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Apoptosis-Related Non-Coding RNAs in Cardiac Fibrosis and Heart Failure: Implications for Pathogenesis and Therapy
Hao Wu1,2, Lei Xia1,2, Chunli Liu1,2
1Shandong Public Health Clinical Center Shandong University, Shandong, 250013, People's Republic of China.
Insights
Dysregulated non-coding RNAs (ncRNAs) drive cardiomyocyte apoptosis, contributing to heart failure (HF) and cardiac fibrosis. Inhibiting pro-apoptotic microRNAs (miRNAs) offers a promising therapeutic strategy for these cardiovascular diseases.
Area of Science:
- Cardiovascular Biology
- Molecular Genetics
- Cellular Biology
Background:
- Heart failure (HF) and cardiac fibrosis are major global health burdens.
- Apoptosis is a key mechanism in the progression of HF and cardiac fibrosis.
- Non-coding RNAs (ncRNAs) regulate gene expression and apoptosis; their dysregulation contributes to cardiovascular disease (CVD).
Purpose of the Study:
- To investigate the role of ncRNA dysregulation in cardiomyocyte apoptosis.
- To explore therapeutic strategies targeting pro-apoptotic microRNAs (miRNAs) for HF and cardiac fibrosis.
Main Methods:
- Review of current literature on ncRNAs, apoptosis, and cardiovascular disease.
- Analysis of mechanisms linking ncRNA dysregulation to cardiomyocyte apoptosis.
- Evaluation of therapeutic approaches targeting miRNAs.
Main Results:
- ncRNA dysregulation is implicated in excessive cardiomyocyte apoptosis.
- Pro-apoptotic miRNAs play a critical role in the pathogenesis of HF and cardiac fibrosis.
- Therapeutic inhibition of specific miRNAs shows potential for treating these conditions.
Conclusions:
- Targeting ncRNAs, particularly pro-apoptotic miRNAs, is a promising therapeutic avenue for HF and cardiac fibrosis.
- Strategies like stem cell-derived exosomes and herbal medicine may offer novel treatments by modulating miRNA activity.
Abstract:
Heart failure (HF) and cardiac fibrosis constitute a substantial portion of the global cardiovascular disease (CVD) burden and are significant contributors to morbidity and mortality. Several mechanisms are involved in the pathogenesis of HF and cardiac fibrosis, with many studies recognizing apoptosis as a central player in their progression. Apoptosis is a conserved biological process directly regulated by extrinsic and intrinsic stimuli. Non-coding RNAs (ncRNAs) exert critical regulatory functions in gene expression and apoptosis, and their dysregulation may trigger excessive apoptosis, leading to cardiac fibrosis and HF. The current work is structured in two sections. The first section focuses on the role of ncRNAs dysregulation in cardiomyocyte apoptosis. In the final section, we emphasize that inhibiting pro-apoptotic microRNAs (miRNAs) through diverse therapeutic strategies, such as stem cell-derived exosomes and herbal medicine, may attenuate excessive apoptosis and represent a promising approach for the treatment of cardiac fibrosis and HF.
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