulation in heart failure and atherosclerosis.
Main Results:
- Excess iron promotes oxidative stress via the Fenton reaction.
- Contrasting iron deficiency (heart failure) and overload (atherosclerosis) roles observed.
- Significant gaps exist in understanding iron metabolism regulation in cardiovascular diseases.
Conclusions:
- Iron metabolism presents a paradox in cardiovascular diseases.
- Further research is needed to understand iron's complex role and regulatory mechanisms.
- Clarifying iron's role is crucial for developing novel therapeutic strategies.
Abstract:
Iron is a necessary element for life; however, excess iron leads to oxidative stress by the Fenton reaction. Iron deficiency is prevalent in patients with heart failure, while iron overload is associated in the pathogenesis of atherosclerosis. These findings suggest the "iron paradox" in cardiovascular diseases. Iron metabolism in cardiovascular diseases is complex, and the mechanisms regulating systemic and cellular iron metabolism in cardiovascular diseases remain completely unknown. In this review, we focus on the role of iron in cardiovascular diseases.
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