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Novel Therapeutic Potential of Retinoid-Related Orphan Receptor α in Cardiovascular Diseases
Yun Chen1, Shu-Ping Zhang1, Wei-Wei Gong1
1Department of Pharmacology, School of Pharmacy, Nantong University, Nantong 226001, China.
Abstract:
The retinoid-related orphan receptor α (RORα) is one subfamily of nuclear hormone receptors (NRs). This review summarizes the understanding and potential effects of RORα in the cardiovascular system and then analyzes current advances, limitations and challenges, and further strategy for RORα-related drugs in cardiovascular diseases. Besides regulating circadian rhythm, RORα also influences a wide range of physiological and pathological processes in the cardiovascular system, including atherosclerosis, hypoxia or ischemia, myocardial ischemia/reperfusion injury, diabetic cardiomyopathy, hypertension, and myocardial hypertrophy. In terms of mechanism, RORα was involved in the regulation of inflammation, apoptosis, autophagy, oxidative stress, endoplasmic reticulum (ER) stress, and mitochondrial function. Besides natural ligands for RORα, several synthetic RORα agonists or antagonists have been developed. This review mainly summarizes protective roles and possible mechanisms of RORα against cardiovascular diseases. However, there are also several limitations and challenges of current research on RORα, especially the difficulties on the transformability from the bench to the bedside. By the aid of multidisciplinary research, breakthrough progress on RORα-related drugs to combat cardiovascular disorder may appear.
Insights
Retinoid-related orphan receptor alpha (RORα) plays a protective role in cardiovascular diseases by regulating inflammation, apoptosis, and oxidative stress. Further research and multidisciplinary approaches are needed to translate RORα-based therapies from the lab to clinical practice.
Area of Science:
- Endocrinology
- Cardiovascular Biology
- Pharmacology
Background:
- Retinoid-related orphan receptor alpha (RORα) is a nuclear hormone receptor subfamily.
- RORα influences numerous physiological and pathological cardiovascular processes.
Purpose of the Study:
- To review the role of RORα in the cardiovascular system.
- To analyze advances, limitations, and strategies for RORα-related cardiovascular drugs.
Main Methods:
- Literature review of RORα's function in cardiovascular diseases.
- Analysis of RORα's regulatory mechanisms (inflammation, apoptosis, autophagy, oxidative stress, ER stress, mitochondrial function).
- Examination of synthetic RORα agonists and antagonists.
Main Results:
- RORα exhibits protective roles against atherosclerosis, ischemia, diabetic cardiomyopathy, hypertension, and hypertrophy.
- RORα modulates key cellular pathways involved in cardiovascular pathology.
- Development of synthetic RORα modulators offers therapeutic potential.
Conclusions:
- RORα is a promising therapeutic target for cardiovascular diseases.
- Challenges remain in translating RORα research into clinical applications.
- Multidisciplinary research is crucial for advancing RORα-based cardiovascular therapies.
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