靶向钙和线粒体预防心脏病变。
Targeting calcium and the mitochondria in prevention of pathology in the heart.
机构信息
School of Biomedical, Biomolecular and Chemical Sciences, The University of Western Australia, Crawley, Western Australia.
出版信息
Curr Drug Targets. 2011 May;12(5):748-60. doi: 10.2174/138945011795378603.
Calcium is a key determinant of cardiac excitation, contraction and relaxation. Cardiac excitation and contraction is powered by ATP that is synthesized within mitochondria via a calcium-dependent process known as oxidative phosphorylation. During this process oxygen molecules within the mitochondria are converted to superoxide. Under physiological conditions, low levels of ROS are required to maintain normal cellular function. This is achieved as a result of a balance between ROS formation and amelioration by antioxidants. Uninhibited increases in ROS production lead to oxidative stress. Large increases in ROS are associated with damage to mitochondria, DNA, proteins and lipids. In the heart this ultimately leads to apoptosis and loss of myocytes. However sub-lethal increases in ROS can activate hypertrophic signaling kinases and transcription factors including NFAT, CaMK and serine-threonine and tyrosine kinases. Calcium is also an important signaling molecule and a mediator of hypertrophic signaling pathways. ROS and calcium appear to participate as partners in pathological remodeling but their interaction and early mechanisms associated with the development of cardiac hypertrophy are poorly understood. An increase in cytoplasmic calcium can potentiate cellular oxidative stress via effects on mitochondrial metabolism. In addition oxidative stress can regulate the function of calcium channels and transporters. We discuss the evidence for calcium transporting proteins and the mitochondria in oxidative stress responses and propose sites to target in the prevention of cardiac hypertrophy.
钙是心脏兴奋、收缩和松弛的关键决定因素。心脏的兴奋和收缩由通过钙依赖性过程(称为氧化磷酸化)在线粒体中合成的 ATP 提供动力。在此过程中,线粒体中的氧分子转化为超氧化物。在生理条件下,需要低水平的 ROS 来维持正常的细胞功能。这是通过 ROS 形成和抗氧化剂缓解之间的平衡来实现的。ROS 产生不受抑制的增加会导致氧化应激。ROS 的大量增加与线粒体、DNA、蛋白质和脂质的损伤有关。在心脏中,这最终导致细胞凋亡和心肌细胞丧失。然而,ROS 的亚致死增加可以激活肥大信号激酶和转录因子,包括 NFAT、CaMK 和丝氨酸-苏氨酸和酪氨酸激酶。钙也是一种重要的信号分子,是肥大信号通路的介质。ROS 和钙似乎作为病理性重塑的伙伴参与其中,但它们在心脏肥大发展中的相互作用和早期机制尚不清楚。细胞质钙的增加可以通过对线粒体代谢的影响增强细胞氧化应激。此外,氧化应激可以调节钙通道和转运蛋白的功能。我们讨论了钙转运蛋白和线粒体在氧化应激反应中的证据,并提出了预防心脏肥大的靶向部位。