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Updated: Feb 2, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Targeting FoxO1 in cardiovascular diseases: Mechanisms and therapeutic potential
1Yan'an Medical College, Yan'an University, Yan'an, Shaanxi 716000, China.
Abstract:
Cardiovascular Disease (CVDs), as a major life-threatening disease, has attracted worldwide attention. Seeking novel and effective therapeutic strategies is still among the important in the cardiovascular field. Forkhead box O (FoxO) family comprises a group of transcription factors with highly conserved structures that have a major role in a plethora of biological functions. Recently, a considerable amount of research has shown the physiological and pathological roles of Fox family (especially FoxO1) in CVDs (including myocardial ischemia-reperfusion injury, myocardial hypertrophy, myocardial infarction, myocardial fibrosis, cardiomyopathy, and atherosclerosis), and they affect the plasticity, stress response, and metabolism of the heart by regulating various signaling pathways and biological functions. In this review, we outline the structure of the Fox family and FoxO1. Next, we summarize the various pathological and physiological mechanisms of FoxO1 (inflammation, oxidative stress, autophagy, endothelial dysfunction, lipid metabolism and angiogenesis), as well as the regulatory style of FoxO1 (phosphorylation, methylation, ubiquitination and acetylation). Finally, we also reviewe the latest research advancements and potential future research directions concerning FoxO1 regulators in CVDs, laying the foundation for its transformation into a new and powerful clinical application.
Insights
Forkhead box O (FoxO) proteins, particularly FoxO1, play critical roles in cardiovascular diseases (CVDs). Understanding FoxO1
Area of Science:
- Molecular Biology
- Cardiology
- Biochemistry
Background:
- Cardiovascular diseases (CVDs) are a leading cause of mortality worldwide, necessitating novel therapeutic strategies.
- The Forkhead box O (FoxO) family of transcription factors are crucial regulators of diverse biological functions.
- Emerging evidence highlights the significant involvement of FoxO proteins, especially FoxO1, in cardiovascular pathophysiology.
Purpose of the Study:
- To review the structure and function of the FoxO family, with a focus on FoxO1.
- To summarize the pathological and physiological roles of FoxO1 in various cardiovascular conditions.
- To explore the regulatory mechanisms and therapeutic potential of FoxO1 in cardiovascular disease.
Main Methods:
- Literature review synthesizing current research on FoxO1 in cardiovascular disease.
- Analysis of FoxO1's involvement in key cardiovascular processes including inflammation, oxidative stress, and metabolism.
- Examination of post-translational modifications regulating FoxO1 activity in the cardiovascular system.
Main Results:
- FoxO1 significantly influences cardiac plasticity, stress response, and metabolism through various signaling pathways.
- FoxO1 is implicated in ischemia-reperfusion injury, myocardial hypertrophy, infarction, fibrosis, cardiomyopathy, and atherosclerosis.
- Key regulatory mechanisms of FoxO1 in the cardiovascular system include phosphorylation, methylation, ubiquitination, and acetylation.
Conclusions:
- FoxO1 is a critical regulator in both the physiological and pathological aspects of cardiovascular health.
- Targeting FoxO1 and its regulatory pathways presents a promising avenue for novel therapeutic interventions in CVDs.
- Further research into FoxO1 regulators is essential for translating these findings into clinical applications for cardiovascular disease management.
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