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Updated: Sep 23, 2025

Assessing Stem Cell DNA Integrity for Cardiac Cell Therapy
Published on: January 25, 2019
Targeting DNA damage response in cardiovascular diseases: from pathophysiology to therapeutic implications
Lin Wu1, James R Sowers2, Yingmei Zhang1
1Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital Fudan University, Shanghai 200032, China.
Abstract:
Cardiovascular diseases (CVDs) arise from a complex interplay among genomic, proteomic, and metabolomic abnormalities. Emerging evidence has recently consolidated the presence of robust DNA damage in a variety of cardiovascular disorders. DNA damage triggers a series of cellular responses termed DNA damage response (DDR) including detection of DNA lesions, cell cycle arrest, DNA repair, cellular senescence, and apoptosis, in all organ systems including hearts and vasculature. Although transient DDR in response to temporary DNA damage can be beneficial for cardiovascular function, persistent activation of DDR promotes the onset and development of CVDs. Moreover, therapeutic interventions that target DNA damage and DDR have the potential to attenuate cardiovascular dysfunction and improve disease outcome. In this review, we will discuss molecular mechanisms of DNA damage and repair in the onset and development of CVDs, and explore how DDR in specific cardiac cell types contributes to CVDs. Moreover, we will highlight the latest advances regarding the potential therapeutic strategies targeting DNA damage signalling in CVDs.
Insights
DNA damage and the DNA damage response (DDR) are crucial in cardiovascular diseases (CVDs). Persistent DDR drives CVDs, but targeting DNA damage offers potential therapeutic benefits for heart and vascular conditions.
Area of Science:
- Molecular Biology
- Cardiology
- Genetics
Background:
- Cardiovascular diseases (CVDs) involve complex genomic, proteomic, and metabolomic factors.
- Growing evidence links significant DNA damage to various cardiovascular disorders.
- The DNA damage response (DDR) is a critical cellular process involving DNA repair, cell cycle arrest, senescence, and apoptosis.
Approach:
- This review examines the molecular mechanisms of DNA damage and repair in CVDs.
- It explores the role of DDR in specific cardiac cell types and their contribution to disease.
- The review highlights recent therapeutic strategies targeting DNA damage signaling pathways.
Key Points:
- Transient DDR can be beneficial for cardiovascular function, but persistent DDR exacerbates CVDs.
- DNA damage and DDR are implicated in the initiation and progression of heart and vascular diseases.
- Targeting DNA damage and DDR pathways presents a promising therapeutic avenue for cardiovascular dysfunction.
Conclusions:
- Understanding the intricate relationship between DNA damage, DDR, and CVDs is essential.
- Therapeutic interventions focused on modulating DNA damage and DDR hold potential for improving cardiovascular health outcomes.
- Further research into DDR mechanisms in cardiac cells could unlock novel treatment strategies.
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