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白藜芦醇对端粒及心肌梗死后重塑的影响

The Effects of Resveratrol on Telomeres and Post Myocardial Infarction Remodeling.

作者信息

Gutlapalli Sai Dheeraj, Kondapaneni Varshitha, Toulassi Ijeoma A, Poudel Sujan, Zeb Mehwish, Choudhari Jinal, Cancarevic Ivan

机构信息

Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

Family Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.

出版信息

Cureus. 2020 Nov 14;12(11):e11482. doi: 10.7759/cureus.11482.

Abstract

Post myocardial infarction (MI) remodeling is the term used to define the changes in cardiac musculature after sustaining an ischemic injury. These changes decrease myocardial function and ultimately lead to heart failure. We review the contributing factors to post-MI remodeling, its association with telomere biology, as well as a myriad of other factors affecting aging and telomere length in relation to cardiovascular health. The main focus is on the effects of resveratrol in the cardiovascular system and its potential for therapeutic use in preventing long-term cardiovascular morbidity and mortality. We tried to answer important questions regarding the potential for resveratrol as a therapeutic drug to prevent adverse post-MI remodeling. In our search, we gathered 62 studies and narrowed our data down to 44 studies. The database used was PubMed, and the keywords used are "Resveratrol", "Telomere", "Post Myocardial Infarction". All the studies were carefully screened for relevant articles regarding our topic manually, Articles related to a positive association between resveratrol and its anti-aging, cardioprotective effects have been included in our study, as we could not find any articles in our search which showed a negative correlation. Our review concluded that resveratrol had pro-telomerase effects which could counter the development of adverse post-MI remodeling. Therefore resveratrol could be a useful therapeutic add-on drug to prevent cardiovascular disease. It is essential that further research including observational and large-scale clinical trials should be conducted to increase our understanding of the efficacy and viability of these novel therapeutic interventions.

摘要

心肌梗死后重塑是用于定义心肌在遭受缺血性损伤后发生的变化的术语。这些变化会降低心肌功能,并最终导致心力衰竭。我们综述了心肌梗死后重塑的促成因素、其与端粒生物学的关联,以及与心血管健康相关的影响衰老和端粒长度的众多其他因素。主要关注点是白藜芦醇在心血管系统中的作用及其在预防长期心血管疾病发病率和死亡率方面的治疗应用潜力。我们试图回答有关白藜芦醇作为预防心肌梗死后不良重塑的治疗药物的潜力的重要问题。在搜索过程中,我们收集了62项研究,并将数据范围缩小至44项研究。使用的数据库是PubMed,使用的关键词是“白藜芦醇”“端粒”“心肌梗死后”。所有研究都经过人工仔细筛选,以查找与我们主题相关的文章。由于在搜索中未找到显示负相关的文章,因此我们的研究纳入了与白藜芦醇及其抗衰老、心脏保护作用呈正相关的文章。我们的综述得出结论,白藜芦醇具有促端粒酶作用,可对抗心肌梗死后不良重塑的发展。因此,白藜芦醇可能是预防心血管疾病的一种有用的辅助治疗药物。必须开展包括观察性研究和大规模临床试验在内的进一步研究,以加深我们对这些新型治疗干预措施的疗效和可行性的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef05/7735524/d466546a2218/cureus-0012-00000011482-i01.jpg

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