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New Progress in the Molecular Regulations and Therapeutic Applications in Cardiac Oxidative Damage Caused by Pressure
Xiaomeng Shi1, Arin Dorsey1, Hongyu Qiu1
1Center for Molecular and Translational Medicine, Institute of Biomedical Science, Georgia State University, Atlanta, GA 30303, USA.
Abstract:
Chronic pressure overload is a key risk factor for mortality due to its subsequent development of heart failure, in which the underlying molecular mechanisms remain vastly undetermined. In this review, we updated the latest advancements for investigating the role and relevant mechanisms of oxidative stress involved in the pathogenesis of pressure-overload-induced cardiomyopathy and cardiac dysfunction, focusing on significant biological sources of reactive oxygen species (free radical) production, antioxidant defenses, and their association with the cardiac metabolic remodeling in the stressed heart. We also summarize the newly developed preclinical therapeutic approaches in animal models for pressure-overload-induced myocardial damage. This review aims to enhance the current understanding of the mechanisms of chronic hypertensive heart failure and potentially improve the development of better therapeutic strategies for the associated diseases.
Insights
Oxidative stress contributes to heart failure from chronic pressure overload. This review details reactive oxygen species, antioxidant defenses, and new therapies for pressure-induced heart damage.
Area of Science:
- Cardiology
- Molecular Biology
- Pathophysiology
Background:
- Chronic pressure overload is a major cause of mortality, leading to heart failure.
- The molecular mechanisms underlying pressure-overload-induced heart failure are not fully understood.
- Oxidative stress is implicated in the development of cardiac dysfunction.
Purpose of the Study:
- To review the role of oxidative stress in pressure-overload-induced cardiomyopathy.
- To explore the mechanisms of reactive oxygen species production and antioxidant defenses in the stressed heart.
- To summarize preclinical therapeutic strategies for pressure-overload-induced myocardial damage.
Main Methods:
- Literature review of recent advancements in understanding oxidative stress in heart failure.
- Focus on biological sources of reactive oxygen species (ROS) and antioxidant systems.
- Analysis of studies on cardiac metabolic remodeling and therapeutic approaches in animal models.
Main Results:
- Oxidative stress, driven by specific ROS sources, plays a critical role in cardiac dysfunction.
- Imbalances in antioxidant defenses contribute to the pathogenesis of pressure-overload-induced cardiomyopathy.
- Cardiac metabolic remodeling is closely associated with oxidative stress in the stressed heart.
Conclusions:
- Enhanced understanding of oxidative stress mechanisms is crucial for treating hypertensive heart failure.
- Targeting oxidative stress pathways offers potential for novel therapeutic strategies.
- Preclinical findings suggest promising avenues for managing pressure-overload-induced myocardial damage.
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