Wang Ryan, Lin Justin, Bagchi Rushita A
a Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada.
b Department of Human Anatomy and Cell Science, University of Manitoba, Winnipeg, MB R3T 2N2, Canada.
Can J Physiol Pharmacol. 2019 Apr;97(4):246-256. doi: 10.1139/cjpp-2018-0430. Epub 2018 Nov 2.
Cardiac fibrosis, characterized by excessive accumulation of extracellular matrix, abolishes cardiac contractility, impairs cardiac function, and ultimately leads to heart failure. In recent years, significant evidence has emerged that supports the highly dynamic and responsive nature of the cardiac extracellular matrix. Although our knowledge of cardiac fibrosis has advanced tremendously over the past decade, there is still a lack of specific therapies owing to an incomplete understanding of the disease etiology and process. In this review, we attempt to highlight some of the recently investigated molecular determinants of ischemic and non-ischemic fibrotic remodeling of the myocardium that present as promising avenues for development of anti-fibrotic therapies.
心脏纤维化的特征是细胞外基质过度积聚,它会破坏心脏收缩力,损害心脏功能,并最终导致心力衰竭。近年来,大量证据表明心脏细胞外基质具有高度动态性和反应性。尽管在过去十年里我们对心脏纤维化的认识有了巨大进展,但由于对该疾病的病因和过程理解不完整,仍然缺乏特异性治疗方法。在这篇综述中,我们试图强调一些最近研究的心肌缺血性和非缺血性纤维化重塑的分子决定因素,这些因素为抗纤维化治疗的发展提供了有前景的途径。