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Published on: June 14, 2016
Regulated Cell Death Pathways in Pathological Cardiac Hypertrophy
Shengnan Wu1, Ding Ding1, Deguo Wang1
1Department of Geriatrics, The First Affiliated Hospital of Wannan Medical College, 241001 Wuhu, Anhui, China.
Insights
Pathological cardiac hypertrophy involves cardiomyocyte enlargement and can lead to heart failure. Regulated cell death pathways are key drivers, offering potential therapeutic targets for intervention.
Area of Science:
- Cardiovascular Biology
- Cellular Biology
- Molecular Medicine
Background:
- Cardiac hypertrophy is an enlargement of cardiomyocytes, not an increase in number.
- Pathological cardiac hypertrophy, triggered by adverse stimuli, impairs cardiac function and can progress to heart failure.
- Regulated cell death (RCD) pathways, including apoptosis, pyroptosis, ferroptosis, necroptosis, and autophagy, play critical roles in this process.
Purpose of the Study:
- To review the molecular mechanisms and signaling pathways of RCD in pathological cardiac hypertrophy.
- To highlight findings related to the mechanism of action of RCD pathways in this condition.
- To propose novel cellular-level therapeutic strategies for preventing or reversing pathological cardiac hypertrophy.
Main Methods:
- Literature review of molecular mechanisms and signaling pathways.
- Analysis of RCD pathways (apoptosis, pyroptosis, ferroptosis, necroptosis, autophagy).
- Focus on findings related to the mechanism of action in pathological cardiac hypertrophy.
Main Results:
- Detailed summary of molecular mechanisms underlying various RCD pathways.
- Explanation of signaling cascades involved in RCD during cardiac hypertrophy.
- Identification of specific RCD pathways contributing to pathological cardiac hypertrophy progression.
Conclusions:
- RCD pathways are integral to the pathogenesis of pathological cardiac hypertrophy.
- Understanding these pathways offers opportunities for targeted cellular therapies.
- Therapeutic strategies aimed at modulating RCD could prevent or reverse cardiac hypertrophy and heart failure.
Abstract:
Cardiac hypertrophy is characterized by an increased volume of individual cardiomyocytes rather than an increase in their number. Myocardial hypertrophy due to pathological stimuli encountered by the heart, which reduces pressure on the ventricular walls to maintain cardiac function, is known as pathological hypertrophy. This eventually progresses to heart failure. Certain varieties of regulated cell death (RCD) pathways, including apoptosis, pyroptosis, ferroptosis, necroptosis, and autophagy, are crucial in the development of pathological cardiac hypertrophy. This review summarizes the molecular mechanisms and signaling pathways underlying these RCD pathways, focusing on their mechanism of action findings for pathological cardiac hypertrophy. It intends to provide new ideas for developing therapeutic approaches targeted at the cellular level to prevent or reverse pathological cardiac hypertrophy.
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