Novel molecular insights and potential approaches for targeting hypertrophic cardiomyopathy: Focus on coronary

Teresa Pasqua1, Teresa Tropea2, Maria Concetta Granieri3

  • 1Department of Health Science, University Magna Graecia of Catanzaro, 88100 Catanzaro, Italy.

Insights

Hypertrophic cardiomyopathy (HCM), a common genetic heart disease, presents variable symptoms making diagnosis challenging. This review explores non-genetic factors and abnormal coronary function in HCM progression and discusses novel therapeutic strategies.

Area of Science:

  • Cardiology
  • Genetics
  • Molecular Biology

Background:

  • Hypertrophic cardiomyopathy (HCM) is the most common inherited cardiac disease, caused by genetic variants in sarcomere proteins.
  • HCM is characterized by left ventricle hypertrophy and variable clinical manifestations, often leading to delayed diagnosis.
  • The disease carries a significant annual mortality rate of up to 6%.

Purpose of the Study:

  • To review the complex interplay between non-genetic molecular mechanisms and HCM.
  • To highlight the pathophysiological role of abnormal coronary artery function in HCM.
  • To discuss innovative therapeutic strategies for modifying HCM phenotype.

Main Methods:

  • This is a review article, synthesizing existing literature.
  • Focuses on non-genetic molecular mechanisms and coronary artery function.
  • Examines potential therapeutic targets for HCM.

Main Results:

  • HCM onset and progression involve multifaceted non-genetic molecular mechanisms.
  • Abnormal coronary artery function plays a key pathophysiological role in HCM.
  • Innovative therapies targeting coronary modulation show promise for modifying HCM phenotype.

Conclusions:

  • Understanding non-genetic factors and coronary function is crucial for managing HCM.
  • Novel therapeutic strategies, including endogenous coronary modulators, are needed to improve HCM outcomes.
  • Further research into these areas could reduce HCM-related mortality.

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