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Updated: May 5, 2026

Author Spotlight: Exploring the Relationship Between Lipotoxicity and HFpEF
Published on: March 29, 2024
Ceramides as Biomarkers and Pharmacological Targets in Heart Failure Pathophysiology
Melania Gaggini1, Cristina Vassalle2
1Institute of Clinical Physiology, National Research Council, Via G. Moruzzi 1, 56124 Pisa, Italy.
Insights
Ceramides, bioactive lipids, play a key role in heart failure (HF) development and progression. Modulating ceramide signaling offers potential new therapeutic strategies for improving cardiac function and patient outcomes in HF.
Area of Science:
- Cardiovascular Research
- Biochemistry
- Lipid Metabolism
Background:
- Heart failure (HF) is a prevalent and burdensome condition with diverse patient phenotypes.
- Current HF management faces challenges due to the condition's heterogeneity.
- Identifying novel biomarkers and therapeutic targets is crucial for advancing HF care.
Purpose of the Study:
- To review the role of ceramides in the pathophysiology and clinical progression of heart failure.
- To explore the potential of ceramide-targeting therapies for improving cardiac function and outcomes in HF patients.
Main Methods:
- Literature review of existing evidence on ceramides and heart failure.
- Analysis of ceramide species' involvement in cellular pathways relevant to HF.
- Evaluation of therapeutic strategies targeting ceramide metabolism and signaling.
Main Results:
- Ceramides are bioactive lipids implicated in key cellular processes affected in HF, including stress response, apoptosis, and inflammation.
- Specific ceramide species may contribute to HF development and progression.
- Modulation of ceramide pathways presents a promising avenue for novel HF therapeutics.
Conclusions:
- Ceramides are significant players in heart failure pathophysiology.
- Targeting ceramide metabolism and signaling pathways holds therapeutic potential for heart failure.
- Further research into ceramide species may lead to improved HF treatments and patient outcomes.
Abstract:
Heart failure (HF) is a heterogeneous condition with a prevalence of about 1-3% in the population worldwide (percentage expected to rise), related to a significant clinical and economic burden. However, despite medical advancements in HF management, difficulties in facing this condition still persist, as the etiology and phenotype largely differ between patients. Thus, the identification of further key biomarkers remains attractive. One area of interest in recent years has focused on the role of lipids in HF pathophysiology and its clinical manifestations. In this context, ceramides, complex bioactive lipids with activity in key pathways related to stress response, cellular growth, proliferation, differentiation, apoptosis, oxidative stress, inflammation, and energy production, may be important in the HF scenario, primarily for the development and application of new therapeutic strategies targeting ceramide species. Accordingly, this review aims to discuss the role of ceramides in HF pathophysiology and clinical progression in view of available evidence, focusing on the possibility of therapeutic tools for improving cardiac function and outcomes in HF by modulating ceramide signaling and metabolism.
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