PI3K Inhibitors as Potential Therapeutic Agents for the Treatment of COPD with Associated Atherosclerosis
Drugs,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 11, 2025
Language: Английский
Chronic obstructive pulmonary disease new pharmacological treatments and their relationship with cardiovascular effects
Luis P. Dávil,
No information about this author
E. Gallardo,
No information about this author
Francisca A. Loaiza
No information about this author
et al.
International Journal of Research in Medical Sciences,
Journal Year:
2025,
Volume and Issue:
13(5), P. 2234 - 2240
Published: April 29, 2025
Chronic
obstructive
pulmonary
disease
(COPD)
is
considered
a
progressive
inflammatory
condition
that
often
complicated
by
one
or
more
cardiovascular
diseases
(CVD).
This
review
explores
the
impacts
of
current
anti-inflammatory
therapies
have
shown
high
relevance
in
COPD.
Phosphodiesterase
(PDE)
inhibitors
may
offer
effects
with
improved
lung
function,
but
produce
cardiac
arrhythmias
when
PDE3
inhibited,
although
PDE4
reduce
events
improving
endothelial
function
and
reducing
thrombosis.
Similarly,
p38
mitogen-activated
protein
kinase
(MAPK)
phosphoinositide
3-kinase
(PI3K)
target
COPD-related
inflammation
benefit
patients
COPD
CVD.
MAPK
fibrosis,
improve
contractility,
arrhythmia
risk.
PI3K
PI3K/Akt
pathway,
which
drives
atherosclerosis
thus
potentially
mitigate
both
plaque
instability
fibrosis.
Biologic
therapies,
including
monoclonal
antibodies
inhibit
IL-5,
IL-13/IL-4,
thymic
stromal
lymphopoietin,
IL-33,
IL-17A,
are
promising
exacerbations,
require
tight
monitoring
due
to
their
immunomodulatory
effects.
Single-target
neutrophil
elastase
matrix
metalloproteinases
show
limited
efficacy
COPD,
help
stabilizing
atherosclerotic
plaques
promoting
vascular
smooth
muscle
cell
proliferation.
Alpha-1
antitrypsin
replacement
therapy
promising,
exacerbations
providing
protection,
especially
myocardial
injury.
Language: Английский
Deciphering Oxidative Stress in Cardiovascular Disease Progression: A Blueprint for Mechanistic Understanding and Therapeutic Innovation
Antioxidants,
Journal Year:
2024,
Volume and Issue:
14(1), P. 38 - 38
Published: Dec. 31, 2024
Oxidative
stress
plays
a
pivotal
role
in
the
pathogenesis
and
progression
of
cardiovascular
diseases
(CVDs).
This
review
focuses
on
signaling
pathways
oxidative
during
development
CVDs,
delving
into
molecular
regulatory
networks
underlying
various
disease
stages,
particularly
apoptosis,
inflammation,
fibrosis,
metabolic
imbalance.
By
examining
dual
roles
influences
sex
differences
levels
susceptibility,
this
study
offers
comprehensive
understanding
diseases.
The
integrates
key
findings
from
current
research
three
ways.
First,
it
outlines
major
CVDs
associated
with
their
respective
pathways,
emphasizing
stress’s
central
pathology.
Second,
summarizes
protective
effects,
mechanisms
action,
animal
models
antioxidants,
offering
insights
future
drug
development.
Third,
discusses
applications,
advantages,
limitations,
potential
targets
gene
therapy
providing
foundation
for
novel
therapeutic
strategies.
These
tables
underscore
systematic
integrative
nature
while
theoretical
basis
precision
treatment
CVDs.
A
contribution
is
differential
effects
across
different
stages
addition
to
proposal
innovative,
multi-level
intervention
strategies,
which
open
new
avenues
system.
Language: Английский