Recent advances of traditional Chinese medicine against cardiovascular disease: overview and potential mechanisms DOI Creative Commons

Junting Dai,

Lulu Qiu,

Yimin Lu

et al.

Frontiers in Endocrinology, Journal Year: 2024, Volume and Issue: 15

Published: Sept. 30, 2024

Cardiovascular disease (CVD) is the leading cause of human mortality worldwide. Despite Western medicine having made encouraging results in clinical management CVD, morbidity, mortality, and disability rates remain high. Modern pharmacology has confirmed that traditional Chinese (TCM), characterized by its multi-component, multi-target, integrity, plays a positive important role prevention treatment various CVDs China, which notable advantages stabilizing disease, improving heart function, enhancing quality life. Importantly, TCM gradually being accepted international community due to low cost, high safety, versatile bioactivity, toxicity. Unfortunately, comprehensive studies on therapeutic effect CVD mechanisms are very limited, may restrict application CVD. Therefore, this review performed analyze pathogenesis including inflammatory response, oxidative stress, mitochondrial dysfunction, pyroptosis, ferroptosis, dysbiosis gut microbiota, etc. Moreover, we summarized latest progress (formulas, extracts, compounds) curing according published literature from 2018 2023, as well evidence. In conclusion, expected provide useful information reference for further drug development

Language: Английский

The role of the NLRP3 inflammasome and pyroptosis in cardiovascular diseases DOI
Stefano Toldo, Antonio Abbate

Nature Reviews Cardiology, Journal Year: 2023, Volume and Issue: 21(4), P. 219 - 237

Published: Nov. 3, 2023

Language: Английский

Citations

145

Caloric restriction and its mimetics in heart failure with preserved ejection fraction: mechanisms and therapeutic potential DOI Creative Commons

Alexander Fuerlinger,

Alina Stockner, Simon Sedej

et al.

Cardiovascular Diabetology, Journal Year: 2025, Volume and Issue: 24(1)

Published: Jan. 18, 2025

Language: Английский

Citations

2

Cardiac Fibrosis in heart failure: Focus on non-invasive diagnosis and emerging therapeutic strategies DOI Creative Commons
Susana Ravassa, Begoña López, Thomas A. Treibel

et al.

Molecular Aspects of Medicine, Journal Year: 2023, Volume and Issue: 93, P. 101194 - 101194

Published: June 27, 2023

Heart failure is a leading cause of mortality and hospitalization worldwide. Cardiac fibrosis, resulting from the excessive deposition collagen fibers, common feature across spectrum conditions converging in heart failure. Eventually, either reparative or reactive nature, long-term cardiac fibrosis contributes to development progression associated with poor clinical outcomes. Despite this, specific antifibrotic therapies are lacking, making an urgent unmet medical need. In this context, better patient phenotyping needed characterize heterogenous features advance toward its personalized management. review, we will describe different phenotypes focus on potential usefulness imaging techniques circulating biomarkers for non-invasive characterization condition tracking impact. We also recapitulate effects existing non-heart drugs discuss strategies under preclinical targeting activation fibroblasts at levels, as well additional extracardiac processes.

Language: Английский

Citations

39

Colchicine ameliorates myocardial injury induced by coronary microembolization through suppressing pyroptosis via the AMPK/SIRT1/NLRP3 signaling pathway DOI Creative Commons
Hongqing Li,

Huafeng Yang,

Zhenbai Qin

et al.

BMC Cardiovascular Disorders, Journal Year: 2024, Volume and Issue: 24(1)

Published: Jan. 3, 2024

Abstract Background Coronary microembolization(CME)is a common complication in acute coronary syndrome and percutaneous intervention, which is closely related to poor prognosis. Pyroptosis, as an inflammatory programmed cell death, has been found be associated with CME-induced myocardial injury. Colchicine (COL) potential benefits artery disease due its anti-inflammatory effect. However, the role of colchicine pyroptosis-related cardiomyocyte injury unclear. This study was carried out explore effects mechanisms on pyroptosis induced by CME. Methods The CME animal model constructed injecting microspheres into left ventricle Sprague-Dawley rats, (0.3 mg/kg) pretreatment seven days before day modeling or compound C(CC)co-treatment given half hour modeling. divided 4 groups: Sham group, + COL CC group (10 rats for each group). Cardiac function, serum markers, histopathology, indicators were used evaluate colchicine. Results improved cardiac dysfunction reduced main manifestations improvement ventricular systolic decrease microinfarction area, mRNA protein indexes pyroptosis. Mechanistically, increased phosphorylation level adenosine monophosphate-activated kinase (AMPK), promoted expression silent information regulation T1 (SIRT1), inhibited NOD-like receptor pyrin containing 3 (NLRP3) reduce after co-treatment COL, effect partially reversed. Conclusion improves inhibiting through AMPK/SIRT1/NLRP3 signaling pathway.

Language: Английский

Citations

10

Systemic aging fuels heart failure: Molecular mechanisms and therapeutic avenues DOI Creative Commons

Zhuyubing Fang,

Umar Raza,

Jia Song

et al.

ESC Heart Failure, Journal Year: 2024, Volume and Issue: unknown

Published: July 22, 2024

Abstract Systemic aging influences various physiological processes and contributes to structural functional decline in cardiac tissue. These alterations include an increased incidence of left ventricular hypertrophy, a diastolic function, atrial dilation, fibrillation, myocardial fibrosis amyloidosis, elevating susceptibility chronic heart failure (HF) the elderly. Age‐related dysfunction stems from prolonged exposure genomic, epigenetic, oxidative, autophagic, inflammatory regenerative stresses, along with accumulation senescent cells. Concurrently, age‐related changes vascular system, attributed endothelial dysfunction, arterial stiffness, impaired angiogenesis, oxidative stress inflammation, impose additional strain on heart. Dysregulated mechanosignalling nitric oxide signalling play critical roles associated HF. Metabolic drives intricate shifts glucose lipid metabolism, leading insulin resistance, mitochondrial within cardiomyocytes. contribute contractility, ultimately propelling low‐grade conjunction senescence‐associated secretory phenotype, aggravates age by promoting immune cell infiltration into myocardium, fostering This is further exacerbated comorbidities like coronary artery disease (CAD), atherosclerosis, hypertension, obesity, diabetes kidney (CKD). CAD atherosclerosis induce ischaemia adverse remodelling, while hypertension hypertrophy fibrosis. Obesity‐associated inflammation dyslipidaemia create profibrotic environment, whereas diabetes‐related metabolic disturbances impair function. CKD‐related fluid overload, electrolyte imbalances uraemic toxins exacerbate HF through systemic neurohormonal renin‐angiotensin‐aldosterone system (RAAS) activation. Recognizing as modifiable process has opened avenues target both lifestyle interventions therapeutics. Exercise, known for its antioxidant effects, can partly reverse pathological remodelling elderly countering linked HF, such senescence declining cardiomyocyte regeneration. Dietary plant‐based ketogenic diets, caloric restriction macronutrient supplementation are instrumental maintaining energy balance, reducing adiposity addressing micronutrient Therapeutic advancements targeting underway. Key approaches senomorphics senolytics limit senescence, antioxidants stress, anti‐inflammatory drugs interleukin (IL)‐1β inhibitors, rejuvenators nicotinamide riboside, resveratrol sirtuin (SIRT) activators autophagy enhancers metformin sodium‐glucose cotransporter 2 (SGLT2) all which offer potential preserving function alleviating burden.

Language: Английский

Citations

10

NLRP3-inflammasome inhibition by MCC950 attenuates cardiac and pulmonary artery remodelling in heart failure with preserved ejection fraction DOI

Xiaocheng Cheng,

Hanru Zhao,

Xuesong Wen

et al.

Life Sciences, Journal Year: 2023, Volume and Issue: 333, P. 122185 - 122185

Published: Oct. 17, 2023

Language: Английский

Citations

19

Low‐Dose Colchicine Ameliorates Doxorubicin Cardiotoxicity Via Promoting Autolysosome Degradation DOI Creative Commons
Ying Peng, Zhonggen Li,

Jianchao Zhang

et al.

Journal of the American Heart Association, Journal Year: 2024, Volume and Issue: 13(9)

Published: May 3, 2024

The only clinically approved drug that reduces doxorubicin cardiotoxicity is dexrazoxane, but its application limited due to the risk of secondary malignancies. So, exploring alternative effective molecules attenuate crucial. Colchicine a safe and well-tolerated helps reduce production reactive oxygen species. High doses colchicine have been reported block fusion autophagosomes lysosomes in cancer cells. However, impact on autophagy activity within cardiomyocytes remains inadequately elucidated. Recent studies highlighted beneficial effects patients with pericarditis, postprocedural atrial fibrillation, coronary artery disease. It ambiguous how regulates autophagic flux doxorubicin-induced heart failure.

Language: Английский

Citations

7

The Role of Inflammasomes in Heart Failure DOI Open Access
Panayotis K. Vlachakis, Panagiotis Theofilis,

Ioannis Kachrimanidis

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(10), P. 5372 - 5372

Published: May 14, 2024

Heart failure (HF) poses a significant world health challenge due to the increase in aging population and advancements cardiac care. In pathophysiology of HF, inflammasome has been correlated with development, progression, complications HF disease. Discovering biomarkers linked inflammasomes enhances understanding diagnosis prognosis. Directing signaling emerges as an innovative therapeutic strategy for managing HF. The present review aims delve into this inflammatory cascade, its role development potential biomarker, well prospects modulating approach

Language: Английский

Citations

7

Inflammation as a therapeutic target in heart failure with preserved ejection fraction DOI Creative Commons

Zhen Hui Peh,

Adel Dihoum,

Dana Hutton

et al.

Frontiers in Cardiovascular Medicine, Journal Year: 2023, Volume and Issue: 10

Published: June 29, 2023

Heart failure with preserved ejection fraction (HFpEF) accounts for around half of all cases heart and may become the dominant type in near future. Unlike HF reduced there are few evidence-based treatment strategies available. There is a significant unmet need new to improve clinical outcomes HFpEF patients. Inflammation widely thought play key role pathophysiology represent viable target. In this review focusing predominantly on studies, we will summarise inflammation discuss potential therapeutic targeting inflammation.

Language: Английский

Citations

11

A meta-analysis evaluating efficacy and safety of colchicine for prevention of major cardiovascular events in patients with coronary artery disease DOI
Tao Chen, Guihong Liu, Bo Yu

et al.

Clinical Research in Cardiology, Journal Year: 2023, Volume and Issue: 112(11), P. 1487 - 1505

Published: July 28, 2023

Language: Английский

Citations

11