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Related Concept Videos

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

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

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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...
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Pathophysiology of Heart Failure01:17

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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...
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Heart Failure Drugs: Inotropic Agents01:26

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Positive inotropic agents are commonly used as the first line of treatment for heart failure. One such agent is digoxin, derived from the genus Digitalis, which has been known for centuries but effectively utilized since 1785. However, these cardiac glycosides can have potentially toxic effects due to their mechanism of action, which involves inhibiting Na+/K+-ATPase and increasing contractility. Digoxin is absorbed orally and distributed in various tissues, including the CNS. It has a long...
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Drug Discovery and Development for Heart Failure Using Multi-Omics Approaches.

Danielle Rasooly1, Alexandre C Pereira1,2, Jacob Joseph1,3,4

  • 1Massachusetts Veterans Epidemiology Research and Information Collaborative (MAVERIC), Veterans Affairs Healthcare System, 150 S. Huntington Ave., Boston, MA 02130, USA.

International Journal of Molecular Sciences
|March 27, 2025
PubMed
Summary

Omics technologies offer new ways to understand heart failure (HF) and develop personalized treatments. Integrating multi-omics approaches can accelerate the discovery of effective therapies for heart failure patients.

Keywords:
clinical trialsdrug discoveryepigenomicsgenomicsheart failuremetabolomicsmulti-omicsomicsproteomicstranscriptomics

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Area of Science:

  • Biomedical research
  • Genomics
  • Drug discovery

Background:

  • Heart failure (HF) is a complex condition with increasing prevalence and significant mortality.
  • The diverse causes and molecular underpinnings of HF pose challenges for effective therapy development.

Purpose of the Study:

  • To review how multi-omics approaches can enhance heart failure drug discovery and development.
  • To explore the application of omics in target selection, preclinical studies, and clinical trials.

Main Methods:

  • Review of current literature on omics technologies in heart failure research.
  • Analysis of how genomics, proteomics, transcriptomics, metabolomics, and epigenomics contribute to understanding HF.
  • Integration of multi-omics data across the drug development pipeline.

Main Results:

  • Omics technologies have advanced the understanding of HF at a molecular level.
  • New biomarkers and therapeutic targets for HF have been identified through omics studies.
  • Omics enable personalized treatment strategies, prediction of adverse drug effects, and patient stratification.

Conclusions:

  • Multi-omics integration is crucial for accelerating heart failure drug discovery.
  • Personalized and more effective therapies for heart failure can be developed by applying omics approaches.
  • The use of omics throughout the drug development process promises improved outcomes for HF patients.