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瞬时受体电位通道在心脏健康和疾病中的作用。

Transient receptor potential channels in cardiac health and disease.

机构信息

IHU-Liryc, Electrophysiology and Heart Modeling Institute, Foundation Bordeaux Université, Pessac-Bordeaux, France.

INSERM, Centre de recherche Cardio-Thoracique de Bordeaux, U1045, Bordeaux, France.

出版信息

Nat Rev Cardiol. 2019 Jun;16(6):344-360. doi: 10.1038/s41569-018-0145-2.

Abstract

Transient receptor potential (TRP) channels are nonselective cationic channels that are generally Ca permeable and have a heterogeneous expression in the heart. In the myocardium, TRP channels participate in several physiological functions, such as modulation of action potential waveform, pacemaking, conduction, inotropy, lusitropy, Ca and Mg handling, store-operated Ca entry, embryonic development, mitochondrial function and adaptive remodelling. Moreover, TRP channels are also involved in various pathological mechanisms, such as arrhythmias, ischaemia-reperfusion injuries, Ca-handling defects, fibrosis, maladaptive remodelling, inherited cardiopathies and cell death. In this Review, we present the current knowledge of the roles of TRP channels in different cardiac regions (sinus node, atria, ventricles and Purkinje fibres) and cells types (cardiomyocytes and fibroblasts) and discuss their contribution to pathophysiological mechanisms, which will help to identify the best candidates for new therapeutic targets among the cardiac TRP family.

摘要

瞬时受体电位 (TRP) 通道是非选择性阳离子通道,通常对 Ca 具有通透性,并且在心脏中具有异质性表达。在心肌中,TRP 通道参与了几种生理功能,例如动作电位波形的调制、起搏、传导、收缩性、舒张性、Ca 和 Mg 处理、钙库操纵性钙内流、胚胎发育、线粒体功能和适应性重塑。此外,TRP 通道还参与了各种病理机制,如心律失常、缺血再灌注损伤、Ca 处理缺陷、纤维化、适应性重塑、遗传性心脏病和细胞死亡。在这篇综述中,我们介绍了 TRP 通道在不同心脏区域(窦房结、心房、心室和浦肯野纤维)和细胞类型(心肌细胞和成纤维细胞)中的作用的最新知识,并讨论了它们对病理生理机制的贡献,这将有助于确定心脏 TRP 家族中治疗新靶点的最佳候选者。

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