Mitochondrial Dysfunction in Cardiovascular Diseases: Potential Targets for Treatment
Jiaqi Yang1, Qianyun Guo1, Xunxun Feng1
1Beijing Key Laboratory of Precision Medicine of Coronary Atherosclerotic Disease, Department of Cardiology, Beijing Institute of Heart Lung and Blood Vessel Disease, Clinical Center for Coronary Heart Disease, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Abstract:
Cardiovascular diseases (CVDs) are serious public health issues and are responsible for nearly one-third of global deaths. Mitochondrial dysfunction is accountable for the development of most CVDs. Mitochondria produce adenosine triphosphate through oxidative phosphorylation and inevitably generate reactive oxygen species (ROS). Excessive ROS causes mitochondrial dysfunction and cell death. Mitochondria can protect against these damages via the regulation of mitochondrial homeostasis. In recent years, mitochondria-targeted therapy for CVDs has attracted increasing attention. Various studies have confirmed that clinical drugs (β-blockers, angiotensin-converting enzyme inhibitors/angiotensin receptor-II blockers) against CVDs have mitochondrial protective functions. An increasing number of cardiac mitochondrial targets have shown their cardioprotective effects in experimental and clinical studies. Here, we briefly introduce the mechanisms of mitochondrial dysfunction and summarize the progression of mitochondrial targets against CVDs, which may provide ideas for experimental studies and clinical trials.
Insights
Cardiovascular diseases (CVDs) stem from mitochondrial dysfunction. Targeting mitochondria offers a promising therapeutic strategy for CVDs, enhancing treatment efficacy and patient outcomes.
Area of Science:
- Biomedical Science
- Cardiology
- Mitochondrial Biology
Background:
- Cardiovascular diseases (CVDs) represent a major global health burden, causing approximately one-third of all deaths worldwide.
- Mitochondrial dysfunction is a key contributor to the pathogenesis of various CVDs.
- Mitochondria generate adenosine triphosphate (ATP) via oxidative phosphorylation, producing reactive oxygen species (ROS) as a byproduct.
Purpose of the Study:
- To review the mechanisms underlying mitochondrial dysfunction in CVDs.
- To summarize the advancements in mitochondria-targeted therapies for cardiovascular conditions.
- To highlight potential cardiac mitochondrial targets for future research and clinical applications.
Main Methods:
- Literature review of studies on mitochondrial dysfunction in CVDs.
- Analysis of existing clinical drugs with known mitochondrial protective functions.
- Compilation of experimental and clinical data on novel cardiac mitochondrial targets.
Main Results:
- Excessive ROS production leads to mitochondrial dysfunction and cell death, contributing to CVD development.
- Established CVD medications like beta-blockers and ACE inhibitors/ARBs demonstrate mitochondrial protective effects.
- Numerous cardiac mitochondrial targets have exhibited cardioprotective effects in preclinical and clinical investigations.
Conclusions:
- Mitochondrial dysfunction is central to CVD pathogenesis.
- Mitochondria-targeted therapy presents a viable and evolving strategy for managing CVDs.
- Further exploration of cardiac mitochondrial targets holds significant potential for novel CVD treatments.
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