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心脏基因治疗中的 SERCA2a:从实验室到临床。

Cardiac gene therapy with SERCA2a: from bench to bedside.

机构信息

Gwathmey Inc, Cambridge, MA 2038, USA.

出版信息

J Mol Cell Cardiol. 2011 May;50(5):803-12. doi: 10.1016/j.yjmcc.2010.11.011. Epub 2010 Nov 18.

DOI:10.1016/j.yjmcc.2010.11.011
PMID:21093451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3075330/
Abstract

While progress in conventional treatments is making steady and incremental gains to reduce mortality associated with heart failure, there remains a need to explore potentially new therapeutic approaches. Heart failure induced by different etiologies such as coronary artery disease, hypertension, diabetes, infection, or inflammation results generally in calcium cycling dysregulation at the myocyte level. Recent advances in understanding of the molecular basis of these calcium cycling abnormalities, together with the evolution of increasingly efficient gene transfer technology, have placed heart failure within reach of gene-based therapy. Furthermore, the recent successful completion of a phase 2 trial targeting the sarcoplasmic reticulum calcium pump (SERCA2a) ushers in a new era for gene therapy for the treatment of heart failure. This article is part of a Special Section entitled "Special Section: Cardiovascular Gene Therapy".

摘要

尽管常规治疗方法在稳步取得进展,逐步减少与心力衰竭相关的死亡率,但仍需要探索潜在的新治疗方法。由不同病因引起的心力衰竭,如冠状动脉疾病、高血压、糖尿病、感染或炎症,通常会导致心肌细胞水平钙循环调节异常。对这些钙循环异常分子基础的理解的最新进展,以及基因转移技术的不断发展,使心力衰竭成为基因治疗的目标。此外,针对肌浆网钙泵(SERCA2a)的 2 期临床试验的成功完成,为心力衰竭的基因治疗开辟了一个新时代。本文是“心血管基因治疗特刊”的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a2a/3075330/838ea7863b4c/nihms-254057-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a2a/3075330/bf1c86d2ce48/nihms-254057-f0001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a2a/3075330/79007e77fda6/nihms-254057-f0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a2a/3075330/838ea7863b4c/nihms-254057-f0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a2a/3075330/bf1c86d2ce48/nihms-254057-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a2a/3075330/e8e49fca59fa/nihms-254057-f0002.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a2a/3075330/838ea7863b4c/nihms-254057-f0004.jpg

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Muscle-specific sirtuin 3 overexpression does not attenuate the pathological effects of high-fat/high-sucrose feeding but does enhance cardiac SERCA2a activity.肌肉特异性沉默调节蛋白 3 过表达不能减轻高脂肪/高蔗糖喂养的病理作用,但能增强心脏 SERCA2a 活性。
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