Deciphering the Role of Copper Homeostasis in Atherosclerosis: From Molecular Mechanisms to Therapeutic Targets

Xuzhen Lv1, Liyan Zhao2, Yuting Song3

  • 1Key Laboratory for Quality Evaluation of Bulk Herbs of Hunan Province, School of Pharmacy, Hunan University of Chinese Medicine, Changsha 410208, China.

Insights

Copper imbalance disrupts cardiovascular health, potentially causing a novel cell death called cuproptosis. Understanding copper homeostasis offers new strategies for treating cardiovascular disease and atherosclerosis.

Area of Science:

  • Biochemistry
  • Cardiology
  • Cell Biology

Background:

  • Cardiovascular disease (CVD), particularly atherosclerosis (AS), is a major global health concern.
  • Copper is an essential trace element vital for cardiovascular function; its homeostasis is critical for heart health.
  • Disrupted copper balance is linked to CVD development and may trigger a unique cell death pathway, cuproptosis.

Purpose of the Study:

  • To elucidate the physiological mechanisms of copper homeostasis.
  • To explore the interplay between copper balance and AS-related signaling pathways.
  • To investigate the novel cell death mechanism, cuproptosis, in the context of AS and CVD.

Main Methods:

  • Review of physiological mechanisms of copper homeostasis.
  • Analysis of copper's interactions with AS signaling pathways.
  • Examination of cell death induced by copper imbalance.
  • Summary of associations between copper homeostasis genes and AS.

Main Results:

  • Copper homeostasis is crucial for cardiovascular health; dysregulation contributes to CVD and AS.
  • Disrupted copper balance can induce a distinct form of cell death, termed cuproptosis.
  • Cuproptosis is implicated in the pathogenesis and progression of atherosclerosis.
  • Specific copper homeostasis-related genes are linked to AS development.

Conclusions:

  • Maintaining copper homeostasis is essential for preventing and treating cardiovascular disease.
  • Cuproptosis represents a novel therapeutic target for atherosclerosis.
  • Therapeutic strategies involving copper balance regulators and nanotechnology show promise for CVD management.

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