Rababa'h Abeer M, Guillory Ashley N, Mustafa Rima, Hijjawi Tamara
Department of Clinical Pharmacy, Jordan University of Science and Technology, Irbid 22110, Jordan.
Department of Physician Assistant Studies, University of Texas Medical Branch, Galveston, Texas, TX, United States.
Curr Cardiol Rev. 2018 Mar 14;14(1):53-59. doi: 10.2174/1573403X14666180111145207.
A common phenotype associated with heart failure is the development of cardiac hypertrophy. Cardiac hypertrophy occurs in response to stress, such as hypertension, coronary vascular disease, or myocardial infarction. The most critical pathophysiological conditions involved may include dilated hypertrophy, fibrosis and contractile malfunction. The intricate pathophysiological mechanisms of cardiac hypertrophy have been the core of several scientific studies, which may help in opening a new avenue in preventive and curative procedures.
To our knowledge from the literature, the development of cardiac remodeling and hypertrophy is multifactorial. Thus, in this review, we will focus and summarize the potential role of oxidative stress in cardiac hypertrophy development.
Oxidative stress is considered a major stimulant for the signal transduction in cardiac cells pathological conditions, including inflammatory cytokines, and MAP kinase. The understanding of the pathophysiological mechanisms which are involved in cardiac hypertrophy and remodeling process is crucial for the development of new therapeutic plans, especially that the mortality rates related to cardiac remodeling/dysfunction remain high.
与心力衰竭相关的一种常见表型是心肌肥大的发展。心肌肥大是对压力的反应,如高血压、冠状动脉血管疾病或心肌梗死。所涉及的最关键病理生理状况可能包括扩张性肥大、纤维化和收缩功能障碍。心肌肥大复杂的病理生理机制一直是多项科学研究的核心,这可能有助于开辟预防和治疗程序的新途径。
据我们从文献中了解,心脏重塑和肥大的发展是多因素的。因此,在本综述中,我们将聚焦并总结氧化应激在心肌肥大发展中的潜在作用。
氧化应激被认为是心脏细胞病理状况(包括炎性细胞因子和丝裂原活化蛋白激酶)信号转导的主要刺激因素。了解心肌肥大和重塑过程中涉及的病理生理机制对于制定新的治疗方案至关重要,尤其是因为与心脏重塑/功能障碍相关的死亡率仍然很高。