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Suppression of Pro-fibrotic Signaling Potentiates Factor-mediated Reprogramming of Mouse Embryonic Fibroblasts into Induced Cardiomyocytes
Published on: June 3, 2018
Signaling Pathways and Potential Therapeutic Strategies in Cardiac Fibrosis
Alexandrine Bertaud1, Ahmad Joshkon1, Xavier Heim1
1Center for Cardiovascular and Nutrition Research, Aix-Marseille University, Inserm 1263, Inrae 1260, 27 Bd J. Moulin, 13005 Marseille, France.
Insights
Cardiac fibrosis, irreversible heart muscle scarring, lacks effective treatments. This review explores novel therapeutic targets and strategies, including exosomes and nanoparticles, to combat progressive cardiac dysfunction.
Area of Science:
- Cardiology
- Pathology
- Biomedical Engineering
Background:
- Cardiac fibrosis involves irreversible heart muscle necrosis from various diseases like myocardial infarction, diabetes, and hypertension.
- Aging and genetic factors also contribute to cardiac fibrosis.
- Current treatments are insufficient to prevent or reverse fibrosis, leading to progressive cardiac dysfunction and adverse outcomes.
Purpose of the Study:
- To review identified therapeutic targets for cardiac fibrosis.
- To summarize novel strategies for combating cardiac fibrosis.
- To discuss future directions in cardiac fibrosis treatment.
Main Methods:
- Literature review of existing research on cardiac fibrosis.
- Analysis of identified molecular targets and pathways.
- Evaluation of emerging therapeutic approaches.
Main Results:
- Several molecular targets implicated in cardiac fibrosis have been identified.
- New therapeutic strategies, including drug development and regenerative medicine, show promise.
- Exosomes and nanoparticles represent potential future treatment modalities.
Conclusions:
- Cardiac fibrosis is a significant clinical challenge with limited therapeutic options.
- Emerging strategies targeting identified pathways offer hope for treating cardiac fibrosis.
- Future research focusing on advanced delivery systems like exosomes and nanoparticles is warranted.
Abstract:
Cardiac fibrosis constitutes irreversible necrosis of the heart muscle as a consequence of different acute (myocardial infarction) or chronic (diabetes, hypertension, …) diseases but also due to genetic alterations or aging. Currently, there is no curative treatment that is able to prevent or attenuate this phenomenon that leads to progressive cardiac dysfunction and life-threatening outcomes. This review summarizes the different targets identified and the new strategies proposed to fight cardiac fibrosis. Future directions, including the use of exosomes or nanoparticles, will also be discussed.
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