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Harnessing the Benefits of Endogenous Hydrogen Sulfide to Reduce Cardiovascular Disease
Kevin M Casin1, John W Calvert1
1Carlyle Fraser Heart Center, Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA 30322, USA.
Insights
This review explores how the body
Area of Science:
- Biochemistry
- Cardiology
- Metabolic Disorders
Background:
- Cardiovascular disease is a leading cause of death.
- Exogenous hydrogen sulfide (H2S) shows therapeutic benefits.
- The role of endogenous H2S in cardiovascular health is less understood.
Purpose of the Study:
- To review the role of endogenous H2S in diabetic cardiomyopathy and heart failure.
- To discuss therapeutic strategies targeting endogenous H2S production.
- To highlight H2S-modulating enzymes as a promising research area.
Main Methods:
- Literature review of studies on endogenous H2S.
- Focus on diabetic cardiomyopathy and heart failure models.
- Examination of interventions like intermittent fasting and exercise.
Main Results:
- Endogenous H2S production is a key factor in cardiovascular health.
- Diabetic cardiomyopathy is influenced by endogenous H2S levels.
- Intermittent fasting and exercise can stimulate H2S production.
Conclusions:
- Modulating endogenous H2S offers a novel therapeutic approach for heart failure.
- Targeting H2S-producing enzymes (CBS, CGL, MPST) is a promising strategy.
- Lifestyle interventions like fasting and exercise may enhance cardiovascular protection via H2S.
Abstract:
Cardiovascular disease is the leading cause of death in the U.S. While various studies have shown the beneficial impact of exogenous hydrogen sulfide (H2S)-releasing drugs, few have demonstrated the influence of endogenous H2S production. Modulating the predominant enzymatic sources of H2S-cystathionine-β-synthase, cystathionine-γ-lyase, and 3-mercaptopyruvate sulfurtransferase-is an emerging and promising research area. This review frames the discussion of harnessing endogenous H2S within the context of a non-ischemic form of cardiomyopathy, termed diabetic cardiomyopathy, and heart failure. Also, we examine the current literature around therapeutic interventions, such as intermittent fasting and exercise, that stimulate H2S production.
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