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Apelin/ELABELA-APJ system in cardiac hypertrophy: Regulatory mechanisms and therapeutic potential
Bo Pang1, Yin-Ru Jiang1, Jia-Yao Xu1
1China Medical University-The Queen's University of Belfast Joint College, Queen's University Belfast, Belfast, Northern Ireland, BT9 7BL, United Kingdom.
Insights
The apelin/ELABELA-APJ system offers a new therapeutic target for pathological cardiac hypertrophy, a key risk factor for heart failure. Research explores its mechanisms and potential drug development for treatment.
Area of Science:
- Cardiology
- Molecular Biology
- Pharmacology
Background:
- Heart failure is a major global health issue.
- Pathological cardiac hypertrophy significantly increases heart failure risk.
- The apelin/ELABELA-APJ system is emerging as a novel therapeutic target.
Purpose of the Study:
- To review the role of the apelin/ELABELA-APJ system in cardiac hypertrophy.
- To elucidate the intricate mechanisms involved.
- To compare novel agonists and antagonists for APJ.
Main Methods:
- Literature review of studies on apelin, ELABELA, and APJ.
- Analysis of molecular pathways regulating cardiac hypertrophy.
- Comparison of therapeutic agents targeting the APJ receptor.
Main Results:
- Apelin and ELABELA modulate cardiac hypertrophy through various pathways.
- The apelin/ELABELA-APJ system presents new therapeutic avenues.
- Novel peptides and small molecules targeting APJ have been developed.
Conclusions:
- The apelin/ELABELA-APJ system is a promising target for treating cardiac hypertrophy.
- Understanding its mechanisms can lead to effective clinical interventions.
- Ongoing research focuses on developing specific APJ agonists and antagonists.
Abstract:
Heart failure is one of the most significant public health problems faced by millions of medical researchers worldwide. And pathological cardiac hypertrophy is considered one of the possible factors of increasing the risk of heart failure. Here, we introduce apelin/ELABELA-APJ system as a novel therapeutic target for cardiac hypertrophy, bringing about new directions in clinical treatment. Apelin has been proven to regulate cardiac hypertrophy through various pathways. And an increasing number of studies on ELABELA, the newly discovered endogenous ligand, suggest it can alleviate cardiac hypertrophy through mechanisms similar or different to apelin. In this review, we elaborate on the role that apelin/ELABELA-APJ system plays in cardiac hypertrophy and the intricate mechanisms that apelin/ELABELA-APJ affect cardiac hypertrophy. We also illuminate and make comparisons of the newly designed peptides and small molecules as agonists and antagonists for APJ, updating the breakthroughs in this field.
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