Recent advances on the role of monoamine oxidases in cardiac pathophysiology

Nina Kaludercic1,2, Ruth Jepchirchir Arusei3, Fabio Di Lisa4,5

  • 1Department of Biomedical Sciences, University of Padova, Via Ugo Bassi 58/B, 35131, Padua, Italy. nina.kaludercic@unipd.it.

PubMed

Insights

Monoamine oxidases (MAOs) produce harmful ROS in mitochondria, impairing heart function. MAO inhibitors offer a promising cardioprotective strategy by mitigating these effects.

Area of Science:

  • Biochemistry
  • Mitochondrial Physiology
  • Cardiovascular Disease

Background:

  • Mitochondrial reactive oxygen species (ROS) have complex roles, but their specific contributions independent of bioenergetics are unclear.
  • Monoamine oxidases (MAOs) are unique mitochondrial enzymes producing ROS, hydrogen peroxide, aldehydes, and ammonia.

Purpose of the Study:

  • To elucidate the detrimental impact of MAO activity on mitochondrial function and cellular viability.
  • To explore the therapeutic potential of MAO inhibitors in cardiovascular pathologies.
  • To review MAO's role in gene expression and cardiac development.

Main Methods:

  • Review of existing literature on MAO function and its role in cardiovascular diseases.
  • Analysis of the synergistic effects of MAO byproducts (ROS, aldehydes, ammonia) on mitochondrial integrity.
  • Examination of studies on genetic and pharmacological MAO inhibition in cardiac models.

Main Results:

  • Exacerbated MAO activity contributes to cardiovascular pathologies by impairing mitochondrial function.
  • MAO byproducts synergistically damage cellular metabolic integrity and viability.
  • MAO inhibition demonstrates cardioprotective effects, with potential roles in gene expression and cardiac development.

Conclusions:

  • MAOs are significant contributors to mitochondrial dysfunction in cardiovascular disease.
  • MAO inhibitors represent a viable therapeutic strategy for cardioprotection.
  • Further research into MAO's broader roles in cardiac physiology is warranted.

Related Concept Videos

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
445
Pathophysiology of Cardiac Performance01:29

Pathophysiology of Cardiac Performance

Typical heart performance is influenced by heart rate, rhythm, myocardial contraction, and metabolism or blood flow. The cardiac muscle exhibits distinct electrophysiological features, including pacemaker activity and calcium channel control, which play a vital role in the heart's response to various drugs. The autonomic nervous system, comprising the sympathetic and parasympathetic branches, regulates heart rate. Sympathetic activation increases heart rate, while parasympathetic activation...
685
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.6K
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
14
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
14
Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
19