Heart failure with preserved ejection fraction and atrial fibrillation: epidemiology, pathophysiology, and diagnosis interplay
Heart Failure Reviews,
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 24, 2025
Язык: Английский
Nrf2-Keap1 in Cardiovascular Disease: Which Is the Cart and Which the Horse?
Physiology,
Год журнала:
2024,
Номер
39(5), С. 288 - 301
Опубликована: Апрель 30, 2024
High
levels
of
oxidant
stress
in
the
form
reactive
species
are
prevalent
circulation
and
tissues
various
types
cardiovascular
disease
including
heart
failure,
hypertension,
peripheral
arterial
disease,
stroke.
Here
we
review
role
nuclear
factor
erythroid
2-related
2
(Nrf2),
an
important
widespread
antioxidant
anti-inflammatory
transcription
that
may
contribute
to
pathogenesis
maintenance
diseases.
We
studies
showing
downregulation
Nrf2
exacerbates
autonomic
function.
Finally,
discuss
potential
for
using
modulation
as
a
therapeutic
strategy
diseases
dysfunction.
Язык: Английский
The synergistic role of gut microbiota and RNA in metabolic diseases: mechanisms and therapeutic insights
Frontiers in Microbiology,
Год журнала:
2025,
Номер
16
Опубликована: Янв. 29, 2025
The
gut
microbiota
plays
a
pivotal
role
in
human
metabolic
health
by
influencing
immune
responses,
digestion,
and
homeostasis.
Recent
research
highlights
the
intricate
interactions
between
RNA,
especially
non-coding
RNAs,
regulating
processes.
Dysbiosis
of
has
been
linked
to
disorders
such
as
type
2
diabetes,
obesity,
metabolic-associated
fatty
liver
disease
(MAFLD)
heart
disease.
Microbial
metabolites,
including
short-chain
acids
(SCFAs),
modulate
RNA
expression,
lipid
metabolism,
glucose
regulation,
inflammatory
responses.
Additionally,
microRNAs
(miRNAs)
long
RNAs
(lncRNAs)
serve
critical
regulators
these
processes,
with
emerging
evidence
showing
that
gut-derived
metabolites
affect
post-transcriptional
gene
regulation.
This
review
synthesizes
current
understanding
microbiota-RNA
axis
its
diseases.
By
exploring
molecular
mechanisms,
particularly
how
microbiota-derived
signals
pathways,
underscores
potential
targeting
this
for
therapeutic
interventions.
Furthermore,
it
examines
dysbiosis
leads
epigenetic
changes
m6A
methylation,
contributing
pathogenesis.
These
insights
offer
new
perspective
on
prevention
treatment
diseases,
applications
personalized
medicine.
Язык: Английский
Atrial Fibrillation (AF) and Heart Failure With Preserved Ejection Fraction (HFpEF): Advances and Challenges
Journal of Cardiovascular Electrophysiology,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 10, 2025
This
state-of-the-art
review
is
based
on
the
Philippe
Coumel
Lecture
in
2024
(Figure
1).
It
highlights
confluence
of
two
major
cardiovascular
epidemics,
atrial
fibrillation
and
heart
failure,
with
preserved
ejection
fraction.
In
these
conditions,
advances
electrophysiology
failure
physiology
are
intertwined
integrated
this
review.
constellation
disease
states
has
its
own
unique
epidemiologic
features,
pathophysiology,
experimental
clinical
mechanisms;
an
increasing
knowledge
base
respect
to
presentation,
prognostic
implications,
therapeutic
options
from
pharmacologic
non-pharmacologic
interventions.
Major
advances,
continuing
challenges,
future
directions
condition
described
rapidly
evolving
field
scientific
endeavor.
Язык: Английский
Circulating Non-Coding RNAs as Indicators of Fibrosis and Heart Failure Severity
Cells,
Год журнала:
2025,
Номер
14(7), С. 553 - 553
Опубликована: Апрель 7, 2025
Heart
failure
(HF)
is
a
leading
cause
of
morbidity
and
mortality
worldwide,
representing
complex
clinical
syndrome
in
which
the
heart’s
ability
to
pump
blood
efficiently
impaired.
HF
can
be
subclassified
into
heart
with
reduced
ejection
fraction
(HFrEF)
preserved
(HFpEF),
each
distinct
pathophysiological
mechanisms
varying
levels
severity.
The
progression
significantly
driven
by
cardiac
fibrosis,
pathological
process
extracellular
matrix
undergoes
abnormal
uncontrolled
remodelling.
Cardiac
fibrosis
characterized
excessive
protein
deposition
activation
myofibroblasts,
increasing
stiffness
heart,
thus
disrupting
its
normal
structure
function
promoting
lethal
arrythmia.
MicroRNAs,
long
non-coding
RNAs,
circular
collectively
known
as
RNAs
(ncRNAs),
have
recently
gained
significant
attention
due
growing
body
evidence
suggesting
their
involvement
remodelling
such
fibrosis.
ncRNAs
found
peripheral
blood,
indicating
potential
biomarkers
for
assessing
In
this
review,
we
critically
examine
recent
advancements
findings
related
use
discuss
implication
development.
Язык: Английский
Plasma and Myocardial miRNomes Similarities and Differences during Cardiac Remodelling and Reverse Remodelling in a Murine Model of Heart Failure with Preserved Ejection Fraction
Sara-Ève Thibodeau,
Emylie-Ann Labbé,
Élisabeth Walsh‐Wilkinson
и другие.
Опубликована: Июнь 27, 2024
Heart
failure
with
preserved
ejection
fraction
(HFpEF)
is
a
heterogeneous
syndrome
characterized
by
multiple
risk
factors
and
associated
conditions.
HFpEF
prevalence
rising,
its
prognosis
remains
poor
after
the
first
hospitalization.
Using
two-hit
murine
model,
we
aimed
at
studying
cardiac
reverse
remodelling
stopping
causing
stress
(Angiotensin
II
[AngII])
high-fat
diet
[HFD];
MHS)
introducing
voluntary
exercise.
We
studied
in
young
male
female
C57Bl6/J
mice
fed
or
not
an
HFD
(60%
calories
from
fat)
response
to
AngII
(1.5
mg/kg/day
for
28
days).
Then,
MHS
was
stopped,
VE
started
another
four
weeks
(RR).
effects
of
RR
on
circulatory
microRNA
(miR)
profile
(miRNome)
myocardial
miRNome
characterize
non-cardiac
small
RNAs.
alone
but
caused
hypertrophy
(CH),
left
ventricular
(LV)
concentric
atrial
enlargement
mice.
HFD-induced
CH
LV
only
Four
RR,
CH,
were
reversed.
performed
bulk
miR
sequencing.
did
observe
differences
linked
biological
sex.
restored
normality
miRNome,
whereas
remained
relatively
similar
one
MHS.
Among
25
most
abundant
miRs,
ten
modulated
(9
upregulated).
In
LV,
8
upregulated
MHS,
10
downregulated.
MiRNomes
AngII,
shared
many
common
miRs
(32),
suggesting
that
overall
organs
producing
non-coding
RNA
even
seemingly
different
stress.
Язык: Английский
Divergent cardiac and renal effects of miR-181c-5p inhibition in a rodent heart failure model
Frontiers in Cardiovascular Medicine,
Год журнала:
2024,
Номер
11
Опубликована: Апрель 25, 2024
Aims
MiR-181c-5p
overexpression
associates
with
heart
failure
(HF)
and
cardiac
damage,
but
the
underlying
pathophysiology
remains
unclear.
This
study
investigated
effect
of
miR-181c-5p
inhibition
on
function
fibrosis
in
a
rodent
model
diastolic
dysfunction,
evaluated
additional
effects
kidney
as
relevant
comorbid
organ.
Methods
results
Diastolic
dysfunction
was
induced
male
C57/BL6J
mice
(
n
=
20)
by
combining
high-fat
diet,
L-NG-nitroarginine
methyl
ester,
angiotensin
II
administration,
compared
to
sham
controls
18).
Mice
were
randomized
subcutaneous
antagomiR
(INH)
or
scrambled
injections
(40
mg/kg/week).
HF
demonstrated
increased
fibrosis,
which
attenuated
INH
treatment.
Remarkably,
+
animals
had
threefold
higher
mortality
rate
(60%)
(20%).
Histological
examination
revealed
glomerular
damage
all
treated
mice,
signs
thrombotic
microangiopathy
(TMA)
who
died
prematurely.
Quantitative
polymerase
chain
reaction
miR-181c-5p-related
downregulation
not
renal
Tgfbr1
while
treatment
reduced
Vegfa
expression
mice.
Conclusion
demonstrates
anti-fibrotic
through
targeting
heart.
Despite
improved
function,
due
predisposition
for
TMA,
associated
kidneys.
Язык: Английский
Plasma and Myocardial miRNomes Similarities and Differences during Cardiac Remodelling and Reverse Remodelling in a Murine Model of Heart Failure with Preserved Ejection Fraction
Sara-Ève Thibodeau,
Emylie-Ann Labbé,
Élisabeth Walsh‐Wilkinson
и другие.
Biomolecules,
Год журнала:
2024,
Номер
14(8), С. 892 - 892
Опубликована: Июль 24, 2024
Heart
failure
with
preserved
ejection
fraction
(HFpEF)
is
a
heterogeneous
syndrome
characterised
by
multiple
risk
factors
touching
various
organs
outside
the
heart.
Using
murine
HFpEF
model,
we
studied
cardiac
reverse
remodelling
(RR)
after
stopping
causing
metabolic-hypertensive
stress
(MHS;
Angiotensin
II
[AngII]
and
high-fat
diet
[HFD])
28
days
introducing
voluntary
exercise
(VE)
for
four
more
weeks.
We
measured
effects
of
MHS
RR
on
plasma
myocardial
microRNA
(miR)
profile
(miRNome)
to
characterise
better
non-cardiac
responses
HFpEF-inducing
their
reversibility.
AngII
alone,
HFD
or
caused
hypertrophy
(CH),
left
ventricular
(LV)
concentric
atrial
enlargement
in
females.
Only
MHS,
but
not
HFD,
did
males.
After
RR,
CH,
LV
were
normalised.
Among
25
most
abundant
circulating
miRs,
10
modulated
MHS.
Plasma
miRNomes
from
AngII,
mice
shared
31
common
significantly
miRs
(24
upregulated
7
downregulated),
suggesting
that
response
producing
bulk
those
was
similar
even
seemingly
different
stress.
In
LV,
19
out
expressed
modulated.
restored
normality
miRNome
miRNome,
which
remained
mostly
unchanged.
Our
results
suggest
abnormalities
persist
myocardium
normalisation
circulatory
markers
may
be
falsely
reassuring
recovery.
Язык: Английский