对于心房动的基因治疗
1From the Division of Cardiology, University of Massachusetts Medical School, Worcester, MA, United States of America.
Journal of molecular and cellular cardiology
|September 13, 2024
概括
基因疗法提供了一种有前途的新方法来治疗心房动 (AF),这是最常见的心律失常. 本综述探讨了针对AF机制的基因疗法策略,用于下一代治疗.
科学领域:
- 心脏病学 心脏病学
- 分子医学是分子医学.
- 遗传学 是一个遗传学.
背景情况:
- 心房动 (AF) 是一种常见的心律失常,具有显著的临床影响.
- 现有的AF治疗方法,包括药物和切除,都有局限性.
- 开发新的治疗策略对于有效的AF管理至关重要.
研究的目的:
- 审查治疗心房动的基因疗法的关键要素.
- 讨论AF基因治疗的分子标,载体,传递方法和临床前测试.
- 突出该领域最近的进展和挑战.
主要方法:
- 对AF的基因疗法策略的文献综述.
- 对分子标,基因传输载体和传递系统的分析.
- 评估临床前疗效和毒性数据.
主要成果:
- 基因疗法可以针对AF的不适应性电气和结构重塑.
- 目前正在探索各种转基因,载体和传递方法.
- 临床前研究显示出潜力,但需要进一步调查.
结论:
- 基因疗法为开发下一代AF治疗提供了一个可行的平台.
- 通过基因转移解决特定的心律失常机制是一个有希望的途径.
- 需要进一步的研究来克服挑战,并确保安全性和有效性.
相关概念视频
Gene Therapy
25.3K
Gene therapy is a technique where a gene is inserted into a person’s cells to prevent or treat a serious disease. The added gene may be a healthy version of the gene that is mutated in the patient, or it could be a different gene that inactivates or compensates for the patient’s disease-causing gene. For example, in patients with severe combined immunodeficiency (SCID) due to a mutation in the gene for the enzyme adenosine deaminase, a functioning version of the gene can be...
25.3K
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
398
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...
398
Treatment for Pulmonary Arterial Hypertension: Receptor Tyrosine Kinase Inhibitors and Calcium Channel Blockers
147
Receptor tyrosine kinase inhibitors (TKIs) and calcium channel blockers (CCBs) are two critical categories of drugs employed in the treatment of pulmonary artery hypertension (PAH). PAH is a disease that causes high blood pressure in the pulmonary arteries, resulting in chest pain, fatigue, and shortness of breath.
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
TKIs, such as imatinib (Gleevec), are particularly effective in tackling the growth and mitogenic factors that become upregulated in PAH patients. These factors contribute to the...
147
Targeted Cancer Therapies
7.5K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.5K
Antiarrhythmic Drugs: Class III Agents as Potassium Channel Blockers
933
Class III antiarrhythmic drugs are a group of medications that can prolong action potentials in the heart. They achieve this by blocking potassium channels or enhancing inward currents from sodium channels. However, these drugs have a unique property of "reverse use-dependence," which is most pronounced at slower heart rates and can lead to torsades de pointes—a specific type of arrhythmia. However, it is essential to note that excessive QT interval prolongation—a measure of...
933
Heart Failure Drugs: Inotropic Agents
543
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...
543


