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Cuproptosis and Cardiovascular Diseases: Mechanisms, Pathophysiology, and Therapeutic Strategies-A Narrative Review
Zhongkai Wang1, Changyong Wu1, Ruijie Li1
1Department of Cardiology, The First Affiliated Hospital of Kunming Medical University, 650032 Kunming, Yunnan, China.
Insights
Cardiovascular diseases (CVDs) are a leading cause of death. This review explores cuproptosis, a novel cell death pathway, and its potential for developing new CVD treatments.
Area of Science:
- Biochemistry
- Cell Biology
- Cardiology
Background:
- Cardiovascular diseases (CVDs) remain a leading global cause of mortality despite advances in diagnosis and treatment.
- Understanding programmed cell death (PCD) mechanisms, including apoptosis, necroptosis, pyroptosis, and autophagy, is crucial for CVD research.
- Cuproptosis, a recently identified copper-induced cell death, presents a distinct pathway with largely unexplored roles in CVD.
Purpose of the Study:
- To systematically review the cellular mechanisms of cuproptosis.
- To elucidate the pathophysiological roles of cuproptosis in various forms of cardiovascular diseases.
- To explore novel therapeutic strategies for CVD based on cuproptosis.
Main Methods:
- Literature review of cuproptosis mechanisms.
- Analysis of cuproptosis's role in cardiovascular pathophysiology.
- Identification of potential therapeutic targets and biomarkers related to cuproptosis.
Main Results:
- Cuproptosis is a distinct form of PCD regulated by copper, differing from classical PCD pathways.
- The specific molecular signature and regulatory mechanisms of cuproptosis in CVD are yet to be fully understood.
- Emerging evidence suggests cuproptosis as a potential novel therapeutic target for CVD.
Conclusions:
- Cuproptosis represents a promising new avenue for understanding and treating cardiovascular diseases.
- Therapeutic strategies involving copper chelation, antioxidants, and FDX1/LIAS biomarkers show potential for clinical application.
- Further research is needed to fully elucidate cuproptosis's role and harness its therapeutic potential in CVD.
Abstract:
Despite recent efforts and improvements in terms of diagnosis and treatment, cardiovascular diseases (CVDs) remain a prime risk factor for mortality globally; thus, elucidating novel mechanisms underlying the development of these diseases remains essential. There have been significant contributions to identifying the classical means of programmed cell death (PCD), such as apoptosis, necroptosis, pyroptosis, and autophagy, in CVDs. In comparison, although the role of cuproptosis in CVDs is relatively unknown, cuproptosis has recently been revealed as a distinct type of copper-induced cell death with a unique molecular signature and regulation compared to conventional forms of PCD. Thus, cuproptosis represents a novel approach for treating CVDs. To investigate such implications in this review, we will systematically study the cellular mechanisms of cuproptosis and its pathophysiological roles in various forms of CVD. Finally, based on such mechanistic knowledge and to bridge mechanistic research with clinical applications, we propose the use of therapeutic strategies such as copper chelation, antioxidant modalities, and ferredoxin 1 (FDX1)/lipoic acid synthetase (LIAS)-based biomarkers.
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